Understanding the Surgical Workload and its Funding. Activity Based Funding Conference 28 th May 2015
|
|
|
- Janice Harper
- 6 years ago
- Views:
Transcription
1 Understanding the Surgical Workload and its Funding Activity Based Funding Conference 28 th May 2015
2 ACTIVITY BASED FUNDING 1. Providers are funded based on the activity they undertake. 2. Casemixfunding is also used = mix of cases that a health service treats. 3. A health system produces more than treated cases, and includes maintaining the health of people at home, prevention, teaching, research etc 4. For this reason, no health system in the world is funded solely on the basis of its casemix. 5. Hospital activity is counted by episode of care -from admission to discharge 6. The financial incentive is to minimisethe cost of each episode of care 7. Inevitably rewards the shortest length of stay in a hospital bed 8. This raises concerns that patients will be discharged too soon. 9. These concerns can be overcome if patient outcomesare measured 10.These concerns can be overcome if there is continuity of care between the hospital and home. 28/05/2015 ACTIVITY BASED FUNDING 2
3 The ABF Patient Record Journey 16,708 HIPE 30/admission 6,662 HIPE 20/admission FUNDING Encrypted Who sets the price? 28/05/2015 ACTIVITY BASED FUNDING 3
4 DRG codes XnnS Step 1: Major Diagnostic Category (MDC) code 23 body systems A = complex Transplant, prolonged ICU Step 3: Complexity A = most complex D = least complex (or Z same price regardless)split Step 2: ADRG number Surgery 00 39; Other (eg Echmo, Plasmaphoresis) Medicine /05/2015 ACTIVITY BASED FUNDING 698 DRGs in Ireland 4
5 28/05/2015 ACTIVITY BASED FUNDING 5
6 HIPE finalised data file, 2013 DRG / Procedure # Patients AvLOS Avg Rel Cmplxty MJR SMALL & LARGE BOWEL PR-CCC (G02B) 1, Right hemicolectomy with anastomosis ( ) Limited excision lrg intestine w anstms ( ) Resec small intestine w anastomosis ( ) Left hemicolectomy with anastomosis ( ) Temporary colostomy ( ) Extended right hemicolectomy w anstms ( ) Total colectomy with ileostomy ( ) Abdominal rectopexy ( ) Temporary ileostomy ( ) Subtotal colectomy w stoma formation ( ) Limited exc lrg intestine w stoma frm ( ) THIS IS DONE BY HIPE Reduction rectal mucosa, rectal prolapse ( ) Subtotal colectomy w anstms ( ) Left hemicolectomy w stoma formation ( ) Total colectomy w ileorectal anastomosis ( ) Other repair of small intestine ( ) Right hemicolectomy w stoma formation ( ) Laparoscopy ( ) Resec small intestine w formation stoma ( ) Other colostomy ( ) DRGS ARE FOR FUNDING AND NOT FOR CLINICIANS MEASURING THEIR ACTIVITY 28/05/2015 ACTIVITY BASED FUNDING 6
7 NCPS Mapping of Surgical Procedures Our analysis: By patient episode, by primary procedure Procedures* (mainly PRIMARY) drive surgical DRGs and ABF Procedures > 20 in any one year in all surgery (2010, 2011, 2012, 2013) Excluding procedures < 10 in 2013 ACTIVITY BASED FUNDING 28/05/2015 >98% 7
8 Patients who had an Above Knee Amputation ( ) during a single admissions in 2012 PRIMARY 28/05/2015 ACTIVITY BASED FUNDING 8
9 Multiple Procedure Example HIPE CAN COLLECT UPTO 30 DIAGNOSES & 20 PROCEDURES 28/05/2015 ACTIVITY BASED FUNDING 9
10 NQAIS Surgery Web enabled interactive reporting tool Using your own hospital s HIPE data 28/05/2015 ACTIVITY BASED FUNDING 10
11 HOW ABF WILL DRIVE CLINICAL PRACTICE 1. BY IMPROVING EFFICIENCY AND QUALITY OF CARE BY SETTING APPROPRIATE TARIFFS 2. BY CORRECTING PERVERSE INCENTIVES - DAY v INPATIENT ACTIVITY 3. BY FUNDING CARE IN CORRECT SETTING - AMBULATORY CARE 4. BY INCENTIVISING SHORTENED AVLOS 5. BY INCENTIVISING BETTER CARE 6. BY MANAGING INAPPPROPRIATE GEOGRAPHIC VARIATION 7. BY LIMITING OVER INVESTIGATION AND OVER TREATMENT 28/05/2015 ACTIVITY BASED FUNDING 11
12 LAP CHOLECYSTECTOMY-CDE-CSCC (H08B) 4,826 PerCase 3,429 PerCase 3,226 PerCase National target 60% 4,896 PerCase Elective HIPE data 2013 We need to incentivise move to Day Case 28/05/2015 ACTIVITY BASED FUNDING 12
13 BY FUNDING CARE IN CORRECT SETTING - AMBULATORY CARE 5539/week 12,798 /week Expense 28/05/2015 ACTIVITY BASED FUNDING 13
14 Examining 2012 Surgical Day Case Activity N= 208,996 Day Surgical Procedures 85,140 39% GI Endoscopes 51,456 23% OUT PATIENTS Examination of the Eye Nasoendoscopy Aspiration of breast Fine needle biopsy of breast Rigid sigmoidoscopy Sclerotherapy for haemorrhoids Ear toilet, unilateral Papanicolaou smear study Micro injections of venular flares Out Patient Day Procedures (not Proctrue Day Minor Surgery) Opp 42,863 68,40029,537 19% 38% 13% Valid Day Case MINOR OPS SIDE ROOM Removal of toenail or in-growing toenail Biopsy of skin & subcutaneous tissue Excision of lesion(s) SSCT, foot Biopsy of tongue Biopsy of oral cavity Removal of wart 28/05/2015 ACTIVITY BASED FUNDING 14 Should be done as Day Cases. Funding should reflect the correct site
15 BY INCENTIVISING BETTER CARE - Hip Fracture KPI Surgery within 48 Hours Transfers Acute Hip fracture operations in receiving hospital Transferred from Acute Hospital / HIPE hospital list or from non-acute Hospital (Admit source 3 or 4) HIPE 2013 data Admitted direct Transfer from other Hospital Total % Transfer Operating Hospital # Patients BDU AvLOS # Patients BDU AvLOS # Patients BDU AvLOS from Hsptl AMNCH Tallaght 133 2, , % BEAUMONT HOSPITAL, DUBLIN 189 5, , % CONNOLLY HOSPITAL, BLANCHARDSTOWN 58 1, , % CORK UNIVERSITY HOSPITAL 280 4, , % KERRY GENERAL HOSPITAL 138 1, , % LETTERKENNY GENERAL 105 1, , % MATER MISERICORDIAE, DUBLIN 132 3, , % MAYO GENERAL HOSPITAL 84 2, , % MIDLAND REGIONAL HOSPITAL, TULLAMORE 115 1, , % OUR LADY OF LOURDES, DROGHEDA 152 2, , , % REGIONAL (UCHG), GALWAY 101 1, , % REGIONAL, (DOORADOYLE) LIMERIC 188 2, , % SLIGO GENERAL HOSPITAL 80 1, , % ST. JAMES'S HOSPITAL, DUBLIN 64 3, , % ST. VINCENTS UNIVERSITY HOSPITAL 328 8, , % TEMPLE ST. CHILDREN, DUBLIN % WATERFORD REGIONAL (ARDKEEN) 258 4, , , % Grand Total 2,407 49, , ,674 54, % 28/05/2015 ACTIVITY BASED FUNDING 15
16 BY MANAGING INAPPPROPRIATE GEOGRAPHIC VARIATION Extraction of Cataract w or wo implant - Lens procedures (C16Z) Elective 2013 Cases Per Discharged to 000's Pop City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County Ireland Total 1.98 HIPE 2013 data 4.7 times national avg Tonsillectomy without adenoidectomy - TONSILLECTOMY, ADENOIDECTOMY (D11Z) Elective 2013 Cases Per Discharged to 000's Pop City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County City / County Ireland Total 0.31 HIPE 2013 data for Adults only (16 & Over) 2.6 times national avg
17 BY LIMITING OVER INVESTIGATION AND OVER TREATMENT 28/05/2015 ACTIVITY BASED FUNDING 17
A report on the patient treatment register
A report on the patient treatment register Item Type Report Authors National Treatment Purchase Fund (NTPF) Publisher National Treatment Purchase Fund (NTPF) Download date 21/10/2018 23:55:57 Link to Item
CHARTER DAY 2018 THE VALUE OF THE IRISH HIP FRACTURE DATABASE IN ENHANCING PERFORMANCE OF TRAUMA AND ORTHOPAEDIC SERVICES
CHARTER DAY 2018 THE VALUE OF THE IRISH HIP FRACTURE DATABASE IN ENHANCING PERFORMANCE OF TRAUMA AND ORTHOPAEDIC SERVICES Mr Paddy Kenny Joint National Clinical Lead Programme in Trauma & Orthopaedic Surgery
Carbapenemase producing Enterobacterales (CPE) in HSE acute hospitals
Carbapenemase producing Enterobacterales (CPE) in HSE acute hospitals Monthly report on July 2018 data for the National Public Health Emergency Team (NPHET) Executive summary of the latest available data
National Survey of Diabetes Care Delivery in Acute Hospitals 2018
National Survey of Diabetes Care Delivery in Acute s 2018 Prepared on behalf of the National Clinical Programme for Diabetes 2 Report preparation This report was prepared on behalf of the National Clinical
National GI Endoscopy
National GI Endoscopy Quality Improvement Programme 3 rd National Data Report 2017-2018 CONJOINT BOARD IN IRELAND of the Royal College of Physicians and Royal College of Surgeons National GI Endoscopy
Fracture Database. National Report Better, safer care
Irish Hip Fracture Database National Report 2016 Better, safer care REPORT PREPARED BY Dr Emer Ahern IHFD Clinical Geriatric Lead Consultant Geriatrician, St Luke s General Hospital Kilkenny Dominika Batorova
National Stroke Register Report 2017
National Stroke Register Report 2017 National Stroke Programme August 2018 Document reference number Approval for publication date Document developed by Document approved by National Stroke Programme Executive
Overview. Day Surgery Performance. -Where to find it. Day Surgery is a pathway. Comparisons: Day Case Rates 17/11/15. Incremental improvements matter
Day Surgery Performance -Where to find it Overview Currently available data on Day Surgery Using data to improve performance Using data to drive innovation Mark Skues, Immediate Past President Editor in
An Analysis of the Recording of Tobacco Use among Inpatients in Selected Irish Hospitals. August 2013
An Analysis of the Recording of Tobacco Use among Inpatients in Selected Irish Hospitals August 2013 Table of Contents Summary 3 Page Introduction 4 Methodology 5 Overall Results 6 Profile of Discharges
Summary of Operative Experience
Summary of Operative Experience (Remarks: Programme Directors of respective Specialty Boards will conduct random check of the trainee s Logbook Summary and Logbook Summary Report against the operation
Selected Operative Procedure Categories for KNHSS SSI Surveillance
Selected Operative Procedure Categories for KNHSS SSI Surveillance Breast Surgery Excision of lesion or tissue of breast including radical, modified, or quadrant resection, lumpectomy, incisional biopsy,
MAC 15 Revision Hip & Knee Arthroplasty
MAC 15 Revision Hip & Knee Arthroplasty Mayo Arthroplasty Conference 2015 April 17 th 19 th 2015 15 CPD Credits (RAMI Section of Orthopaedic Medicine) Mayo Arthroplasty Conference is committed to educational
Irish Hip Fracture Database National Report Better, safer care
Irish Hip Fracture Database National Report 2014 Better, safer care Irish Hip Fracture Database National Report 2014 Better, safer care Mr Conor Hurson Chair Irish Hip Fracture Database National Office
Colorectal Laparoscopic Standards and Coding Protocols July 2015 v2.0
Laparoscopic Standards and Coding Protocols July 2015 v2.0 COLORECTAL LAPAROSCOPIC STANDARDS AND CODING PROTOCOLS Contents 1 Context... 3 2 Laparoscopic Standards... 3 3 Coding Protocols... 3 Appendix
Surgical Workload, Outcome and Research Database: V1.1
Technical Guidance for Surgical Workload, Outcome and Research Database: V1.1 Contents 1. Standard Indicators... 5 1.1. Activity Volume... 5 1.2. Average Length of Stay (Days)... 5 1.3. 2/7/30 day Re-admission
OUTPATIENT Surgery Estimates APPENDECTOMY-laparoscopic: $17, Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.
OUTPATIENT Surgery Estimates 2019 APPENDECTOMY-laparoscopic: $17,852.53 Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.96 BILATERAL TUBAL LIGATION Laparoscopic using clips: $17,193.28
SUMMARY OF OPERATIVE EXPERIENCE
RECORD NATURE OF CASES MAJOR PROCEDURES SUMMARY OF OPERATIVE EXPERIENCE Major Procedures Groups 1 & 2 ABDOMINAL OTHER Adrenalectomy open Laparotomy other - specify Major ventral hernia BREAST Breast reconstruction
9 things you should know about breast cancer
9 things you should know about breast cancer 1 More women get breast cancer than any other cancer 2 Alive and well Up to 27,000 women are alive in Ireland having had breast cancer. Most women who have
Technical Guidance for Surgical Workload Audit and Research Database: Anti Reflux Surgery V1.0
Technical Guidance for Surgical Workload Audit and Research Database: Anti Reflux Surgery V1.0 Contents 1. The Indicators... 3 1.1. Activity Volume... 3 3.2. Average Length of Stay (Days)... 3 3.3. 2/7/30
DIGESTIVE SYSTEM SURGICAL PROCEDURES December 22, 2015 (effective March 1, 2016) INTESTINES (EXCEPT RECTUM) Asst Surg Anae
December 22, 2015 (effective March 1, 201) INTESTINES (EXCEPT RECTUM) Z513 Hydrostatic - Pneumatic dilatation of colon stricture(s) through colonoscope... 10.50 Z50 Fulguration of first polyp through colonoscope...
Wooster Community Hospital
Wooster Community Hospital For more information call 1761 Beall Avenue, Wooster, OH 330.263.8158 Discounts Do Not Apply to Packaged s Below 25% discount if paid on the date of the hospital statement (approximately
ODTI. Organ Donation and Transplant Ireland
ODTI Organ Donation and Transplant Ireland ANNUAL REPORT 216 Organ Donation and Transplant Ireland has been delegated the regulatory functions assigned to the Health Service Executive (HSE) in Statutory
Arteriovenostomy for renal dialysis 39.27, 39.42
Surgery categories NHSN Surgery codes (Reference: NHSN Operative Procedure Category Mappings to ICD-9-CM Codes, October 2010 www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf) Operative aortic aneurysm
Adult organisational audit
Adult organisational audit Health Information Coding Responses for this section require data for the period between 1/12/13-30/11/14. [Infliximab was introduced for the treatment of ulcerative colitis
Palliative Care Operational Plan 2015
Palliative Care Operational Plan 2015 2014 Palliative Care Priorities Ensure effective and timely access to palliative care services Meet the identified deficit in palliative care beds in West / North
Organ Donation and Transplant Ireland
Deonú agus Trasphlandú Orgán Éireann Organ Donation Transplant Ireland ODTI Organ Donation and Transplant Ireland ANNUAL REPORT 217 Organ Donation and Transplant Ireland has been delegated the regulatory
NATIONAL REGISTRY OF DELIBERATE SELF HARM IRELAND
NATIONAL REGISTRY OF DELIBERATE SELF HARM IRELAND ANNUAL REPORT 2013 EVE GRIFFIN ELLA ARENSMAN PAUL C ORCORAN AMANDA WALL EILEEN WILLIAMSON IVAN J PERRY Griffin, E, Arensman, E, Corcoran, P, Wall, A, Williamson,
Proprietary Acute Care Indicators
Proprietary Acute Care Indicators Indicator 1a: Device-Associated Infections in the Intensive Care Unit Central Line-Associated Bloodstream Infections in the APICU, CCU, MICU, M/S ICU, & SICU Ventilator-Associated
Issue Number: 0157 Date: 10/01/219
Bulletin Changes to CCSD Schedule of Procedures Issue Number: 0157 Date: 10/01/219 The CCSD has reviewed requests to the CCSD Procedure Schedule for the months of December/January and has agreed on the
Surgery for Inflammatory Bowel Disease
Surgery for Inflammatory Bowel Disease Emily Steinhagen, MD Assistant Professor Department of Surgery, Division of Colorectal Surgery University Hospitals Cleveland Medical Center Common Questions Why
MyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers.
January 2012 What is MyCare Advisor SM? Thinking about health care services in a different light is the first step to educating yourself on health care costs. Capital BlueCross is taking the second step
National Bowel Cancer Audit Supplementary Report 2011
National Bowel Cancer Audit Supplementary Report 2011 This Supplementary Report contains data from the 2009/2010 reporting period which covers patients in England with a diagnosis date from 1 August 2009
The Binational Colorectal Cancer Audit. A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017
The Binational Colorectal Cancer Audit A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017 Binational Colorectal Cancer Database 2010 First Patient 2011 Contract between CMUDS and
Evaluation of Stroke Programme. Dr Emer Shelley MD MSc FRCPI FFPH FFPHMI Public Health Lead Stroke Programme
Evaluation of Stroke Programme Dr Emer Shelley MD MSc FRCPI FFPH FFPHMI Public Health Lead Stroke Programme Project Team Prof. Peter Kelly Dr. Joe Harbison Carmel Brennan Kate Kennedy Imelda Noone Anne
Small Bowel and Colon Surgery
Small Bowel and Colon Surgery Why Do I Need a Small Bowel Resection? A variety of conditions can damage your small bowel. In severe cases, your doctor may recommend removing part of your small bowel. Conditions
Survey on incidence of surgical procedures and percentage of ambulatory surgery in 6 European countries
Survey on incidence of surgical procedures and percentage of ambulatory surgery in 6 European countries 2013 +++ Jost Brökelmann, Claus Toftgaard +++ Quelle: ambulatory surgery 2013; 19. 4: 116 120. Link
Patient Information. Prostate TRUS Biopsy. Welcome to Blackrock Clinic
Patient Information Patient Information Prostate TRUS Biopsy Welcome to Blackrock Clinic BLACKROCK CLINIC TRUS PROSTATE BIOPSY Introduction Clinical Excellence, Personal Care Having your prostate biopsy
The focus of Chapter 9 is on anoscopy, proctosigmoidoscopy, flexible sigmoidoscopy, and colonoscopy procedures and all
9 Anoscopy, 45380 45380 45385 Proctosigmoidoscopy, Flexible Sigmoidoscopy, and Colonoscopy 45378 The focus of Chapter 9 is on anoscopy, proctosigmoidoscopy, flexible sigmoidoscopy, and colonoscopy procedures
Paediatric Organisational Audit
Paediatric Organisational Audit Health Information Coding Responses for this section require data for the period between 1/12/13-30/11/14. [Infliximab was introduced for the treatment of ulcerative colitis
Prof. Dr. Ahmed ElGeidie Professor of General surgery GEC Dr. Ahmed Abdelrafee
Prof. Dr. Ahmed ElGeidie Professor of General surgery GEC Dr. Ahmed Abdelrafee Diverticulosis of the colon is the presence of pockets in the wall of the colon called diverticula which may, or may not,
STIs HIV HEPATITIS GET TESTED TESTED GET A GUIDE TO FREE HIV, STI AND HEPATITIS TESTING IN IRELAND.
STIs HIV HEPATITIS GET TESTED GET TESTED??? A GUIDE TO FREE HIV, STI AND HEPATITIS TESTING IN IRELAND. CONTENTS Introduction and Frequently Asked Questions 03 Testing Clinics: Leinster 06 Testing Clinics:
2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference
2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference Most Commonly Reported ICD-10-CM Procedure Codes and Descriptors ICD-10-CM Description 0WUF0KZ Supplement Abdominal Wall with Nonautologous
Room and Board - Per Day Charges
At Augusta University Health System, we strive to provide the information you need to understand every aspect of your care. In keeping with this promise, AUHS is providing this price list for our services.
2018 EAR, NOSE & THROAT (ENT) SURGERY MEDICARE REIMBURSEMENT CODING GUIDE
2018 EAR, NOSE & THROAT (ENT) SURGERY REIMBURSEMENT CODING GUIDE Effective January 1, 2018 Medicare National Average Rates and Allowables (Not Adjusted for Geography) PHYSICIAN 3 HOSPITAL OUTPATIENT 4
Capturing the Activity in Activity based funding
Capturing the Activity in Activity based funding Activity Based Funding - The National Health Reform Agreement 2011 provided for the introduction of Activity Based Funding from July 1, 2012. - The aim
SUPPLEMENTAL DIGITAL CONTENT 2 : SURGERY SUBGROUPS DEFINITONS AND DISTRIBUTION
mortality 24h in ICU mortality 24h in ICU 1 SUPPLEMETAL DIGITAL COTET 2 : SURGERY SUBGROUPS DEFIITOS AD DISTRIBUTIO =2,717,902 GHM codes* Surgery description CARDIAC SURGERY 05C021 to 05C034 Cardiac valve(s)
ABF and Implications for Coding Helen Nolan
ABF and Implications for Coding Helen Nolan 11 th May 2017 1 ABF explained What is ABF What are DRGs What are MDCs 2 What is Activity Based Funding (ABF) ABF is a way of funding hospitals for the number
Nursing Management Plan Small or large bowel
Nursing Management Plan Small or large bowel Highlight the procedure/s and add other details: Open / Laparoscopic Assisted Hemicolectomy / Right / Left / Extended Sigmoid Colectomy / Transverse Colectomy
Colostomy & Ileostomy
Colostomy & Ileostomy Indications, problems and preference By Waleed Omar Professor of Colorectal surgery, Mansoura University. Disclosure I have no disclosures. Presentation outline Stoma: Definition
Inflammatory Bowel Disease and Surgery: What You Should Know
Inflammatory Bowel Disease and Surgery: What You Should Know Ask the Experts March 9, 2019 Kristen Blaker, MD Colon and Rectal Surgery MetroHealth Medical Center Disclosures None Outline Who undergoes
A Comprehensive Multi-disciplinary Approach to Improve Surgical Outcomes Following Elective Colon and Rectal Surgery
A Comprehensive Multi-disciplinary Approach to Improve Surgical Outcomes Following Elective Colon and Rectal Surgery Tripurari Mishra MD, Deepa Bhat MD, Mina Saeed MD, Jan Kaminski MD, Mihaela Banulescu
Name Date Venue Region Points Total Points ICSI Joint Summer Meeting 9th & 10th June Simulation Room, Education Centre, Nurses Building, GUH
Name Date Venue Region Points Total Points ICSI Joint Summer Meeting 9th & 10th June Riddel Hall, Queen s University, Belfast Ulster Friday - 6 Points Saturday - 4 Points 10 ISRA Foundation Course 19th
99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30
MILBRIDGE MEDICAL CENTER FAMILY PRACTICE 24 SCHOOL ST, MILBRIDGE ME 99202 Office visit new patient, problem expanded $140.90 99406 Smoking and tobacco use cessation counseling visit $37.30 99397 Preventive
Objectives. Medicare Spending per Beneficiary: Analyzing MSPB Data to Identify Primary Drivers
Medicare Spending per Beneficiary: Analyzing MSPB Data to Identify Primary Drivers August 22, 2017 Objectives Understand the basics of the hospital specific MSPB data files and reports Review the factors
Privileges for San Francisco General Hospital
Requested Approved Applicant: Please initial the privileges you are requesting in the Requested column. Service Chief: Please initial the privileges you are approving in the Approved column. MedGI GASTROENTEROLOGY
NODTO. National Organ Donation and Transplantation Office
NODTO National Organ Donation and Transplantation Office ANNUAL REPORT 2013 Contents Director s Statement 3 Report of the NODTO 5 Donation and Transplant Programmes 8 Activity for 2013 10 Organ Donation
National Emergency Laparotomy Audit. Help Box Text
National Emergency Laparotomy Audit Help Box Text Version Control Version 1.1 06/12/13 1.2 13/12/13 1.3 20/12/13 1.4 20/01/14 1.5 30/01/14 1.6 13/03/14 1.7 07/04/14 1.8 01/12/14 1.9 05/05/15 1.10 02/07/15
OPPORTUNITIES VIA PROVIDER TRANSPARENCY. Thomas Grumley, Health Care Bluebook
OPPORTUNITIES VIA PROVIDER TRANSPARENCY Thomas Grumley, Health Care Bluebook PROTECTING PATIENTS BY EXPOSING THE TRUTH & EMPOWERING CHOICE Price Blindness Knee MRI (no contrast) $2,466 $440 Deductible
HEALTHMAN GENERAL SURGERY COSTING GUIDE 2014
s s Consultations: See the Notes below for All s 0109 Hospital follow-up visit 15 531.30 35.423 180.40 12.027 254.10 16.937 251.80 16.785 259.10 17.276 0129 Prolonged first/follow-up consultation : 15
Surgical Privileges Form: General surgery. Clinical Privileges Request. Date:.. Recommended (For committee use) Under Supervision
Surgical Form: Clinical Request General surgery Applicant s Name:. License No. (If Any):... Scope of Practice:. Facility:.. Date:.. CATEGORY I: Basic Surgical skills 1. Insertion of Intravenous Line 2.
Schedule of Benefits for General Practitioners
Schedule of Benefits for General Practitioners Aviva Health Insurance Ireland Limited SCHEDULE OF BENEFITS FOR GENERAL PRACTITIONERS FROM AVIVA HEALTH INSURANCE IRELAND LIMITED Welcome to Aviva s schedule
MASTERCLASS. Masterclass: Nephrology. Masterclass Series pm Wednesday, 18 April 2012
MASTERCLASS Masterclass Series 2011 2012 Masterclass: Nephrology 5.00pm Wednesday, 18 April 2012 Royal College of Physicians of Ireland, No. 6 Kildare Street, Dublin 2 On behalf of the Education and Professional
STOMAS AND DIVERTICULITIS
STOMAS AND DIVERTICULITIS Jean-Jacques Jacques HOUBEN U.L.B. CENTRE HOSPITALIER INTERREGIONAL EDITH CAVELL First Post-Graduate course of the BSCRS colorectal section BRUSSELS 2002 jjhouben@ulb.ac.be gastrospace.com
Colorectal Surgery. Ostomy
Colorectal Surgery Ostomy The Department of Surgery sees patients for a wide range of surgical services. These include Colorectal, Endocrine, Breast, Upper GI, Bariatrics, Hepatobiliary, Plastics, Neurosurgery,
ODTI. Organ Donation and Transplant Ireland
ODTI Organ Donation and Transplant Ireland ANNUAL REPORT 215 Organ Donation and Transplant Ireland has been delegated the regulatory functions assigned to the Health Service Executive (HSE) in Statutory
2018 REIMBURSEMENT GUIDE
TABLE OF CONTENTS: Component Separation Technique and Hiatal Hernia Repair...08 Hernia Repair...03 Laparoscopic Repair Hernia...06 Stoma Procedures...11 Level II Codes...13 -PCS Codes...14 Modifiers...13
Appendix G Day Case and Short Stay Surgery Performance Monitoring. Reference Number: DDCN 2013 / 09
Data Dictionary Change Notice NHS Wales Informatics Service Data Standards Subject(s): Approval Status: Appendix G Day Case and Short Stay Surgery Performance Monitoring This DDCN was approved by the DSCN
A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 38: Paediatric Orthopaedics
A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 38: Paediatric Orthopaedics Clinical Strategy and Programmes Division Table of Contents 38.0 Introduction 2 38.1 Current Service
Fast Track Surgery at the University Teaching Hospital of Kigali: A Randomized Controlled Trial Study in Abdominal Surgery
12 Fast Track Surgery at the University Teaching Hospital of Kigali: A Randomized Controlled Trial Study in Abdominal Surgery L Ndayizeye, A K Kiswezi University Teaching Hospital of Butare, Rwanda. Correspondence
Health Service Executive
Health Service Executive Acute Hospital Bed Capacity Review: A Preferred Health System in Ireland to 2020 Technical appendix 7 September 2007 At PA Consulting Group, we transform the performance of organisations.
DEPARTMENT OF SURGERY DELINEATION OF PRIVILEGES FOR GENERAL SURGERY
DEPARTMENT OF SURGERY DELINEATION OF PRIVILEGES FOR GENERAL SURGERY NAME: DATE: Please check the box for each privilege requested. Applicants have the burden of producing information deemed adequate by
Cuid d Fheidhmeannacht na Seirbhíse Sláinte. Part of the Health Service Executive. CS/PR/PM-20 Rev 2 ISBN Programme Report 2014/2015
Programme Report 2014/2015 Contents Summary points 2 Introduction to the statistics 2014/2015 3 Part 1 Cervical screening activity 3 Programme coverage 4 Laboratory turnaround time 7 Notification of results
Otolaryngology services
Otolaryngology services Item Type Report Authors Comhairle na nospideal Publisher Comhairle na nospideal Download date 19/09/2018 19:53:40 Link to Item http://hdl.handle.net/10147/81697 Find this and similar
~ 1 - ~ Procedure description. Additional intra-articular injection for arthritis
ANNEXURED PROCEDURES PRE-AUTHORISED UNDER AUSPICES OF MANAGED HEALTHCARE The following elective procedures will be funded from the hospital benefit if done in doctors' rooms, and day clinics. If these
Rehabilitation medicine programme: update report
Rehabilitation medicine programme: update report Item type Authors Citation Publisher Report Health Service Executive (HSE); Patient Safety First Health Service Executive, Patient Safety First. Rehabilitation
Hamilton Niagara Haldimand Brant LHIN. Current State Health System Utilization and Performance by PAG
Hamilton Niagara Haldimand Brant LHIN Current State Health System Utilization and Performance by PAG A summary current state data profile has been collected for PAGs where data is available PAG level data
Physio At The Front-Line: Physio In A Rural ED
Physio At The Front-Line: Physio In A Rural ED Presented by David Sparshott Dubbo Base Hospital Physiotherapy Department Background Emergency Departments have, in the past, been synonymous with Doctors
Faster Cancer Treatment Indicators: Use cases
Faster Cancer Treatment Indicators: Use cases 2014 Date: October 2014 Version: Owner: Status: v01 Ministry of Health Cancer Services Final Citation: Ministry of Health. 2014. Faster Cancer Treatment Indicators:
Selected tables standardised to Segi population
Selected tables standardised to Segi population LIST OF TABLES Table 4.2S: Selected causes of death, all-ages, 2000 2004 (Segi Standard) Table 5.3S: Public hospitalisations by major cause of admission
CLINICAL CODING QUERY RESOLUTION
Please be aware the information below is for guidance only. Each provider will apply changes to the tariff to account for their institutions Market Forces Factor adjustment and patient co-morbidities.
New year, New classification, New office
Number 67 December2014 New year, New classification, New office 2014 has been another busy year in HIPE. The new shorter deadlines in HIPE came into effect and we would like to thank all hospitals for
WELSH INFORMATION GOVERNANCE & STANDARDS BOARD
WELSH INFORMATION GOVERNANCE & STANDARDS BOARD DSC Notice: Date of Issue: 2 nd June 2010 Ministerial / Official Letter: EH/ML/041/09 Subject: NHS Wales Short Stay Surgery Basket of Procedures Sponsor:
Ain t No Mountain High Enough - Reaching the Quality/Value/Incentive Peak with MSQC
Ain t No Mountain High Enough - Reaching the Quality/Value/Incentive Peak with MSQC Are These Mutually Exclusive, Or Do They Just FEEL Like It? Providing High Quality Patient Care Earning a Living Meeting
Renal Transplant Registry Report 2008
Renal Transplant Registry Report 28 Contents:. Introduction Page 2. Summary of transplant activity 27-28 Page 2 3. Graft and Patient Survival analysis 989-28 Page 3 4. Acute rejection 989-28 Page 24. Comparison
Technical Appendix for Outcome Measures
Study Overview Technical Appendix for Outcome Measures This is a report on data used, and analyses done, by MPA Healthcare Solutions (MPA, formerly Michael Pine and Associates) for Consumers CHECKBOOK/Center
Risk Mitigation in Bundled Payment
Risk Mitigation in Bundled Payment When to Hold Them and When To Fold Them Lily Pazand, MPH NYU Langone Medical Center Jonathan Pearce, MBA, CPA, FHFMA Singletrack Analytics Jessica Walradt, MS Association
Form C KNHSS Operative Procedure Categories Codes
Form C KNHSS Operative Procedure Categories Codes NHSN Operative Procedure Category Mappings to ICD-9-CM Codes and CPT Codes CPT codes are to be used for outpatient surgery cases only. KNHSS Code NHSN
National tariff proposals for 2017/18 and 2018/19 Published by NHS England and NHS Improvement August 2016
National tariff proposals for 2017/18 and 2018/19 Published by NHS England and NHS Improvement August 2016. Contents 1. How to use this document... 6 2. Overview to our proposals... 8 2.1. Background...
A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 11: Paediatric Allergy
A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 11: Paediatric Allergy Clinical Strategy and Programmes Division Table of Contents 11.0 Introduction 2 11.1 Current Service
Introduction. Peripheral arterial disease. Hospital inpatient data - 5,498 FCE (2009/10), & 530 deaths in England alone
1 Introduction 2 Introduction Peripheral arterial disease Affects 20% adults in Europe and North America In the UK 500-1000/million PAD, 1-2% require amputation LLA 8-15% in people with diabetes with up
AROC Outcome Targets Report Inpatient Pathway 3
AROC Outcome Targets Report Inpatient Pathway 3 Anywhere Hospital January 2013 December 2013 Australasian Faculty of Rehabilitation Medicine AROC impairment specific benchmarking process...3 Introducing
Victoria Hospital Bangalore General Surgery Department
Victoria Hospital Bangalore General Surgery Department Sl. No. Code No. Name of the Operation `1 `2 `3 `4 `5 `6 `7 `8 `9 `10 `11 `12 `13 `14 `15 `16 `17 `18 `19 `20 `21 `22 `23 `24 `25 `26 `27 `28 `29
Evidence-Based Postoperative Opioid Prescribing Guidelines
Evidence-Based Postoperative Opioid Prescribing Guidelines PA NSQIP Consortium October 18, 2018 Thomas Farley, MD, MPH Commissioner Philadelphia Department of Public Health Evidence-Based Postoperative
Ten Year Performance of Ambulatory Surgery in England
Ten Year Performance of Ambulatory Surgery in England Mark Skues 1, Ian Jackson 2 Abstract Introduction: The development of a new cohort of procedures suitable for Ambulatory Surgery has been recently
Appendix 1 (as supplied by the authors): Supplementary tables. Supplementary Table A1. Description of OHIP codes used in the current study.
Appendix 1 (as supplied by the authors): Supplementary tables Supplementary Table A1. Description of OHIP codes used in the current study. OHIP Billing Code OHIP Billing Code Description Colonoscopy and
Remember - the sooner a STI is diagnosed and treated the greater the chance of it being completely cured without any complications.
What are STIs? Sexually Transmissible Infections are infections and diseases which can be passed on from one person to another during sexual contact. They are caused by bacteria, viruses and other microscopic
National Bowel Cancer Audit. Detection and management of outliers: Clinical Outcomes Publication
National Bowel Cancer Audit Detection and management of outliers: Clinical Outcomes Publication November 2017 1 National Bowel Cancer Audit (NBOCA) Detection and management of outliers Clinical Outcomes
Breast debridement and closure cpt
Breast debridement and closure cpt Close Breast debridement cpt code Medicare Billing Guidelines, Medicare payment and reimbursment, Medicare codes. Here is a list of CPT codes and Diagnoses that are.
CERVICAL CANCER IN IRELAND. February 2017 International Rotation Amanda Heuszel, MS4 University of Kansas School of Medicine
CERVICAL CANCER IN IRELAND February 2017 International Rotation Amanda Heuszel, MS4 University of Kansas School of Medicine DUBLIN, IRELAND Capital of Ireland Population: 1,345,402 urban, 1.9 million in
CHARTER DAY MEETING. Tuesday 30 th January Saturday 3 rd February P a g e
CHARTER DAY MEETING Tuesday 30 th January Saturday 3 rd February 2018 1 P a g e PROGRAMME AT A GLANCE Time Event Venue Tuesday 30 th January 2018 18.45 In Conversation with... Floating Doctors Albert LT