I got whiff yesterday of Trusts encouraging medics to code UTI as urosepsis, RTI as pneumonia and ACS and NSTEMI for gaming better income?
@JFr4ser @legalaware More money to deliver care that may be sub-standard, if the HSMRs are being 'gamed' though? Doesn't inspire confidence.
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@C7RKY@legalaware How is care substandard? If anything coding NSTEMI as ACS to affect care would result in unnecessary over-treatment. -
@JFr4ser@legalaware I said care *may* be substandard. But there is no justification for 'gaming' an early warning system. None. Ever. -
@C7RKY@legalaware Coding isn't an early warning systems as it's retrospective. Care episode done & dusted long before a code attached -
@JFr4ser@legalaware My understanding is that coding creates expectation for likely outcomes. Change that & the outcome can look better. No? -
@C7RKY@legalaware My understanding itsused to identify likely care needs of a population. Ie how many cardiac stents in 2014 based on 2013 -
@JFr4ser@legalaware Ok. That's another use for it, but it does also influence things like HSMRs too, doesn't it? So that's still a concern. -
@C7RKY@legalaware The debate of what that tells us is ongoing...it's influence on actual care delivered in real time very remote.... -
@JFr4ser@legalaware Well whilst debate continues, I for one don't want the numbers distorting. Regardless of good intent. Real facts only. - 3 more replies
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@katemasters67@JFr4ser@legalaware Decidedly...
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