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Clinician Engagement in ABF Environment

Clinician Engagement in ABF Environment. Kris Jenkins Director Health Information Services. Organisational Structural Changes. New Committee (chaired by CEO) to ensure optimum ABF performance. Involvement of coders in clinical unit meetings

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Clinician Engagement in ABF Environment

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  1. Clinician Engagement in ABF Environment Kris Jenkins Director Health Information Services

  2. Organisational Structural Changes • New Committee (chaired by CEO) to ensure optimum ABF performance. • Involvement of coders in clinical unit meetings • New Board reports involving casemix analysis including estimated NWAU. Activity data needed within first week • Grouping and WIES calculation online • Presentations at SMS forums • appoint a Champion • Acknowledge shortfalls but emphasise working within to get the best results

  3. Data for Clinicians • Benchmarking - internal and external • Length of stay • DRG split • Benchmarking costs • Monitoring activity - Actual vs target • NWAU, LOS, Sameday rate, cost vs revenue • Accurate timely coding will maximise revenue

  4. Health Information Services Some Steps for successful introduction of ABF Review coding turnaround time: • Essential coding is completed in time – set coding quotas. Austin KPI 10 days post discharge. Coding EFT and structure Review clerical & admin procedures and processes • HIS internal procedures • Diagnostic results turnaround time

  5. Health Information Services • Establish coding guidelines and cheat sheets • Provide timely feedback to Clinicians, Units and Management • Austin – DRG Statements • Unit meeting strategy – specifies HIS and CSU responsibilities • Importance of documentation in the record – need consultant engagement • Understand grouping logic • Review administrative data collection procedures

  6. HIS cont: • Review reporting timelines and processes • Victoria is strict with coding penalties and data submission • Currently Victoria coding 1 month and 10 days following month of discharge • 50% funding if miss this • Miss by next month zero funding • Coding can be changed and fully funded up till consolidation – 10th September • Coding quota 4 per hour average

  7. Unit meeting / audit results • Approach Units, don’t wait for them to contact you • provide some data to get them interested • 2010/2011 financial year, the additional WIES made from unit audits was 496 ($1.85m) • Target Vascular audit 29 WIES - $108K

  8. Process • Clinicians love $ and once on board stay on board • They circulate and discuss their gains • Audits can be targeted or based on documentation queries. Standard audit - MVH • When coding coders complete a documentation query form and place in relevant Unit folders • Coders sit with clinicians and make the change and regroup online and view the outcome • Distribute results

  9. WIES increase 0.5817 Revenue increase $2,250

  10. WIES increase 4.436 Revenue increase $16,023

  11. WIES increase 2.0962 Revenue increase $8,106

  12. Sample report

  13. Feedback From: JOHNS, Jennifer Sent: Thursday, 22 September 2011 3:27To: PETTY, Mark; TURNER, LeanneSubject: FW: Documentation Review for Cardiology records Not bad for an hour’s work! By the way, I’m doing cardiac surg as well.  Dr Jennifer Johns, MBBS FRACPCardiologistMedical Director, Specialty Services CSU

  14. Feedback cont: From: FELL, Gary Sent: Tuesday, 10 May 2011 2:53To: TURNER, LeanneSubject: FW: Vascular audit Leanne, • This should bring us up to the WIES target and pay for a few more stent grafts.  Cheers  Gary Director Vascular Surgery

  15. Questions ?

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