{"id":2163,"date":"2015-07-29T11:28:53","date_gmt":"2015-07-29T10:28:53","guid":{"rendered":"http:\/\/www.thinkkidneys.nhs.uk\/aki\/?p=2163"},"modified":"2015-07-29T11:28:54","modified_gmt":"2015-07-29T10:28:54","slug":"clinical-coding-and-acute-kidney-injury-aki","status":"publish","type":"post","link":"https:\/\/www.thinkkidneys.nhs.uk\/aki\/blog\/clinical-coding-and-acute-kidney-injury-aki\/","title":{"rendered":"Clinical Coding and Acute Kidney Injury (AKI)"},"content":{"rendered":"<p>So, what\u2019s this Clinical Coding thing, and how can it help to improve the care of patients with AKI?<\/p>\n<p>All hospitals have a Clinical Coding Department, usually hidden away somewhere, and not many people know what it does, or what it\u2019s for. Put simply Coders turn written information about a patient into a coded format so that it can be easily analysed and used for a number of purposes. A Clinical Coder is an expert in abstracting this information from the patient\u2019s case notes and any electronic systems, understanding what it means, and turning it into coded descriptions of the patient\u2019s clinical condition, as well as operations or procedures they may have had.\u00a0 It\u2019s really important that the information contained in the patient\u2019s notes is accurate and relevant, so the coder can accurately represent the patient\u2019s clinical condition in code.<\/p>\n<p>We use two different classifications of code \u2013 ICD (International Classification of Diseases) for the diagnostic coding, and OPCS (Classification of Interventions and Procedures) for any operations or tests.\u00a0 The diagnostic codes, as the name suggests, are international, so the code for Acute Kidney Injury (N17.9 to be precise) is the same all over the world.\u00a0 The coded data has many uses, both clinical and statistical<\/p>\n<ul>\n<li>a doctor can use it to review all his patients with a certain condition or procedure<\/li>\n<li>it can support studies of treatment effectiveness<\/li>\n<li>it can be used by commissioners to plan the healthcare they need to provide to their local area<\/li>\n<li>it is used in cost analysis and as the basis for payment to healthcare providers. The list goes on.<\/li>\n<\/ul>\n<p>At Sheffield Teaching Hospital NHS Foundation Trust we have been working on a hospital-wide project to improve the care of patients with AKI, and to increase the level of knowledge amongst clinicians on early detection and appropriate treatment.\u00a0 We have a systematic programme of education for nursing and medical staff, and this is being rolled out across the organisation.\u00a0 How can we know whether this is being effective?\u00a0 This is where the Clinical Coding can help\u2026\u2026<\/p>\n<p>We have been able to take a baseline measure from the coded information, showing the rate of AKI picked up and treated in each specialty before the project began, and can track the improvement as the project is rolled out across the different specialties. An example is in Care of the Elderly, where the baseline period showed that 11.8% of discharged patients had been coded with AKI.\u00a0 In the period following the roll-out of the education programme, lab alerts and the introduction of an AKI Care Bundle, the rate of AKI coding increased to 19.1%.\u00a0 We are seeing similar positive results in all specialties where the project has been rolled out.<\/p>\n<p>In time we will be able to analyse the data to see whether we have improved things like the length of stay and mortality. We have also been able to use the project to increase awareness of the need to keep accurate and legible patient records.\u00a0 This is really important to Coding \u2013 if it\u2019s not in the patient\u2019s notes we can\u2019t code it, and if we don\u2019t code it we might be missing a vital piece of information about that patient\u2019s condition.\u00a0 If you are interested in Coding, I would encourage you to make contact with your Coding Department.\u00a0 Coders are a very friendly bunch, and will be delighted to show you what they do!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So, what\u2019s this Clinical Coding thing, and how can it help to improve the care of patients with AKI? All hospitals have a Clinical Coding Department, usually hidden away somewhere, and not many people know what it does, or what it\u2019s for. Put simply Coders turn written information about a patient into a coded format so that it can be easily analysed and used for a&#8230;<\/p>\n","protected":false},"author":58,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-2163","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Clinical Coding and Acute Kidney Injury (AKI) - Acute Kidney Injury<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thinkkidneys.nhs.uk\/aki\/blog\/clinical-coding-and-acute-kidney-injury-aki\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical Coding and Acute Kidney Injury (AKI) - Acute Kidney Injury\" \/>\n<meta property=\"og:description\" content=\"So, what\u2019s this Clinical Coding thing, and how can it help to improve the care of patients with AKI? 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