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Allied Health Statistics

The National Allied Health Benchmarking Consortium (NAHBC) highlights the significance of collecting statistics in allied health. By providing insights for decision-making, monitoring key processes, improving service delivery, measuring performance, and predicting changes, statistical data plays a critical role in enhancing health care practices. The NAHBC outlines various categories of allied health activities—Clinical Care, Teaching & Training, Research, and Clinical Services Management—each contributing uniquely to the health ecosystem. Effectively utilizing these statistics can lead to better resource allocation and service efficiency.

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Allied Health Statistics

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  1. Allied Health Statistics National Allied Health Benchmarking Consortium (NAHBC) 2010 NAHBC 2010

  2. Why Collect Statistics? • Informing decision making and resource allocation • Monitoring key processes • Improving systems and processes • Measuring performance against targets • Measuring contribution to the health care process • Predicting implications of changes in practise • Quality activities to ensure that services are being delivered in the most efficient way • Benchmarking activities across organisations • Service and contract negotiation NAHBC 2010

  3. Allied Health Activity: • Has been divided into 4 categories by the National Allied Health Casemix Committee (NAHCC) 2001 Allied Health Activity Clinical Care Teaching & Training (TT) Research Clinical Services Management (CSM) Individual Patient Attributable (IPA) Non Individual Patient Attributable (NIPA) NAHBC 2010

  4. Clinical Care: • Activities which provide a service to an individual, community or group to influence health status • Clinical Care is comprised of both: • IPA: Individual Patient Attributable • NIPA: Non-Individual Patient Attributable NAHBC 2010

  5. IPA: Individual Patient Attributable • A clinical care activity that can be assigned to an individual patient (medical record number known) • Examples: • Treatment of a client • Writing a discharge report for a patient • Telephone call about a client to a community agency to arrange home support NAHBC 2010

  6. NIPA: Non - Individual Patient Attributable • Any clinical care activity that can not be assigned to an individual patient • Examples: • Unit meetings/ward rounds/case conferences/handover/caseload allocation. • Group activity eg antenatal (UR unknown) • Patient education material development • Preparation, planning, delivery and evaluation of an education program to group • Health promotion event • Travel associated with clinical care which can not be directly related to a specific patient NAHBC 2010

  7. Teaching & Training: • Formal teaching and training activities which relate to the imparting of knowledge, skills and clinical competency • Undergraduate students and post graduate students • Practitioners in own discipline • Other practitioners • Examples: • Preparation time associated with the delivery of formal Teaching & Training eg. inservices, lectures, seminars • Supervising a student treating a patient • Meeting/consultation/communication on teaching activities • Interaction with training institutions NAHBC 2010

  8. Research: • Activities which are undertaken to advance the knowledge and delivery of care to an individual, group or community. • Research is limited to activities that lead to and follow formal approval of the project by a research committee or equivalent body. NAHBC 2010

  9. Clinical Services Management: • Professional and management activities which support and are essential to clinical care. • Examples: • Staff management • Staff meetings • Quality improvement • Supervision: general matters unrelated to a specific patient or group • Work related to a submission/proposal for a new service/ program • Undertaking professional development • Statistics gathering and reporting • Travel specifically associated with Clinical Services Management (CSM) NAHBC 2010

  10. Statistics Entry Algorithm: Does the activity provide a service to an individual, group or community, to influence health status ? Does the activity relate to formal Teaching and Training activities ? Does the activity relate to a formal research project? (ie leads to and follows formal approval of the project by an ethics committee)? NO NO YES YES Clinical Care Teaching & Training YES NO Can the Clinical Care activity be attributed to a patient(s) ? YES NO Individual Patient Attributable (IPA) Non Individual Patient Attributable (NIPA) Research Clinical Services Management (CSM) NAHBC 2010

  11. Is the meeting about……? • A specific patient (IPA) • An approved program for patients that is currently being designed (NIPA) • A program for patients that you think would be a good idea and want to discuss with others (CSM) • A formal research project that you are collecting data for (Research) • A clinical placement with a training institution (Teaching & Training) NAHBC 2010

  12. Is the telephone call about……? • An individual patient (IPA) • Students (Teaching & Training) • Research (Research) NAHBC 2010

  13. Is the literature review to help..? • Provide optimum treatment to a patient that you are treating (IPA) • Develop a research proposal to submit to the ethics committee (Research) • Prepare a lecture for students or staff (Teaching & Training) NAHBC 2010

  14. How would you code ? • Develop an education package that has been endorsed by management and that is directly related to the clinical care of the patient -> NIPA • Work planning for the day -> CSM • Department student coordinator meets with University staff in relation to student placement program -> Teaching and Training (TT) NAHBC 2010

  15. How would you code ? • Clinician provides training session to a group of nurses as a regular and formal part of their in-serviceprogram Clinician: -> Teaching and Training • Clinician presents a talk to other AH staff in a structured continuing education program Presenter: -> Teaching & Training Audience: -> CSM NAHBC 2010

  16. How would you code ? • Clinician observes a student providing an intervention to a client for supervision purposes only Student: -> IPA Clinician: -> Teaching and Training • Clinician treats a patient. Supervisor observes to perform competency assessment as part of formal department learning program Clinician: -> IPA Supervisor: -> CSM NAHBC 2010

  17. Annual Audit • All NAHBC membership organisations are required each June to undertake the Statistics Coding Audit. • The Statistics Coding Audit will be circulated to all NAHBC membership organisations by the NAHBC Statistics Coding working party just prior to the audit month. NAHBC 2010

  18. Summary • This presentation has been endorsed by the NAHBC membership organisations and should not be altered. • If you have any queries regarding this presentation please contact your NAHBC representative. • Further information at: www.nahcc.org.au NAHBC 2010

  19. Your Hospital’s Business Rules NAHBC 2010

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