From coding to clinical nurse specialist: how a review of coding practice enabled hysteroscopy nurse development.

Clinical coding, the method by which departments are reimbursed for providing services to patients, is widely mispractised within the NHS. Improving clinical coding accuracy therefore offers an opportunity to increase departmental income, guide efficient resource allocation and enable staff developm...

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Publicado en:British Journal of Nursing Vol. 32; no. 8; pp. 372 - 378
Autores principales: Harris, William, Skuse, Kate, Sharp, Cathryn, Molyneux, Matthew, Crouch, Naomi
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited 4/20/2023
Acceso en línea:Ver este registro en EBSCOhost
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        atl: From coding to clinical nurse specialist: how a review of coding practice enabled hysteroscopy nurse development.
      aug:
        au:
          Harris, William
          Skuse, Kate
          Sharp, Cathryn
          Molyneux, Matthew
          Crouch, Naomi
        affil: Foundation Year 1 Doctor, Department of Obstetrics and Gynaecology, St Michael's Hospital, Bristol
      sug:
        subj:
          Coding
          Clinical Nurse Specialists
          Hysteroscopy
          Outpatient Service
          Gynecologic Nursing
          Human
          Audit
          Data Analysis Software
          Appointments and Schedules
          Descriptive Statistics
          Insurance, Health, Reimbursement
      ab: Clinical coding, the method by which departments are reimbursed for providing services to patients, is widely mispractised within the NHS. Improving clinical coding accuracy therefore offers an opportunity to increase departmental income, guide efficient resource allocation and enable staff development. The authors audited the clinical coding in outpatient hysteroscopy clinics at their institution and found that coding errors were both prevalent and correctable. By implementing simple changes in coding procedure, and without any additional administrative cost, they significantly improved coding accuracy and achieved an increase in total annual tariffs. Although not applicable in a block contract, this will become highly relevant in a restoration of the Payment by Results tariff system. Nurse development is a key objective of the NHS Long Term Plan but can be hindered by staff costs, which require departmental funding. In the authors' institution, improved clinical coding accuracy directly led to a departmental restructuring, funded the development of a new hysteroscopy nurse development and improved care delivery. Coding errors are not unique to the authors' trust, yet simple amendments led to meaningful changes. Therefore, careful auditing and implemented change are needed to raise national clinical coding standards, to enable clinical restructuring, staff development, and provide more efficient, patient-centred care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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