Agenda

CONFERENCE DAY ONE
Thursday 18th March 2010

DAY ONE | DAY TWO

8:30 Registration and Coffee

9:00 Opening Remarks from the Chair

State Government Guidelines for Clinical Documentation, Coding & Analysis

9:10 Supportive Documentation > High Quality Clinical Coding > Valuable Analysis. Removing the Missing Links

• Queensland Health's findings regarding documentation
• How this impacts on the quality of our coded data (and the subsequent DRG allocation)
• How poor documentation leads to poor coding and how that impacts on analysis
• Methods for improvement

Corrie Martin, Principal Data Quality Officer, Statistical Standards Unit, Health Statistics Centre, Queensland Health

9:50 Victoria's Approach to Improving Data Quality

• Update from the Health Information Section
• The role of the Victorian ICD Coding Committee
• Audit of hospital admitted patient data in casemix-funded public hospitals 2005-2009

Mark Gill, Manager, Health Data Standards & Systems Unit, Department of Human Services
Kylie Holcombe, Coding Manager, Ballarat Health Services & Member of Victorian ICD Coding Committee

10:30 Morning Tea

11:00 The WA Data Quality and Coding Education Cake: Our Recipe

• Ingredients required
• The method
• The taste test

Deborah Yagmich, Principal Coding Trainer, Coding Education, Information Management & Reporting, Department of Health, WA

11.40 The Cost of Clinical Documentation

• Causes and consequences of poor clinical documentation
• Controls in place - current/future
• Treatments and effectiveness of controls

Catherine Garvey, A/Chief Health Information Officer, Information Management, Medical Records Advisory Unit, SA Department of Health
Erin Holmes, Health Information Manager, Medical Record Advisory Unit, SA Department of Health

12:20 Lunch

1:20 An NT Perspective - The Challenges of Documentation and Clinical Coding in a Remote/Indigenous Health Environment

• Geography
• Demographics
• Building on rocky foundations

Jill Burgoyne, Health Information Services Manager, Alice Springs Hospital, NT Department Health & Families

Key Issues

2:00 Clinical Analysis of Coded Data and the Effect on Quality of Care

• Why we need costed clinical data at patient level (not cost modelling) to maximise our ABF experience
• The skills we need to interpret the data and relate that data to the maintenance of quality outcomes
• The importance of quality coded data, standards, reference sets and defined practice knowledge
• The key data elements of ABF systems required
• The advantages that outcomes reporting has over outputs reporting and what we may need to do to reach this goal

Colin McCrow, Senior Applications Specialist, Decision Support & Analysis Team InfoOperations, Information Division, Queensland Health

2:40 Afternoon Tea

3:10 Coding is a Work of Art. If you Look Hard Enough you will Find its True Value

• Coding, just like art, creates a picture which depicts a story, event or set of circumstances. Neither can be created without the right tools, skills and environment
• Whilst in some hospitals and states, coding is of significant importance within both the hospital structure and state health system; other coders are struggling to influence their environment, leading to a lack of understanding of their skills, un-validated data, and workforce contempt
• The creation of a strong partnership between coders, clinicians
  and hospital executives is fundamental for the future planned national activity based approach to hospital funding. It is essential that all hospitals begin to value the work of the coder and provide coders with tools for continued education, resources to implement audit plans, strategies to improve workforce moral and a greater investment and desire to improve clinical documentation

Emily Price, PIMS Supervisor, Mersey Community Hospital, Tasmania

3:50 The Effect of Clinical Documentation on Coding Quality and How this Influences AR-DRG Allocation

• Overview of the underpinning Australian Coding Standards (ACS) including: ACS 0001 Principal diagnosis and ACS 0002 Additional diagnosis
• Overview of the Good Clinical Documentation Guide and how this tool may assist with the education of clinicians regarding improvements to the quality of clinical documentation
• Overview of the Performance Indicators for Coding Quality (PICQ) and how this tool is being used to improve coding quality
• Ongoing work to improve the capture of data associated with patient safety (including the condition onset flag and healthcare associated staphylococcus aureus bacteraemia)

Vera Dimitropoulos, Assistant Director, Classification Development, National Centre for Classification in Health, The University of Sydney

4:30 The Latest News and Developments from NEHTA- National e-Health Transition Authority

• Development of the foundations for healthcare purposes
• Progression of the e-health solutions for initial delivery to healthcare sector
• Adoption of e-health through engagement and collaboration
• Advancement of e-health in Australia

Paul Frosdick, Clinical Terminology and Safety Manager, National e-Health Transition Authority (NEHTA)

5:10 Closing Remarks from the Chair

5:20 IIR invites all speakers and delegates to discuss the day's presentations at the informal cocktail reception

CONFERENCE DAY TWO
Friday 19th March 2010

DAY ONE | DAY TWO

8:30 Morning Coffee

9:00 Opening Remarks from the Chair

9:10 Health Information Manager and Clinical Coder Workforce Issues

• Demand for health information management staff and impact of this on clinical coding workforce
• Department of Health HIM and clinical coder workforce surveys
• Health Information Manager graduation rates and workforce demand
• Training and education solutions

Jennie Shepheard, Senior Health Information Manager Advisor - Classification Expert, Department of Human Services, Victoria

9:50 Improving Data Management through Clinician Engagement

• High quality clinical information underpins casemix classification systems and related funding methodologies. This clinical information is heavily influenced by clinicians
• Clinical leaders play an important role in ensuring that the information that is collected is of the highest quality. As such clinical engagement is an essential component of any activity that examines clinical documentation, the coding of this information and the analysis of the resultant data
• This paper explores the opportunities and mechanisms that can be utilised to engage clinicians in this important activity

Professor Michael Cleary, School of Public Health, Queensland University of Technology & Executive Director of Medical Services, Logan Hospital

10:30 Morning Tea

11:00 Understanding a Nurses' Perspective: The Chaos of Nursing Documentation

• The complexity of nursing documentation using paper as the medium
• Why forms are so important to nurses and yet often are incomplete
• Where the quality rich information can be found
• Nursing's transition from paper to electronic documentation

Janette Gogler, Assistant Director of Nursing, Nursing Informatics, Austin Health

Case Studies

11:40 Managing Coding, Coding Training and Coding Audit in a Complex Casemix Environment

• Coder recruitment and training
• Coding and casemix audit
• Coding audit database

Rhonda Carroll, Manager, Coding & Casemix Service, Health Information Services, Alfred Health

12:20 Lunch

1:20 Write Right: The GSAHS Clinical Documentation Project

• The Greater Southern Area Health Service (GSAHS) implemented this clinical documentation project with the aim of improving the standard of clinical documentation by 50% between March and August 2005
• The main intervention was the use of a Self Directed Documentation Leaning Package (SDDLP)
• Clinical documentation improved by 75% within 6 months; and Clinicians’ knowledge level on documentation requirements improved by 46.5%
• To improve the safety and quality of patient care the Clinical Governance Unit launched an area wide project to assist sites in improving the standard of clinical documentation
• Further audits have been undertaken in November 2009 to assess sustainability

Ann Stewart, A/Director Clinical Governance, Greater Southern Area Health Service, NSW
Tony Robben, A/Professional Practice Manager, Greater Southern Area Health Service, NSW

2:00 Grass Roots Health Information Management - Quality, Processes and Financial Incentives

• Practical quality improvements and initiatives for the capture of data, clinical documentation, completion of discharge summaries and quality of the medical record format through the review, development and communication of appropriate policies and procedures
• A subset of clinical specialties will be reviewed with the resulting impact on the quality of clinical coding, assignment of Diagnosis Related Groups (DRGs) and more accurate capture of episode of care changes
• Quality initiatives for improved data collection and financial benefits under an Activity Based Funding Model - policies, processes, training and feedback
• The importance of a collaborative working relationship with a wide variety of clinical and support services

Lisa Gardiner, Manager Health Information Services, Cairns & Hinterland Health Service District, Queensland

2:40 Casemix Funding Optimisation at Eastern Health - Working Together to Make the Most of Every Episode

• Understanding the environment
• A project based approach to resourcing and restructure
• Learning and recommendations
• Where to from here?

Carly Uzkuraitis, Coding & Casemix Manager, Eastern Health
Karen Hastings, Coding Education Co-ordinator, Eastern Health

3:20 Closing Remarks from the Chair

3:30 Afternoon Tea and End of Conference

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