Improving Clinical Documentation & DRG Coding Accuracy
Care Process & Redesign
Technology
National University Health System Quality Improvement
National University Health System
31 December 2021
Improve Clinical Documentation & DRG coding to achieve a Casemix Index (CMI) of 1.32. DRG coding accuracy and documentation quality improvements have enhanced care representation and institutional reputation.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Technology, Quality Improvement, Job Effectiveness, Value Based Care, Functional Outcome, Clinical Practice Improvement, Digital Health, Data Management, Digital Platforms
About this Content
Aims
Improve Clinical Documentation & DRG coding to achieve a Casemix Index (CMI) of 1.32.
Background
NTFGH’s CMI was 1.05, the lowest among public hospitals in Singapore, despite similar inpatient complexity.
Methods
Conducted pilot studies, introduced discharge summary standards, and leveraged real-time coder-physician interactions.
Results
CMI improved to 1.55 (2018-2021), surpassing the 1.32 target, with enhanced accuracy and subvention.
Conclusion
DRG coding accuracy and documentation quality improvements have enhanced care representation and institutional reputation.
Lessons Learnt
Multidisciplinary collaboration and system-level changes are crucial for sustainable improvements.
Keywords
Clinical Documentation, DRG Coding, Casemix Index
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital, Jurong Community Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Healthcare Administration, Medical |
Applicable Specialty or Discipline | Healthcare Administrators, Epidemiology |
Project Lead(s) | Sheryl Yong |
Project Member(s) | Clin Gerald Chua |
Connect with this contributor!
Sheryl Yong - sheryl_yong@nuhs.edu.sg
Project Attachment
C191_NTFGH_JCH_QM_2021_Improving_Clinical_Documentation_n_DRG_Coding_Accuracy.pdf