@C7RKY @legalaware How is care substandard? If anything coding NSTEMI as ACS to affect care would result in unnecessary over-treatment.
-
-
Replying to @JFr4ser
@JFr4ser@legalaware I said care *may* be substandard. But there is no justification for 'gaming' an early warning system. None. Ever.2 replies 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@legalaware Coding isn't an early warning systems as it's retrospective. Care episode done & dusted long before a code attached1 reply 1 retweet 2 likes -
Replying to @JFr4ser
@JFr4ser@legalaware My understanding is that coding creates expectation for likely outcomes. Change that & the outcome can look better. No?1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@legalaware My understanding itsused to identify likely care needs of a population. Ie how many cardiac stents in 2014 based on 20131 reply 0 retweets 0 likes -
Replying to @JFr4ser
@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.1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@legalaware The debate of what that tells us is ongoing...it's influence on actual care delivered in real time very remote....1 reply 0 retweets 0 likes -
Replying to @JFr4ser
@JFr4ser@legalaware Well whilst debate continues, I for one don't want the numbers distorting. Regardless of good intent. Real facts only.1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@legalaware If umpteen classifications of pneumonia it inevitably leads to a degree of trained judgement. Deliberate fudge is fraud1 reply 0 retweets 0 likes -
Replying to @JFr4ser
@C7RKY@legalaware However that is largely an issue for the organisation and central funding. And shouldn't be extrapolated to clinical care1 reply 0 retweets 0 likes
@JFr4ser @legalaware Fraud indeed. Of the most dangerous variety. Hence need to avoid blurring the issue thru permitting coding 'flex' imho.
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.