Physicians learn many things during their years of training. Unfortunately for the people who work in hospital Health Records and Decision Support departments, clinical documentation is generally not one of them.
A central area of expertise at 3terra is helping hospitals improve data quality which can lead to improved funding, as outlined in this article. This year, we expanded our focus and started to analyze the effect of poor data quality on outpatient cases, including Emergency Department (ED) visits. This article provides an overview of those findings.
We’ve recently released our new hospital harm module and have begun working with hospitals to refine the tool and get feedback to guide future functionality. Here is some background and insight into our initial findings.
In 2012, the Ontario government introduced Health System Funding Reform (HSFR) which moved hospitals from global budgets to a form of activity-based funding. Up to 70% of hospital funding in Ontario will eventually be from activity-based allocations. In order for this funding model to work, the Ministry of Health and Long Term Care (MOHLTC) needs an accurate clinical representation of all patients treated by hospitals in the province. They get this information through the submission of patient encounter data files (patient abstracts) by each hospital. After a patient is discharged, coders in health records departments create an abstract designed to tell the story of a patient’s stay, based on physician documentation.