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Diagnosis and procedures codification

Diagnosis and procedures codification. The effects of technology. Diagnosis and procedures codification. Introduction. Recording clinical information is important to the health industry Access to previous information leads to better diagnosis and treatment in the future [1]

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Diagnosis and procedures codification

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  1. Diagnosis and procedures codification The effects of technology

  2. Diagnosis and procedures codification Introduction • Recording clinical information is important to the health industry • Access to previous information leads to better diagnosis and treatment in the future [1] • Paper-based record / Electronic records [1] Movig KL, Leufkens HG, Lenderink AW, Egberts AC. Validity of hospital discharge International Classification of Diseases (ICD) codes for identifying patients with hyponatremia. J Clin Epidemiol. 2003 Jun;56(6):530-5.

  3. Diagnosis and procedures codification • Lacks of information of previous studies [1] • Electronic patient record (EPR) as the main method in a near future. [2] • It is important to study and to conclude if this new information organization will result in any difference from the old one. • [1]Movig KL, Leufkens HG, Lenderink AW, Egberts AC. Validity of hospital discharge International Classification of Diseases (ICD) codes for identifying patients with hyponatremia. J Clin Epidemiol. 2003 Jun;56(6):530-5. • [2] Gillies J, Holt A. Anxious about electronic health records? No need to be. N Z Med J. 2003 Sep 26;116(1182):U604.

  4. Diagnosis and procedures codification • Advantages and disadvantages of EPR and paper-based records. Most of the studies conclude that the electronic system is better, although some of them disagree. [1,2,3,4,5] [1] Van der Meijden MJ, Tange HJ, Boiten J, Troost J, Hasman A. An experimental electronic patient record for stroke patients. Part 1: situation analysis. Int J Med Inform. 2000 Sep;58-59:111-25 [2] Mikkelsen G, Aasly J. Concordance of information in parallel electronic and paper based patient records. Int J Med Inform. 2001 Oct;63(3):123-31. [3] McLendon K. Electronic medical record systems as a basis for computer-based patient records. J AHIMA. 1993 Sep;64(9):50, 52, 54-5. [4] Nilsson G, Ahlfeldt H, Strender LE. Textual content, health problems and diagnostic codes in electronic patient records in general practice. Scand J Prim Health Care. 2003 Mar;21(1):33-6. [5] Tange HJ. The paper-based patient record: is it really so bad? Comput Methods Programs Biomed. 1995 Sep-Oct;48(1-2):127-31.

  5. Diagnosis and procedures codification • Main difficulties in the implementation of EPR. [1] • Negligent data introduction. [2] • Typing and visualization speed. [3] • [1] Mohr DN, Carpenter PC, Claus PL, Hagen PT, Karsell PR, Van Scoy RE. Implementing an EMR: paper's last hurrah. Proc Annu Symp Comput Appl Med Care. 1995;:157-61. • [2] Friedman BA. The potential role of physicians in the management of hospital information systems. Clin Lab Med. 1990 Mar;10(1):239-50 • [3] Rodriguez NJ, Murillo V, Borges JA, Ortiz J, Sands DZ. A usability study of physicians interaction with a paper-based patient record system and a graphical-based electronic patient record system. Proc AMIA Symp. 2002;:667-71.

  6. Diagnosis and procedures codification • Coding errors (ICD). [1,2] • Costs and benefits of EPR. [3,4] • Hospital’s economical survival. [5,6] [1] Movig KL, Leufkens HG, Lenderink AW, Egberts AC. Validity of hospital discharge International Classification of Diseases (ICD) codes for identifying patients with hyponatremia. J Clin Epidemiol. 2003 Jun;56(6):530-5. [2]Stengel D, Bauwens K, Walter M, Kopfer T, Ekkernkamp A. Comparison of handheld computer-assisted and conventional paper chart documentation of medical records. A randomized, controlled trial. J Bone Joint Surg Am. 2004 Mar;86-A(3):553-60. [3]Ellingsen G, Monteiro E. Big is beautiful: electronic patient records in large Norwegian hospitals 1980s-2001. Methods Inf Med. 2003;42(4):366-70. [4] Neubauer AS, Priglinger S, Ehrt O. [Electronic versus paper-based patient records: a cost-benefit analysis] Ophthalmologe. 2001 Nov;98(11):1083-8. [5] Muller ML, Burkle T, Irps S, Roeder N, Prokosch HU. The diagnosis related groups enhanced electronic medical record. Int J Med Inform. 2003 Jul;70(2-3):221-8. [6]Muller ML, Burkle T, Irps S, Roeder N, Prokosch HU. Optimizing coding quality: the role of the electronic medical record in the context of diagnosis related groups. Stud Health Technol Inform. 2002;90:236-40.

  7. Diagnosis and procedures codification Objective • The main objective is: • Evaluate if the implementation of the EPR brought any changes in the quality or quantity of the patient data on hospital statistics.

  8. Diagnosis and procedures codification Linear Flow Chart

  9. Diagnosis and procedures codification Linear Flow Chart

  10. Diagnosis and procedures codification Linear Flow Chart

  11. Diagnosis and procedures codification Methods Flow Chart

  12. Diagnosis and procedures codification Methods Flow Chart

  13. Diagnosis and procedures codification Methods Flow Chart

  14. Diagnosis and procedures codification Gantt’s Graphic/Chart

  15. Diagnosis and procedures codification Greetings • We would like to thank the professors Ricardo Correia and Cristina Santos without whose help we would not be able to finish our work.

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