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The potential lost hospital income from miscoded emergency department boarders in Ireland.
Healy, L; Moloney, E; O'Connor, M; Henry, C; Timmons, S.
Afiliação
  • Healy L; Department of Geriatric Medicine, Cork University Hospital, Cork, Ireland.
Ir J Med Sci ; 183(2): 215-7, 2014 Jun.
Article em En | MEDLINE | ID: mdl-23949185
BACKGROUND: Emergency department (ED) boarders, namely patients who have been admitted under an in-patient service but remain on a trolley in the ED, have long been a problem in the Irish healthcare system. METHODS: We conducted a retrospective analysis of all ED boarders in Cork University Hospital (CUH) for a 6-month period from January to July 2011. Data were obtained from the Hospital In-Patient Enquiry Office (HIPE). The income generated by the hospital for a subset of these patients (January and February attendances) was obtained from the Finance Office in the hospital, based on diagnoses as recorded on the HIPE system. A convenience sample of two-thirds of the 39 acute hospitals nationally was surveyed to ascertain whether ED boarders were coded by individual HIPE offices as hospital in-patients or as ED attendees. RESULTS: A total of 806 patients were admitted to an in-patient service from January to July 2011 in CUH and subsequently discharged, having completed their entire stay in the ED. The income generated by a sub-sample of 228 patients (January and February ED boarders) was determined. The hospital was remunerated by 685,111 for these patients, i.e. an average income of 3,098 per patient. Only 8 hospitals of the 27 surveyed hospitals coded overnight ED Boarders as in-patients and were thus able to request income for these patients appropriately. CONCLUSION: Discrepancies in coding of ED boarders may result in significant revenue losses for certain hospitals.
Assuntos

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Admissão do Paciente / Economia Hospitalar / Emergências / Serviço Hospitalar de Emergência / Codificação Clínica / Renda Tipo de estudo: Health_economic_evaluation / Observational_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Ir J Med Sci Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Irlanda

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Admissão do Paciente / Economia Hospitalar / Emergências / Serviço Hospitalar de Emergência / Codificação Clínica / Renda Tipo de estudo: Health_economic_evaluation / Observational_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Ir J Med Sci Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Irlanda