Projects

Clinical Documentation, Coding And Subvention

31 December 2018

Project Categories

Care Process & Redesign

Organisational Leadership

Platform

National University Health System Quality Improvement

Cluster

National University Health System

Increase inpatient casemix index from 1.05 to 1.30 by FY2018 and beyond 1.40 long-term. Improved documentation accuracy and coding processes led to casemix index increase, boosting revenue and service capacity.

Year Submitted: 2018
Published Date: 31 December 2018

Tags: Care Process ＆ Redesign, Organisational Leadership, Quality Improvement, Job Effectiveness, Records Management

About this Content

Aims

Increase inpatient casemix index from 1.05 to 1.30 by FY2018 and beyond 1.40 long-term.

Background

NTFGH’s inpatient casemix index was the lowest (1.05) among restructured hospitals, reducing potential subvention revenue.

Methods

Root cause analysis identified under-coding and missing clinical details. Solutions included training, real-time coding updates, and piloted documentation workflows.

Results

Casemix index improved to 1.19 at mid-project; anticipated higher subvention revenue supports expanded services and patient care.

Conclusion

Improved documentation accuracy and coding processes led to casemix index increase, boosting revenue and service capacity.

Lessons Learnt

Strong leadership, timely feedback, teamwork, and facilitation by administrators were critical to project success.

Keywords

Clinical Documentation, Casemix Index, Coding, Subvention, Workflow Improvement

Innovators' Details

Healthcare Cluster(s)	National University Health System
Organization(s) Involved	Ng Teng Fong General Hospital
Platform(s)	National University Health System Quality Improvement
Healthcare Professional Group(s)	Healthcare Administration, Medical
Applicable Specialty or Discipline	Surgery, Geriatric Medicine
Project Lead(s)	Cheah Wei Keat
Project Member(s)	Gerald Chua Lee J E Gamaliel Tan Tan S C Thng Yongxian Ng Kian Swan Jennie Sun Cynthia Xu H Zulkifli Chow Siew Ying Connie Chung Flavian Li Jared D’Souza Liew Mei Pheng Yang Kok Soong Kaliasam Manimegalai Stephanie Teo

Connect with this contributor!

Stephanie Teo - stephanie_teo@nuhs.edu.sg

Project Attachment

C_147_NTFGH_QM_2018_Clinical_Documentation_Coding_And_Subvention.pdf (opens in new tab)