Quality Control
Conditions
Keywords
Diagnosis-related groups, Activity-based funding
Brief summary
Since 2008, in France, hospital funding is determined by the nature of activities provided (activity-based funding). Quality control of hospital activity coding is essential to optimize hospital remuneration. There is a need for reliable tools to allocate human resources wisely in order to improve these controls.
Detailed description
The main objective of this study was to identify the determinants of time needed by medical information technicians to control hospital activity coding in a Regional Hospital Center. From March 2016 to the beginning of January 2017, medical information technicians reported the time they spent on each quality control, and the time they needed when they had to code the entire stay. Multiple linear regressions were performed to identify the determinants of quality control or coding duration. A split sample validation was used: model was created on one half of the sample and validated on the remaining half.
Interventions
None listed
Sponsors
Centre Hospitalier Régional Metz-Thionville
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* To be admitted to a medical unit of the CHR Metz Thionville
Exclusion criteria
* Any
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time for quality control | Day 1 | medical information technicians reported the time they spent on each quality control |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to code the entire stay | Day 1 | medical information technicians reported the time they needed when they had to code the entire stay |
Outcome results
None listed