Plan d'action après le contrôle externe 2009 au CHU de Dijon (notice n° 690598)
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| fixed length control field | 04751cam a2200409 4500500 |
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| control field | 20250121210007.0 |
| 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 | Bismuth, Marie-Jeanne |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Plan d'action après le contrôle externe 2009 au CHU de Dijon |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2012.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 47 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : L’ARS de Bourgogne nous a notifié le montant des sanctions demandées par l’Assurance Maladie (3,68 Millions d’Euros) suite au Contrôle Qualité Externe 2009. Le montant définitif de ces sanctions sera fixé par la Commission de Contrôle après présentation d’un plan d’action visant à réduire les erreurs sanctionnées et à améliorer la qualité du PMSI. Méthodes : Le plan d’action comprend trois axes d’amélioration. (1) Amélioration des pratiques concernant l’HJ: création, diffusion d’une check-list permettant de vérifier les conditions de facturation; travail spécifique sur l’HJ SIDA. (2) validations ciblées réalisées par le DIM. (3) Amélioration globale de la qualité de codage : 3.1 Amélioration du codage des actes. 3.2 Amélioration de la qualité des données administratives. 3.3 Formation et suivi des services cliniques. Résultats : La check –list est présenté à la CME, à deux réunions institutionnelles, à huit réunions de pôle et à six réunions de services spécifiques (Sida compris).Pour les GHM CMA, CMAS (GHM niveaux 2 à 4, B à D) un suivi est mis en place.Pour les séjours du GHM 01M30 (GHM 01M14V) 60 % des séjours ont été validés.L’amélioration du nombre d’actes saisis (22,7%) et corrigés (3%). Le ciblage des validations réalisées (60 % des séjours de réanimations, 100% des prélèvements d’organes et des infections ostéo-articulaires). Conclusion : L’amélioration de la qualité des données PMSI a un impact sur les études que nous réalisons, la recherche et l’épidémiologie. Ce plan d’action nous a permis de limiter les sanctions qui passent de 3 680 000 € à 740 000 €. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | University hospital of Dijon: action program after 2009 external control Introduction: The Regional Health Agency of Burgundy notified to the University Hospital of Dijon an amount of penalties of 3.68 M € requested by the French National Health Insurance after the 2009 external quality control. The hospital had to produce an action program to reduce sanctionable mistakes and enhance data quality, before the Control Comittee determines the final amount of penalties. Methods: The plan comprises three kinds of actions. (1) Practices improvement concerning day hospital: creation and diffusion of a “check list” in order to verify the billing conditions; specific work for HIV day hospital. (2) Targeted validations of data realized by the Medical Information Department. (3) General improvement of data quality: 3.1 Improvement of procedure coding; 3.2 Improvement of administrative data quality; 3.3 Training and monitoring of clinical services. Results: The “check list” has been presented to the Hospital Medical Commission during two institutional meetings, to eight pole meetings, to six service meetings (including HIV day hospital).A monitoring of data quality has been established for comorbidity and complication coding (CMA and CMAS, levels 2, 3, 4, B, C, D).A specific validation procedure for cerebral vascular accident coding has been established (GHM 01M14V, 01M30).Some improvement in procedure coding (22.7% of the seized procedures, 3% of coding corrections) and in specific validations (60% of reanimation stays, 100% of organ harvesting, 100% of osteo-articular infections). Conclusion: The improvement of PMSI data quality is important for specific studies, research and epidemiology. This action program helped us to decrease the amount of sanctions (from 3.68M € to 0.74M €). |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sanctions |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Contrôle de qualité externe |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | plan d'action |
| 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 | indus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | undue |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | external quality control |
| 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 | action program |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | penalties |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hägi, M. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Musat, A. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Aube, H. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Cailliod, R. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pons, M-J. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Vourc’h, M. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Broussolle, B. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | de La Torre, D. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Legrand, L. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Quantin, Catherine |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Journal d'économie médicale | 30 | 1 | 2012-05-02 | p. 5-15 | 0294-0736 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales1-2012-1-page-5?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales1-2012-1-page-5?lang=fr&redirect-ssocas=7080</a> |
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