Clinical Documentation, Coding & Analysis Conference

Activity based funding and the imminent implementation of a national e-health system has highlighted the importance of ensuring the quality and quantity of clinical documentation, coding and analysis. Attend IIR Conferences' Clinical Documentation, Coding & Analysis Conference to gain practical advice on how to maximise your funding and prepare for e-health.

Featuring key contributions from:

• Mark Gill, Department of Human Services, Victoria
• Corrie Martin, Queensland Health
• Catherine Garvey, SA Department of Health
• Deborah Yagmich, Department of Health, WA
• Jill Burgoyne, NT Department of Health & Families
• Jennie Shepheard, Department of Human Services, Victoria
• Senior Representative, National E-Health Transition Authority (NEHTA)
• Colin McCrow, Queensland Health
• Professor Michael Cleary, Queensland University of Technology & Logan Hospital
• Vera Dimitropoulos, National Centre for Classification in Health
• Rhonda Carroll, Alfred Health, Victoria
• Ann Stewart & Tony Robben, Greater Southern Area Health Service, NSW
• Carly Uzkuraitis & Karen Hastings, Eastern Health, Victoria
• Lisa Gardiner, Cairns & Hinterland Health Service District, QLD
• Kylie Holcombe, Ballarat Health Services, Victoria
• Janette Gogler, Austin Health, Victoria
• Emily Price, Mersey Community Hospital, Tasmania
• Erin Holmes, Health Information Manager, Medical Record Advisory Unit, SA Department of Health
• Paul Frosdick, Clinical Terminology and Safety Manager, National e-Health Transition Authority (NEHTA)

AGENDA


State Government Guidelines for Clinical Documentation, Coding & Analysis

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

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

The Cost of Clinical Documentation

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

KEY ISSUES
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
• 
  

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

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)

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

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

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

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

Managing Coding, Coding Training and Coding Audit in a Complex Casemix Environment

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

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

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

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?

This conference will be held on the 18-19 March 2010 at Rendezvous Hotel, Melbourne -- (costs $ 1864.50 AUD + 250 WYEA admin fee). You are welcome to attend. The Information posted on this page is only meant to provide you an insight on knowledge and skills transfer opportunities available within the Australian government and social policy sector. In collaboration with IIR, we can design a specific program for you and your group, providing an opportunity for you to meet with Australian leading professionals in a friendly and highly rewarding environment.

Rural & Remote Health Congress

Strategic Directions for Rural and Remote Health Policy and Funding

The recent National Health and Hospitals' Reform Commission report on reform directions for Australia’s health system has highlighted the inequities for Australians living in rural and remote areas.

Commonwealth, state and territory governments, and non-government organisations are working hard to close the gap between health services in rural areas and their metropolitan counterparts. To support this, policy and funding for rural health must be responsive to the needs of communities. Programs should strive to support rural health professionals in their provision of health services and better effort must be made to improve collaboration between the commonwealth, and state and territory governments.

With the high level of policy activity in the industry at present, never has there been a better time to assess current challenges, priorities and initiatives in each state, facilitate interstate and federal discussion and cooperation, and discuss strategic directions for rural and remote health policy and funding.

Featuring Key Contributions From:

Health Quality & Complaints Commission Department of Health & Ageing Department of Health Victoria QLD Health National Preventive Health Taskforce Centre for Remote Health, Alice Springs National Health Workforce Taskforce

QLD Ambulance Service The Australian E-Health Research Centre Mental Health Council of Australia Victorian Primary & Community Health Network University of Tasmania CRANAplus Rural Health Education Foundation Rural Health Workforce Australia (RHWA)

AGENDA

Improving Healthcare Quality in Regional Queensland

• How consumer complaints drive improvement
• Learning the lessons from investigations
• Standards as a catalyst for improvement
• Measuring and managing healthcare risks

Delivering Comprehensive Healthcare Solutions to Indigenous Communities in Rural and Remote Australia

• Closing the gap
• A comprehensive approach to primary healthcare
• Supporting Aboriginal community controlled health organisations
• Investing in social determinants of health

Prevention: Where are we now and where next?

• The case for prevention nationally and in rural and remote Australia
• The Preventive Health Taskforce and the National Prevention Strategy
• Action now under way or in planning
• What further action is needed – and by whom?

Isolated Practice Paramedics

• Extended scope of practice for rural and remote areas
• Outlining the operational model for rural and remote areas

Telehealth Applications: New Developments to Improve the Equity of Access to Healthcare

• Information technologies can deliver improvements in healthcare
• Two telehealth applications will be presented
  - Care assessment platform for remote cardiac rehabilitation
  - Remote disease monitoring using eye monitoring
• Results from trials of these applications will be presented
• Some potential future developments will be discussed

Not Another Strategy!

Mental health has a major impact on health systems, social services, productivity, policing and correctional services. There is significant and consistent evidence about the failure of Australia's mental health systems, particularly in regional and rural areas. There are significant and consistent calls for change and reform, well beyond the rearranging of words in our policy and strategy documents.

This paper will outline how and why mental health reform has largely failed, and present some options for real change.

Reforming and Benchmarking Healthcare in Remote and Rural Areas

• Progress to date of recommendations from the Commission's report and the potential impacts on remote and rural healthcare in Australia
• Funding and accountability
• Driving quality performance
• Remote and rural Australia setting directions for reform

A Community Development Framework to Engaging Rural Communities to Support a Primary Health Care Approach: A Tasmanian Perspective

• The Tasmanian rural health environment
• Primary healthcare - getting the message out to rural communities, the challenges and opportunities
• A community development approach, what does this mean and what relevance does this having in the ever changing landscape of rural health
• Critical success strategies in engaging rural communities in health. What have we learnt, the Tasmanian experience?

The National Health Workforce Taskforce

• What is it and what will it be?
• What will be achieved?
• Where does rural fit?
• 
  

Blockages, Leaks and Kinks - The Health Education Pipeline

• Outline the educational pipeline that creates a rural health practitioner
• Current capacity vs. future demand
• Student placements - quantity and quality
• Training placements - innovation needed e.g. Community, AMS, GP surgery
• Shortage of primary healthcare providers
• Educators and supervisors - where will they come from?

The Reality of the Future Remote Workforce

• What does the remote health workforce look like now - who are they?
• Is living and working remote sustainable?
• If so, how do we support these people - retention - what does that mean?
• What models can and should be developed - enhanced?
• What are we doing wrong?
• Are we really serious about addressing the remote health workforce issues?
• How will it all be funded? By whom and how well?

Technology and the Bush: What does the new digital telecommunications world mean for rural and remote health professionals?

This presentation will examine the different telecommunications factors impacting the work of rural and remote health professionals, including the introduction of digital television; new satellite television services; the timing and reach of the National Broadband Network; and the use of mobile phones and other handheld devices for data access and delivery. The presentation will focus particularly on the education and information requirements of rural health professionals, and draw on the work of the Rural Health Education Foundation, Australia’s most extensive deliverer of video-based education content for health professionals.

This conference will be held on the 24 - 25 March 2010 at Brisbane Marriott Hotel -- (costs $ 1864.50 AUD + 250 WYEA admin fee). You are welcome to attend. The Information posted on this page is only meant to provide you an insight on knowledge and skills transfer opportunities available within the Australian government and social policy sector. In collaboration with IIR, we can design a specific program for you and your group, providing an opportunity for you to meet with Australian leading professionals in a friendly and highly rewarding environment.

2nd Annual National Telemedicine Summit 2010

An increase in chronic disease and an ageing population are putting major strains on the nation's healthcare system. In addition, Australia's vast physical size means that citizens living in remote rural areas often struggle to receive the same quality of care they would obtain in large urban area.

The advancement of telemedicine will ease these problems by promising the provision of quality healthcare at a distance. The 2nd Annual National Telemedicine Summit will feature a variety of in-depth case studies that will provide you with information on key initiatives undertaken by government health departments, clinicians and healthcare providers.

Learn first-hand from your healthcare peers how they have overcome challenges, worked with new technologies, met consumer expectations, dealt with financial constraints, measured results, and provided positive patient outcomes. Each case study will offer lessons that you can take away and use when implementing new telemedicine initiatives.

Speakers include:

• Andy Bond, National e-Health Transition Authority (NEHTA)
• Sharryn Gannon, NSW Department of Health
• Linda Cutler, NSW Health
• Dr Paul Gross, Institute of Health Economics and Technology Assessment
• Representative, Australian College of Rural and Remote Medicine
• Dr George Margelis, Intel Australia Digital Health Group
• Dr Laurie Wilson, CSIRO
• Heather McDonald, Total Health
• Dr Stuart Gowland, Mobile Surgical Services Project
• Peter Northcott, Fremantle Hospital
• Prof Gavin Andrews AO, St Vincent’s Hospital
• Dr Michael Hession, Blacktown Hospital - Sydney Western Area Health Service
• Margaret Scott OAM, Hunter Nursing
• Dr Debbie Kralik, Royal District Nursing Service SA (RDNS)
• Dr Nickolai Titov, University of New South Wales, and St Vincent’s Hospital, Sydney
• Veronique Lajoie, OzDocsOnline
• Jim Basilakis, TeleMedCare
• Anthony Fanning, Health-E
• Michael Grosser, DLA Phillips Fox

Gain essential insights into the research, planning, funding and delivery of the latest initiatives, through sessions that will include:

• The Latest News and Developments from NEHTA: Adoption of e-health through engagement and collaboration
• The Chronic Care Management Task with a Diminishing GP Workforce
• Use of 'Tele' in the NSW Chronic Disease Management Program
• Remote Patient Monitoring and Chronic Disease Management
• Implementing a New Telemedicine Service - What do You Need to Consider?
• A Medico Legal IT Perspective on Telemedicine in rural and remote Australia
• Disruptive Health Reform: How Home Telehealth will Change Healthcare as we know it
• Opportunities for Education, Peer Review and Mentoring which do not Require the Professionals to Leave the Workplace

Featuring Revealing & Informative Case Studies from

National e-Health Transition Authority (NEHTA) NSW Department of Health Royal District Nursing Service of SA Inc University of New South Wales Sydney Western Area Health Service Intel

CSIRO St Vincent's Hospital Fremantle Hospital Hunter Nursing Australian College of Rural and Remote Medicine And Many More

AGENDA

The Latest News and Developments from NEHTA - National E-health Transition Authority (e-Health)
> Development of the foundations for health care 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

Soft Entry Points for e-Health Innovation: Technology, Our Patients and their Trust

• Characteristics and experiences of 'early adopters' of an e-Health consultation service in general practice
• Activity analysis, costs and potential benefits
• Matching e-Health to patient need and outcomes
• Challenges in future implementation
• Opportunities to secure public trust in money-saving technology

Chronic Disease e Management

Telemedicine in Chronic Care Management: Policy Gaps Affecting MBS Payments and Patient Education for Self-care

• The chronic care management task with a diminishing GP workforce
• Economic impacts with different types of chronic condition management: the social ROI
• The technical issues
• The financing and payment issues
• The self-education issues
• The political will to act: barrier or impetus?

Remote Patient Monitoring and Chronic Disease Management Trial in the Hunter Region

• Community nursing setting, 180 days evaluation period
• Chronic Disease focus - COPD and CHF initially
• Aims and objectives
• Solution overview - participants, technology, process
• Program and evaluation process
• Initial results and directional findings
• Qualitative and quantitative benefits
• Program enhancements

Use of ‘Tele’ in the NSW Chronic Disease Management Program

• Development of the Program - concepts, targets and implementation
• Matching the right ‘Tele’ to the patient, clinicians and services needed: Telehealth, Telemonitoring, Telecare, Telecoaching.

RDNS SA Virtual Hospital Program - Videophone Technology

• Overview of the 2007 pilot project aimed at evaluating Telehealth technology for delivering medication management
• Outcomes and learnings from the pilot project
• Current RDNS SA Virtual Hospital activities
• Nursing recruitment and retention in a Virtual Hospital setting
• Future opportunities for the SA Virtual Hospital Unit

Nursing Grand Rounds via videoconference

• Opportunities for education, peer review and mentoring which do not require the professionals to leave the workplace - development of the content and approach
• Linking rural and remote nurses on a regular basis within their Area Health Service; for generalist case presentations and discussion of interesting or challenging patient journeys of relevance in the rural setting with a longer term goal in regard to the formation of a peer review and mentoring network amongst these smaller facilities
• Identification of barriers and the development of a toolkit to address the barriers and facilitate the use of the VC grand rounds
• The Implementation Toolkit consists of:
  > VC Etiquette
  > Case Presentation Ground Rules Presentation Template
  > Roster
  > Promotional Flyer Template
  > VC Booking form
  > Presenters Information Kit
  > Participant Information Kit
  > Contact Numbers for smaller sites

Implementing a New Telemedicine Service - What do You Need to Consider?

• How should we govern this - what are the components?
• Developing a service ready document set
• Ensuring proactive approach to risk management
• What can you measure
• What do you need to remember

Disruptive Health Reform: How Home Telehealth will Change Healthcare as we know it

• Why disruption is a good thing
• Empowering individuals to play a major role in their own healthcare with the right tools
• Changing from a mainframe model to a personal computer model of healthcare
• How ICT will change the role of clinicians

Telehealth on Advanced Networks

• Lessons learned from a number of advanced telemedicine system trials
• Broadband, quality of service and advanced interfaces
• Importance of user-centred design
• High sense of presence supports complex and critical care applications
• Team support and usability
• Improved health outcomes if such systems are implemented widely when advanced networks (such as the National Broadband Network) become available

Telephonic Health Coaching - Taking Pressure of the Health System through Reaching Diverse Population Groups

• How do people enrol?
• Who are the participants?
• Treatment from prevention through to disease management
• Support during pregnancy
• Results - making an impact

Telemedicine in Rural and Remote Australia - A Medico Legal IT Perspective

• "Show and Tell" highlighting several of ACRRM’s telemedicine initiatives including:
  > Tele-Derm
  > Radiology Online
  > Online Mental Health Training
  > Clinical Guidelines on PDA
• Consideration of practical and legal issues in developing or licensing content and delivering these initiatives to rural and remote medical practitioners.

Do we Have Useful Content for Video Communication or are we Still Latency Ridden ‘Talking Heads’?

• The New Zealand Government funded Mobile Surgical Project was charged in 2002 with delivering innovative rural health development. The project chose the development of more advanced video communication as possibly the most significant contributor in the fight against the ‘tyranny of time and distance'.
• Why do broadcasters still refuse to sink to the bandwidth levels most of us are forced to use?
• What is 'teleporting'? Another name for video conferencing?
• The average clinician is still not impressed with video communication. Deserved?
• Where can cameras go? A plethora of content
• Applications from the virtual world. Are they really closet gamers?

The Evolution of a Low Cost Surgical Tele-health Network at Fremantle Hospital

• Successfully overcoming a restrictive public hospital budget when implementing a new telehealth initiative
• Finding a cost-effective solution to provide a video feed from the Theatre complex to other venues
• Utilising research from the security industry to develop a technology that provides the outcomes required at a price within Fremantle Hospital’s very small budget
• The regular use of this technology by Fremantle Hospital's surgical staff to support surgical training
• This presentation will demonstrate the journey we took in developing this Tele-health tool

Telemedicine Solutions for Mental Health

The Development of an Effective Not-for-Profit Program for the Internet Treatment of People with Anxiety and Depressive Disorders

• Summary of 14 randomised control trials with more than 1200 Australians
• Lasting improvements equivalent to face to face cognitive behavior therapy or drug therapy
• Cost effective treatment that can be effectively administered by a practice nurse
• The hard lessons, battles, and challenges of Internet-based treatment of anxiety and depression
• Determining the critical elements for success

Distance Treatment for the Girl Next Door - Implementing Internet Treatment

• It is currently being rolled out across the divisions of general practice in Australia and New Zealand
• Conservative doctors are changing, perhaps because we made prescribing web based treatment look like prescribing pharmacy based medication
• We provide tools to aid case recognition and prescribing
• We ensure confidentiality and maintain clinical and legal responsibility with the clinician
• We are implementing this as the first step in treatment in our face to face clinic at St Vincent's Hospital, Sydney

  Integrated Home Remote Monitoring Study with Established Respiratory Ambulatory Care Services for COPD within the Sydney West Area Health Service (SWAHS), an Interim Report

• Experiences and challenges implementing home telehealth solutions and evaluation of their effectiveness
• Aims and study design of a randomised controlled trial of home telehealth COPD management
• Utilisation of technology, data analysis, clinical and cost benefits
• Realising the potential benefits of telehealth solutions and the way forward

This conference will be held on the 24 - 25 March 2010 at  Sydney Harbour Marriott @ Circular Quay -- (costs $ 2744.50 AUD + 250 WYEA admin fee). You are welcome to attend. The Information posted on this page is only meant to provide you an insight on knowledge and skills transfer opportunities available within the Australian government and social policy sector. In collaboration with IIR, we can design a specific program for you and your group, providing an opportunity for you to meet with Australian leading professionals in a friendly and highly rewarding environment.