| Does HIPE data capture the complexity of stroke patients in an acute hospital setting? | |
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MedLine Citation:
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PMID: 20222391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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B Clarke; S Kennelly; D Shanley; D Hogan-Lowe; P M E McCormack |
Publication Detail:
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Type: Letter |
Journal Detail:
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Title: Irish medical journal Volume: 103 ISSN: 0332-3102 ISO Abbreviation: Ir Med J Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-03-12 Completed Date: 2010-05-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0430275 Medline TA: Ir Med J Country: Ireland |
Other Details:
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Languages: eng Pagination: 23-4 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diagnosis-Related Groups Forms and Records Control* Health Resources Hospitals* Humans Ireland Length of Stay / statistics & numerical data Patient Discharge / statistics & numerical data* Relative Value Scales Stroke / classification, economics* |
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