A multidisciplinary audit of clinical coding accuracy in otolaryngology: financial, managerial and clinical governance considerations under payment‐by‐results

Nouraei, S.A.R.; O’Hanlon, S.; Butler, Colin R.; Hadovsky, A.; Donald, E.; Benjamin, Ernst; Sandhu, Gurpreet S.

doi:10.1111/j.1749-4486.2008.01863.x

Cited by 51 publications

(56 citation statements)

References 8 publications

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“…In our dataset, these were the causes for three of the errors. In theory, these could be reduced by training and increasing clinical involvement (see [8] for a discussion). The second source of error is in the mismatch which occurs in using administrative data for clinical purposes.…”

Section: Discussionmentioning

confidence: 98%

Automated estimation of disease recurrence in head and neck cancer using routine healthcare data

Ricketts

Williams

Liu

et al. 2014

Computer Methods and Programs in Biomedicine

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We have demonstrated that our algorithm can be used to automate the interpretation of routine datasets to extract survival information for this sample of patients. It currently underestimates recurrence rates due to many patients not being well-enough to be treated for recurrent disease. With some further optimisation, this technique could be extended to a national level, providing a new approach to measuring outcomes on a larger scale than is currently possible. This could have implications for healthcare provision and policy for a range of different disease types.

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Section: Discussionmentioning

confidence: 98%

Automated estimation of disease recurrence in head and neck cancer using routine healthcare data

Ricketts

Williams

Liu

et al. 2014

Computer Methods and Programs in Biomedicine

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“…[13][14][15] A recent systematic review of discharge coding accuracy in the UK concluded that routinely collected data are sufficiently robust to support their use for research and managerial decision-making. 10 The richness of the data also makes it possible to develop coding frameworks and data quality criteria to identify hospitals with divergent coding practices by combining diagnosis, procedure, and administrative codes.…”

Section: Discussionmentioning

confidence: 99%

Third‐ and fourth‐degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors

Gurol‐Urganci

Cromwell

Edozien

et al. 2013

BJOG

346

270

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Objective To describe the trends of severe perineal tears in England and to investigate to what extent the changes in related risk factors could explain the observed trends.Design A retrospective cohort study of singleton deliveries from a national administrative database.Setting The English National Health Service between 1 April 2000 and 31 March 2012.Population A cohort of 1 035 253 primiparous women who had a singleton, term, cephalic, vaginal birth.Methods Multivariable logistic regression was used to estimate the impact of financial year of birth (labelled by starting year), adjusting for major risk factors.Main outcome measure The rate of third-degree (anal sphincter is torn) or fourth-degree (anal sphincter as well as rectal mucosa are torn) perineal tears.Results The rate of reported third-or fourth-degree perineal tears tripled from 1.8 to 5.9% during the study period. The rate of episiotomy varied between 30 and 36%. An increasing proportion of ventouse deliveries (from 67.8 to 78.6%) and non-instrumental deliveries (from 15.1 to 19.1%) were assisted by an episiotomy. A higher risk of third-or fourth-degree perineal tears was associated with a maternal age above 25 years, instrumental delivery (forceps and ventouse), especially without episiotomy, Asian ethnicity, a more affluent socio-economic status, higher birthweight, and shoulder dystocia.Conclusions Changes in major risk factors are unlikely explanations for the observed increase in the rate of third-or fourth-degree tears. The improved recognition of tears following the implementation of a standardised classification of perineal tears is the most likely explanation.Keywords Episiotomy, instrumental delivery, severe perineal trauma, trends, vaginal delivery.

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“…Our estimates do not include GW diagnoses and costs from a number of other health services which provide sexual health screens in England, but for which no surveillance data are currently available 17. The HRG method has not been previously used to estimate costs of GWs in hospitals, and possible inclusion of unrelated operative codes and other errors of the nature found in a study of diagnoses and operative procedures for otolaryngology18 may have caused over- or under-estimation of hospital costs. Hospital costs may have been underestimated by exclusion of GW codes other than the primary diagnosis and of outpatient care.…”

Section: Discussionmentioning

confidence: 99%

Genital warts and cost of care in England

Desai¹,

Wetten²,

Woodhall³

et al. 2011

Sexually Transmitted Infections

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ObjectivesTo estimate the total number of cases of, and cost of care for, genital warts (GWs) in England, to inform economic evaluations of human papillomavirus vaccination.MethodsThe number of GW cases seen in general practices (GPs) and in genitourinary medicine (GUM) clinics was estimated using the General Practice Research Database and the GUM Clinic Activity Dataset. The overlap in care of cases in the two settings was estimated. The calculated costs of care in GP and hospitals were added to the costs of care in GUM clinics (estimated elsewhere) to estimate the cost of care for GWs in England.ResultsIn England, in 2008, GP and GUM saw 80 531 new (157/100 000 population) and 68 259 recurrent (133/100 000 population) episodes, giving a total of 148 790 episodes of care of GWs (289/100 000 population). Seventy-three per cent of cases were seen only in GUM clinics, 22% were seen by a GP before being referred to GUM, and 5% by GPs only. Hospital care was given in 1.3% of cases and contributed 8% of the costs. The average cost of care per episode was £113, and the estimated annual cost of care in England was £16.8 million.ConclusionsThis study provides a fairly comprehensive measure of GW frequency and care in England. GWs exert a considerable impact on health services, a large proportion of which could be prevented through immunisation using the quadrivalent human papillomavirus vaccine.

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A multidisciplinary audit of clinical coding accuracy in otolaryngology: financial, managerial and clinical governance considerations under payment‐by‐results

Cited by 51 publications

References 8 publications

Automated estimation of disease recurrence in head and neck cancer using routine healthcare data

Automated estimation of disease recurrence in head and neck cancer using routine healthcare data

Third‐ and fourth‐degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors

Genital warts and cost of care in England

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