Literature DB >> 18950949

Surviving "Payment by Results": a simple method of improving clinical coding in burn specialised services in the United Kingdom.

Katy L Wallis1, Claudia C Malic, Sonia L Littlewood, Keith Judkins, Alan R Phipps.   

Abstract

INTRODUCTION: Coding inpatient episodes plays an important role in determining the financial remuneration of a clinical service. Insufficient or incomplete data may have very significant consequences on its viability. We created a document that improves the coding process in our Burns Centre.
MATERIALS AND METHODS: At Yorkshire Regional Burns Centre an inpatient summary sheet was designed to prospectively record and present essential information on a daily basis, for use in the coding process. The level of care was also recorded. A 3-month audit was conducted to assess the efficacy of the new forms.
RESULTS: Forty-nine patients were admitted to the Burns Centre with a mean age of 27.6 years and TBSA ranging from 0.5% to 65%. The total stay in the Burns Centre was 758 days, of which 22% were at level B3-B5 and 39% at level B2. The use of the new discharge document identified potential income of about 500,000 GB pound sterling at our local daily tariffs for high dependency and intensive care.
CONCLUSION: The new form is able to ensure a high quality of coding with a possible direct impact on the financial resources accrued for burn care.

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Year:  2008        PMID: 18950949     DOI: 10.1016/j.burns.2008.06.008

Source DB:  PubMed          Journal:  Burns        ISSN: 0305-4179            Impact factor:   2.744


  1 in total

1.  Real-Time Prediction for Burn Length of Stay Via Median Residual Hospital Length of Stay Methodology.

Authors:  Sandra L Taylor; Soman Sen; David G Greenhalgh; MaryBeth Lawless; Terese Curri; Tina L Palmieri
Journal:  J Burn Care Res       Date:  2016 Sep-Oct       Impact factor: 1.845

  1 in total

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