Upload
ezequiel-sellick
View
218
Download
0
Tags:
Embed Size (px)
Citation preview
Medical Informatics Medical Informatics Assignment 2Assignment 2
Patient Discharge System
By King Ken Law
Philip McCormac
Edel Hughes
IntroductionIntroduction
What is the patient discharge system?The purpose of the systemHow the system worksPros and cons of the systemConclusion
How the Discharge system fits How the Discharge system fits in with other Main Systemsin with other Main Systems
DEPENDENCIES AND FLOW
NURSING TERM INALS M EDICAL RECORD TERM INAL
DECISION SUPPORT SYSTEM
PAS EXTRACT DATABAS E DISCHARGE DATABAS E
DISCHARGE INFORM ATION SYSTEM(NT SERVER)
INVOICE
PATIENT ADM ISSION SYSTEM(PAS)
What is the patient discharge What is the patient discharge system?system?
•Discharge system records admission, audit and expected date of discharge information
•Form (electronic or manual) completed by discharge co-ordinator
•Patient details, arrival date, admission date
•Expected date of discharge
Manual Discharge FormManual Discharge Form
Computerized formComputerized form
The purpose of the systemThe purpose of the system
•Co-ordination of discharge planning, identifies anticipated length of stay
•Used as predictor for effective bed management
•Provides list of expected discharges on a shift basis: Patient informed
Medication counselling
Transport
GP or District nurse informed
Purpose continuedPurpose continuedConsolidates information such as medication
and aftercare measures Generates a letter to go back to the patient’s
GP, or district nurse providing information on discharge
Medical researchPerformance assessmentComparative analysis
How does the system work?How does the system work?
GP referral – PAS finds patient number or assigns a new one.
Secretary checks detailsForm and estimated date of discharge noteTreatmentOn discharge – two options
Use discharge system on pcUse hand written doc and pass to coding
CodingCoding
Each morning staff in the Coding department print off the discharges completed the day before.
They will visit the ward and get patient records for any further supplementary coding
The information is brought back and put on the discharge system and PAS. It is then passed to the consultant for final verification.
Verification can be carried out by the consultant using a PC or by coding department returning form as a GP discharge letter.
Advantages of Coding Advantages of Coding Department to DoctorsDepartment to Doctors
Doctors do not need to know ICD10 (Diagnosis) or OPCS4 (procedure) codes but rather provide as text.
The minimum information such as primary diagnosis and procedure and the coding team will pick up the rest and assign the appropriate codes on PAS
Pros and cons of the systemPros and cons of the system
ProsIf the consultant uses a computer instead of
the discharge form, a list of patients to be coded can be easily generated – saving time.
Pros and Cons of the systemPros and Cons of the system
ConsHave to look up big books for codes – time
consumingHave to enter codes into the discharge
system and PAS separately – tedious work and repetitive entry prone to human error
Coders must still go and get patient notes from relevant ward.
ConclusionConclusion
The current system works but is flawedMany different systems in operation at onceSystems do not share data forcing data to be
entered multiple timesMany improvments possible such as
computerised searching for ICD10 codes instead of thick books