Does HIPE data capture the complexity of stroke patients in an acute hospital setting?

Hdl Handle:
http://hdl.handle.net/10147/125868
Title:
Does HIPE data capture the complexity of stroke patients in an acute hospital setting?
Authors:
Clarke, B; Kennelly, S; Shanley, D; Hogan-Lowe, D; McCormack, P M E
Citation:
Does HIPE data capture the complexity of stroke patients in an acute hospital setting? 2010, 103 (1):23-4 Ir Med J
Journal:
Irish medical journal
Issue Date:
Jan-2010
URI:
http://hdl.handle.net/10147/125868
PubMed ID:
20222391
Abstract:
The Hospital Inpatient Enquiry (HIPE) system is currently used as a principle source of national data on discharges from acute hospitals. The Casemix Programme is used to calculate funding for patient care (HIPE activity and Specialty Costs Returns). Th coding is usually undertaken by clerical personnel. We were concerned that the medical complexity of our stroke patients was not captured by the process. The aims of this study were to compare activity coded by HIPE coding staff and medical staff in consecutive stroke patients discharged from the hospital. One hundred consecutive discharged patients with stroke as primary diagnosis were coded by clerical staff [usual practice] and by medical staff. We compared the coding and any differences. We calculated the financial comparison of subsequent differences in Diagnostic Related Groups (DRGs) and Relative Values (RVs). Clinician coded DRGs resulted in a higher assigned RV in 45 cases. The total RV value for HIPE using clerical coding was 595,268.94 euros and using medical coding was 725,252.16 euros. We conclude that medical input is useful in detailing the complications arising in stroke patients. We suggest that physicians should assist in the HIPE coding process in order to capture clinical complexity, so that funding can be appropriately assigned to manage these complex patients.
Item Type:
Article
Language:
en
MeSH:
Diagnosis-Related Groups; Forms and Records Control; Health Resources; Hospitals; Humans; Ireland; Length of Stay; Patient Discharge; Relative Value Scales; Stroke
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorClarke, Ben
dc.contributor.authorKennelly, Sen
dc.contributor.authorShanley, Den
dc.contributor.authorHogan-Lowe, Den
dc.contributor.authorMcCormack, P M Een
dc.date.accessioned2011-03-28T14:38:17Z-
dc.date.available2011-03-28T14:38:17Z-
dc.date.issued2010-01-
dc.identifier.citationDoes HIPE data capture the complexity of stroke patients in an acute hospital setting? 2010, 103 (1):23-4 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid20222391-
dc.identifier.urihttp://hdl.handle.net/10147/125868-
dc.description.abstractThe Hospital Inpatient Enquiry (HIPE) system is currently used as a principle source of national data on discharges from acute hospitals. The Casemix Programme is used to calculate funding for patient care (HIPE activity and Specialty Costs Returns). Th coding is usually undertaken by clerical personnel. We were concerned that the medical complexity of our stroke patients was not captured by the process. The aims of this study were to compare activity coded by HIPE coding staff and medical staff in consecutive stroke patients discharged from the hospital. One hundred consecutive discharged patients with stroke as primary diagnosis were coded by clerical staff [usual practice] and by medical staff. We compared the coding and any differences. We calculated the financial comparison of subsequent differences in Diagnostic Related Groups (DRGs) and Relative Values (RVs). Clinician coded DRGs resulted in a higher assigned RV in 45 cases. The total RV value for HIPE using clerical coding was 595,268.94 euros and using medical coding was 725,252.16 euros. We conclude that medical input is useful in detailing the complications arising in stroke patients. We suggest that physicians should assist in the HIPE coding process in order to capture clinical complexity, so that funding can be appropriately assigned to manage these complex patients.-
dc.language.isoenen
dc.subject.meshDiagnosis-Related Groups-
dc.subject.meshForms and Records Control-
dc.subject.meshHealth Resources-
dc.subject.meshHospitals-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshLength of Stay-
dc.subject.meshPatient Discharge-
dc.subject.meshRelative Value Scales-
dc.subject.meshStroke-
dc.titleDoes HIPE data capture the complexity of stroke patients in an acute hospital setting?en
dc.typeArticleen
dc.identifier.journalIrish medical journalen

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