Coding geriatric syndromes:: how good are we?
Coding geriatric syndromes:: how good are we?
High quality coding of hospital activity is important because this data is used for resource allocation and measuring performance. There is little information on the quality of coding of admissions of frail older people who have multiple diagnoses, co-morbidities and functional impairment. We have reviewed discharge summaries (DS) and hospital coding (HC) and compared these with a case note review (CNR) for the presence or absence of four geriatric syndromes and eight medical conditions. Forty patients had at least one geriatric syndrome noted in the DS; 16 (40.0%) were captured by the HC. Of 57 patients with at least one medical condition noted in the DS, 52 (91.2%) were captured by the HC (p<0.0001 for difference in HC capture rates). We have demonstrated poor capture of information on geriatric syndromes compared to medical conditions in DS and HC and propose a problem list bookmark approach to improve this.
syndrome
34-36
Ugboma, Ike
a13a82dd-eaf4-49c0-950d-ff0500edd06d
Syddall, Holly E.
333a7102-653a-4391-a6b5-cb78cb33bc93
Cox, Vanesssa
5b4ccb30-edb6-4f3d-97d2-527d36e1bc7c
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Briggs, Roger
31feba11-87da-4326-8be0-d8aed8dae22d
Aihie Sayer, A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
2008
Ugboma, Ike
a13a82dd-eaf4-49c0-950d-ff0500edd06d
Syddall, Holly E.
333a7102-653a-4391-a6b5-cb78cb33bc93
Cox, Vanesssa
5b4ccb30-edb6-4f3d-97d2-527d36e1bc7c
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Briggs, Roger
31feba11-87da-4326-8be0-d8aed8dae22d
Aihie Sayer, A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Ugboma, Ike, Syddall, Holly E., Cox, Vanesssa, Cooper, C., Briggs, Roger and Aihie Sayer, A.
(2008)
Coding geriatric syndromes:: how good are we?
CME Geriatric Medicine, 10 (1), .
(PMID:22003315)
Abstract
High quality coding of hospital activity is important because this data is used for resource allocation and measuring performance. There is little information on the quality of coding of admissions of frail older people who have multiple diagnoses, co-morbidities and functional impairment. We have reviewed discharge summaries (DS) and hospital coding (HC) and compared these with a case note review (CNR) for the presence or absence of four geriatric syndromes and eight medical conditions. Forty patients had at least one geriatric syndrome noted in the DS; 16 (40.0%) were captured by the HC. Of 57 patients with at least one medical condition noted in the DS, 52 (91.2%) were captured by the HC (p<0.0001 for difference in HC capture rates). We have demonstrated poor capture of information on geriatric syndromes compared to medical conditions in DS and HC and propose a problem list bookmark approach to improve this.
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More information
Published date: 2008
Keywords:
syndrome
Identifiers
Local EPrints ID: 70560
URI: http://eprints.soton.ac.uk/id/eprint/70560
ISSN: 1475-1453
PURE UUID: 9ea740fd-cb80-4940-bd8c-caee9306e7e2
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Date deposited: 10 Feb 2010
Last modified: 18 Mar 2024 02:44
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Contributors
Author:
Ike Ugboma
Author:
Holly E. Syddall
Author:
Vanesssa Cox
Author:
Roger Briggs
Author:
A. Aihie Sayer
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