Agenda

CONFERENCE DAY ONE
Monday 20th February 2012

DAY ONE | DAY TWO

8:30 Registration and coffee

9:00 Opening remarks from the Chair
Colin McCrow, Technical Manager, Activity Based Funding Model Team, Finance, Procurement and Legal Services Division, Queensland Health

9:10 Clinical Services: Cost and Utilisation Profiling

Understanding your clinical service utilisation profile and cost profile will provide facilities with the ability to firstly identify a baseline of clinical service ability and then measure that baseline result against peers, jurisdictional and national measures.

After outlining a framework for establishing clinical service utilisation and cost profiles, this presentation will review the profile of obstetric outpatient clinics and identify some simple analytical questions that can be asked in the pursuit of benchmarking that will add value to the evaluation of your clinical service delivery.

Colin McCrow, Technical Manager, Activity Based Funding Model Team, Finance, Procurement and Legal Services Division, Queensland Health

9:50 'Analysis and Engagement - Chicken or the Egg'
Patient care and outcomes, as well as service planning, need to be the focus of why we document, record, collect, summarise and analyse.

• In this paper, the following concepts will be unpacked and explored:
• The dynamics between data analysis, presentation of information and engagement to effect positive patient outcomes; and/or
• Engagement to identify what types of information would add value to the quality of patient care as well as the quality of patient information
• What types of quality reviews and analysis activities can have a positive impact on patient care and outcomes across the continuum? Examples include clinical indicator analysis; quality of the medical record; as well as timeliness and completeness of discharge summaries
• How can we foster an environment of increased collaboration between clinical staff and support roles to deliver health care effectively and efficiently?

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

10:30 Morning Tea

11:00 CCSA Presentation - The Top 10 Coding Errors in WA Audits over the Last 2 Years

• Looking at the top ten coding errors over the last two years and their possible impact?
• Losses/gains
• Cause of errors
• Ways of improving
• 'Swings and roundabouts'
• Staffing impact/discharge summaries

Joan Knights, Coordinator Clinical Coding, Child & Adolescent Health Service, Princess Margaret Hospital for Children & King Edward Memorial Hospital; WA Representative and immediate past President, Clinical Coders' Society of Australia
Co-author William Pyper, Senior Policy Consultant, Performance, Activity & Quality Division, Department of Health WA

11:40 Data Quality: Opportunities and Threats in an ABF Environment

• ABF models are underpinned by patient level data placing these data under greater scrutiny
• There are opportunities to work towards increased data quality though improved standards and clear business rules
• There are risks that a financial focus will impact on data collected for other purposes
• National audit programs will become very important
• Robust education will be critical for all stakeholders

Jennie Shepheard, Principal Advisor, Health Information Policy and Classification Funding and Information Policy Branch, Department of Health Victoria

12.20 Lunch

1:20 The Move to a National Activity Based Funding Model

• What the 2011 National Reform Agreement means
• What are the new classification systems that will be used in Emergency departments and Outpatients
• How is the new funding model being developed
• What are the key challenges from a Victorian context
  

Phuong Nguyen, Project Manager, Funding Systems Development, Department of Health Victoria

2:00 The Latest News and Developments from NEHTA

What have we learned over the last 12 months of generating nationally applicable coded data to populate electronic health records in Australia?

This session will provide participants with a quick overview and lessons learned of the following key developments:

• PCEHR e-HR specifications
• e-Health Lead Sites implementations stories from the frontline
• International clinical terminology developments (SNOMED CT AU, AMT & LOINC)
• Towards a national terminology Service Infrastructure (Hl7 & terminology developments)
• National jurisdictions and vendor terminology implementations update
• Re-assessment of impacts on Health Information Managers and Coders – short, medium and longer term

Stephen Chu, Chief Clinical Informatician & Terminologist, NEHTA National CTI Service

2:40 Afternoon Tea

3:10 Engagement and Retention of Staff – The Warm and Fuzzy Stuff or Is It?

Numerous studies have shown that there is a very close relationship between performance and employee engagement. However, the people piece is often left out of the “business as usual” equation.

The presentation will cover:

• Retention of staff – develop a Strategic Retention Plan
• Leaders role in Retention – the key to an energised, engaged, motivated workforce
• Performance Management – how to use it to motivate and inspire your employees
• Managing Change – its effects on engagement and pitfalls to avoid
• Creating happiness in the workplace – the strategies that work

Olivia Petrovska, Organisational Development Consultant, Flow Wellbeing

3:50 Getting Clinical Coder Qualifications Right
‘The beginning is the most important part of the work’ (Plato)

This open discussion will allow participants to contribute to the development of Clinical Coder qualifications.

Activities to be discussed will include:

• Reviewing job roles
• Identifying key competency standards
• Identifying performance criteria
• Validating work already undertaken

Lyn Williams, Training Manager, HIMAA Education Services

4:50 Closing remarks from Chair

5:00 IIR invites all speakers and delegates to an informal networking drinks reception

CONFERENCE DAY TWO
Tuesday 21st February 2012

DAY ONE | DAY TWO

8:30 Morning coffee

9:00 Opening remarks from Chair
Joan Knights, WA Representative and immediate past President, Clinical Coders' Society of Australia; Coordinator Clinical Coding, Child & Adolescent Health Service, Princess Margaret Hospital for Children & King Edward Memorial Hospital

9:10 Clinical Coding and Analysis in Community Nursing – Moving Forward

• Moving from ICD9CM TO ICD10AM in a community organisation
• Challenges of mapping 15 years later
• Analysing and extrapolating coded data
• Forecasting/projecting the demographics of the community
• Application of data to the community

Angela Randall, Senior Clinical Coder – Informatics, Royal District Nursing Service
Co-author Erika van ver Spuy, Senior Data Analyst, Royal District Nursing Service

9:50 Targeted Analysis of Clinical Coding Auditing and Queensland Health Purchasing Frameworks

In preparation for Activity Based Funding as a District, CQ Health Services have focused on targeted analysis of clinical coding auditing in conjunction with Queensland Health Purchasing Frameworks.

• Analysing what you are doing
• Targeting Action Plans
• Using results – Influencing business process change
• Aligning practice with funding

Sherryl Heath, Manager, Business Analysis & Decision Support Unit, CQ Health Service District

10:30 Morning Tea

11:00 Keynote Address
Tony Sherbon, Acting CEO, Independent Hospital Pricing Authority

11:40 'When Red Means Go' - Improving Documentation through Provisional DRG’s at Cabrini Health

• DRGs - a multi-faceted tool
• Developing a ‘one-size-fits-all’ handover sheet
• Education in the private setting
• The circle of truth
• Where to now?

Pauline Callanan, Coding Manager, Health Information Services, Cabrini Health

12:20 Lunch

1:20 Counting, Coding, Costing and Casemix – A Practical Guide to Clinical Staff Training

• How to engage clinical staff
• Content and information delivered
• Lessons learnt from education provided
• Training strategies and ongoing plan

Cynthia Sweeney, Senior Health Information Manager, Townsville Health Service District
Liz Lea, Manager Funding Analysis and Clinical Costing, Townsville Health Service District

2:00 Clinical Coders, Respect, Recognition and Reward

In this presentation the following issues will be addressed:

• Southern Health’s Coding Workforce, a mix of Health Information Managers & Clinical Coders
• Development of a “Coder Technician Program” and training the next generation
• Gaining respect and recognition from the clinical staff at Southern Health
• Clinical Coding at Southern Health is a rewarding environment

Claire Pierce, Director, Health Information Services, Southern Health

2:40 Clinical Documentation – ‘Getting Back to Basics’

• Developing the role of Clinical Documentation & Business Improvement Manager
• The struggle of getting coding queries addressed in a timely fashion, and the effort taken
• Understanding how clinicians are trained in documentation requirements
• Developing an education program in documentation with organisational support

Else O’Halloran, Clinical Documentation and Business Improvement Manager, Health Information Services, Southern Health

3:20 Closing remarks from Chair

3.40 Close of conference

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