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5 comments.

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«anonymous»

Comment on Clinical Information Standards Specification Phase 3: Enhancing commissioning flows

  • Comment ID: 34
Correct HRG is dependent on the appropriate diagnoses/procedures being recorded against the correct episode. Consideration also needs to be given to the fact that HRGs aren't just driven by OPCS-4 and ICD-10 codes, but include other elements such as the patient's age and length of stay and they are currently grouped at both episode and spell level. All of these factors combined with all combined with 960,000 SNOMED terms as is indicated in the paper, 'may not be feasible'.
«anonymous»

Comment on Clinical Information Standards Specification Phase 3: Enhancing commissioning flows

  • Comment ID: 12
From the info I've found there are about 30000 ICD-10 and OPCS-4 codes altogether and there is about 2000 inpatient HRG's, so it will be interesting to see how HRG's will be derived from SNOMED when you say there are 960000 terms in SNOMED.
«anonymous»

Comment on Clinical Information Standards Specification Phase 3: Enhancing commissioning flows

  • Comment ID: 13
The final paragraph shpws a lack of understanding of secondary care data, I would go far as to say that the majority of secondary care episodes/admissions are complex given the fact that a patients care and diagnoses evolve during their stay, the actual diagnosis isn't always known at admission and it can take a number of episodes until its clear what conditions the patient has and requires treatment for. They may undergo a number of procedures which may be complex and require in depth review of
«anonymous»

Comment on Clinical Information Standards Specification Phase 3: Enhancing commissioning flows

  • Comment ID: 66
This change has the potential to completely destabilise income flows by the introduction of an incredibly granular set of terms (SNOMED) which if not aggregated through a new form of HRG software would make commissioning unworkable. Providers and commissioners would not be able to practically contract and commission at that level of detail. It is not practical or desirable to provide tariffs at this level of granularity.
«anonymous»

Comment on Clinical Information Standards Specification Phase 3: Enhancing commissioning flows

  • Comment ID: 61
Any use of personal data will require explicit consent at the point of collection. Granular data should not be required by commissioners, except in statistical terms.