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Heather Grain eHealth Eduction - Development of Clinical Coder Skills - An Alternative Approach

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Heather Grain, Associate Professor, eHealth Education presented this at the 5th Annual Clinical Documentation, Coding and Analysis Conference. This event is the only case study led conference in …

Heather Grain, Associate Professor, eHealth Education presented this at the 5th Annual Clinical Documentation, Coding and Analysis Conference. This event is the only case study led conference in Australia looking solely at clinical documentation, coding and analysis.

For more information, please visit http://www.healthcareconferences.com.au/clinicaldocs

Published in: Health & Medicine

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  • 1. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Development of Clinical Coder Skills an alternative approach PREPARED  BY:    HEATHER  GRAIN   FEB  2014   ‹#›  
  • 2. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Perspec've  on  clinical  coder  workforce   Farkli  Acilar  -­‐    Different  Perspec5ves  2011   ‹#›  
  • 3. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   The  Problem   “  The  formula-on  of  the  problem  is  o4en   more  essen-al  than  its  solu-on”               Albert  Einstein               Do  we  understand  the       problem?       3   ©  2014  
  • 4. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   The  Problem…..s   •  People  do  not  seek  clinical  coding  as  a  job.   •  Many  people  who  have  been  trained  as  HIMs   don’t  undertake  that  role  for  long.   •  Educators  not  providing  courses   •  Educators  failing  to  understand  the  needs  of   the  industry   •  Lack  of  course  resources  and  material   4   ©  2014  
  • 5. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Not  seeking  to  be  a  clinical  coder   Do  they   •   know  it  exists?     •   want  to  do  it?     •   have  a  wrong  idea  of  what  it  is     •   see  it  as  a  career     ‹#›  
  • 6. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Not  seeking  to  be  a  clinical  coder   Do  they   •   only  want  to  do  part  of  it     •   find  it  too  expensive  –  to  learn,  to  buy  books     •   know  the  skills  needed     •   see  training  as  an  obstacle     •  takes  too  long,  OR  doesn’t  give  them  enough  5me  to   finish  at  their  own  pace   •  flexible  start  and  end  5mes   •  have  support  to  undertake  training   •  see  the  training  as  worth  the  investment   •  know  where  to  get  training  ‹#›  
  • 7. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Educators  not  offering  courses   •   Require  student  demand     •   Require  skilled  staff     •   High  maintenance  educa5on  program     •   Very  few  educators  with  coding  skills     •   Requires  highly  changeable  materials     •   Requires  prac5cal  placement     ‹#›  
  • 8. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Solu'on  must  address  all  issues   Do  they  know  it  exists?     oaen  no  –  market  the  career   Do  they  want  to  do  it?   Do  they  have  a  wrong  idea  of  what  it  is?     create  a  posi5ve  image   Do  they  see  it  as  a  career?     show  a  career  pathway       8   ©  2014  
  • 9. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   A  Career  Perspec5ve       9   ©  2014  
  • 10. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Training  obstacles   •   entry  point  unclear     •   complete  whole  series  –  not  competent     •   not  job  based  –  profession  oriented     •   not  integrated  learning     •   expense  of  training     •   courses  with  different  learning  approaches     10   ©  2014  
  • 11. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Tradi5onal  Approach   Know  all  before  you  do  any   originates  in  university  programs  for  HIMs     professional  entry  not  job  entry   Assumed  learning  aaer  training  or  on  ‘prac’   • real  world  record  and  system  skills     11   ©  2014  
  • 12. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Alterna5ve  View   Build  progressive  skills  providing     career  structure     lower  entry  level     clearer  defini5on  of  levels  of  skill     easier  entry  –  encourage  starters     greater  recogni5on  of  high  level  skills     recognise  prior  learning     provide  mentors     flexible  methods  and  5mes   12   ©  2014  
  • 13. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Skill  development   Real  world  –  job  based  approach  building  detail  and  skill,  e.g.:     endoscopy  centres     specialisa5ons  such  as  obstetrics     clear  defini5on  of  known  scope  of  competence       Establish  knowledge  of     •  •  •  •  coding  principles    (including  coding  standards  applica5on)   medical  language/science  taught  with  coding  (reinforcement)   record  handling  principles   informa5on  systems     •  process  management,  EHRs  and  coding  systems   •  •  •  •  what  you  do  and  don’t  know  how  to  code   access  to  mentors   coding  issues  resolu5on  and  support   hand  wriien  and  electronic  record  samples   13   ©  2014  
  • 14. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Addi5onal  knowledge  to  consider   • Prac5cal  coding  skills     • Mentored  support     • Data  management  and  extrac5on     • Introduc5on  to  terminologies     • Audit  par5cipa5on  and  contribu5on     14   ©  2014  
  • 15. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   treatment  and  cost  to  deliver  care   Level  of  skill   •  er5ficate  IV    -­‐  underselling  the  skills   C • Coding  skills  require     •  Evalua5on   •  Assessment   •  Significant  knowledge  applica5on   These  are  more  post  graduate  diploma     Could  airact    qualified  clinical  people   15   ©  2014  
  • 16. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   Future  and  cost  to  deliver  care   treatment   What  will  grow  from  the  oaen  harsh  ground.       H.  Grain ‹#›    
  • 17. A  Mix  of  hospital  cases  based  on  success  ……   imilari5es  of  diagnoses,   Australia’s  ost  to  deliver  care   entry  and  s treatment  and  c Innova5on     new  technology       new  approaches       Courage  to  lead  the  world……     H.  Grain ‹#›    
  • 18. A  Mix  of  hospital  cases  based  on  similari5es  of  diagnoses,   Future  a  nd  cost  to  deliver  care   ?   treatment   H.  Grain ‹#›