Clinician and Clinical Coder Joint Working for Improvement
• clinician and clinical coder joint working to validate the data
• implementing a weekly mortality audit, and generating learning and systematic quality improvements from the problems identified
• identifying and focusing on priority areas for meaningful improvement
• using mortality review to engage clinicians in quality improvement
• the national review of mortality measures: what to expect
• feeding back the results to clinicians to change practice
• a clinical coder perspective
In her presentation Alison discussed her experience as a clinical coder and the work she has done on clinical engagement; working with clinicians and changing ways of working to ensure acurate clinical coding. In her organisation a lead coder was assigned to each division and involved in management, clinical meetings and audits. Alison discussed how coding to solely to maximise on Payment by Results could have negative impact on other areas; it could negatively impact on hospital mortality ratios and won't reflect the true picture for quality improvement. Alison shared work she has been involved in with Dr Martin Farrier on reducing mortality rates within their organisation through quality improvement projects; learning from accurate data. Alison concluded her presentation by saying we need accurate data to measure care, to monitor care and to improve outcomes.
Alison’s full PowerPoint presentation is available for download at the end of this page.
Alison has worked in the NHS for 27 years, spending 20 years as a Clinical Coder at Wrightington, Wigan and Leigh NHS Foundation Trust. Over the last 5 years, she has been working as the Divisional Clinical Coding lead for the Medical division, establishing links with clinical staff and management and driving forward clinical involvement in the whole coding process. She has worked very closely with the Associate Medical Director in implementing a mortality audit, using data to identify focus areas to create quality improvement and generate change.
Outside of work, she is married with two teenagers. She enjoys walking, horse riding, watching her children in their sporting activities, spending time with family and friends and is a volunteer with the Girl Guides Association.
Future related events:
Nursing Metrics for Quality: Measuring quality in nursing and monitoring progress against the 6Cs
Measuring & Monitoring Clinical Quality
Clinical Audit for Improvement 2016
Masterclass: Quality Management and Using Data for Improvement
Download: Alison Unsworth full presentation3 December 2015