Codage PMSI optimisé grâce aux transmissions infirmières (notice n° 689456)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03310cam a2200301 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121205656.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Lehmann, Michel |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Codage PMSI optimisé grâce aux transmissions infirmières |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2015.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 4 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Le codage de l’information médicale est une fonction stratégique des établissements de soins qui tend à se renforcer à partir de différentes sources de données. Le CHU de Montpellier a mis en place en 2013 un outil d’optimisation du codage basé sur les transmissions infirmières. L’objectif de l’étude était d’évaluer l’impact de cet outil sur l’incidence de certains diagnostics associés significatifs et sur la valorisation des séjours. Méthodes : L’outil génère automatiquement des alertes basées sur la recherche de mots clés dans les transmissions infirmières. Les RSS concernés sont ensuite revus et modifiés le cas échéant par le DIM. Résultats : Les deux-tiers des 13 977 RSS contrôlés en 2013 par le DIM ont fait l’objet d’au moins une alerte et au moins un DAS a été ajouté pour 1 480 d’entre eux (16.2%). L’incidence des DAS concernés a augmenté de plus de 50% par rapport à 2012. Le différentiel de valorisation moyen était de 1 122 Euros par RSS modifié. Conclusion : L’utilisation des transmissions infirmières pour optimiser le codage PMSI est prometteuse et constitue un moyen de valoriser le travail soignant. En revanche sa généralisation est dépendante de l’évolution des systèmes d’information hospitaliers. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Enhancing medical coding through nurses’ notes Introduction : Medical coding is an increasingly strategic function in hospitals. It is continuously being improved through various data sources. In 2013, an optimization tool based on nurses’ notes was implemented at the Montpellier teaching hospital. The aim of the study was to assess the impact of this tool on relevant diagnosis codes and on revenue. Methods : Automated alerts are generated from key words present in nurses’ notes. Then discharge coding is checked and improved by the DIM accordingly. Results : Out of 13,977 discharge records checked by the DIM in 2013, two thirds had one alert or more and 1,480 of them (16.2%) were improved in terms of coding. The incidence of specific diagnostic codes increased by 50% as compared to 2012. The average income gain was equal to 1,122 Euros by stay. Conclusion : Using nurses’ notes to improve medical coding is a promising way. It might contribute to add value to nursing care. However, its generalization is dependent on the evolution of electronic medical record in hospitals. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | PMSI |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | information médicale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | codage |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | CIM-10 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ICD-10 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | PMSI |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | coding |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | medical information |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mercier, Grégoire |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pellecuer, David |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Aubas, Pierre |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Journal de gestion et d'économie médicales | 33 | 1 | 2015-06-30 | p. 61-71 | 2262-5305 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2015-1-page-61?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2015-1-page-61?lang=fr&redirect-ssocas=7080</a> |
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