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TERMINOLOGY & CLASSIFICATIONS NEWS

Terminology and Classifications Delivery Service Newsletter: July 2017

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Terminology and Classifications Delivery Service Newsletter

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Welcome to our July 2017 Newsletter. In this issue you will find information about:

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Annual Survey Final Report and Service Improvement Plan

Our initial Annual Survey Report was published in May 2017; we have now completed a thorough analysis of all 236 responses, including over 500 narrative comments. The quality of responses was excellent and we are very grateful for the time and care taken by all respondents. You gave us a great deal to reflect upon and this will help us to improve our products and services.

We hope you find the final report informative and that the Service Improvement Plan we have derived represents what you have identified as your top priorities.

We received a number of comments or questions that we felt would be of a general interest and which we would answer quite straightforwardly and succinctly. So, in addition to the report and Service Improvement Plan, we have also created a searchable database  on Delen where we have begun to gather these questions and comments, along with our responses. We have started to populate the database and will continue to populate this database over the coming weeks.

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Clinical Terminologies overview article published

The British Journal of Pharmacy has published an article written by NHS Digital titled ‘Clinical Terminologies in the NHS: SNOMED CT and dm+d’.

Abstract: Clinical Terminologies are fundamental to the successful recording of clinical data within Electronic Health Record systems and are important in enabling the sharing of data between systems. An overview of the structure and benefits of the international terminology SNOMED CT and the NHS dictionary of medicines and devices (dm+d) are described. Also discussed is a history of clinical terminologies used within the NHS.

This article, which was written by Ian Spiers, Jo Goulding, and Ian Arrowsmith, will be of interest to anyone who wants to know more about the UK’s current national clinical terminologies as well as some history of what came before.

The full review article is available free and online here.

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Welsh Case Study demonstrates SNOMED CT's proven clinical benefits

Within NHS Wales, an electronic patient record system has been developed since 2009 with a focus on a core generic clinical information model built using SNOMED CT. Mark Wardle, Consultant Neurologist, at Cardiff and Vale University Health Board, and Andy Spencer, Chair of the Informatics for Quality Committee of the RCPCH, have recently produced a case study of the implementation of SNOMED CT in an online clinical database in Wales. The case study outlines how SNOMED CT has proven clinical benefits, including supporting:

  • direct patient care by making information available immediately to staff at the point of care
  • clinical governance and service provision by making aggregated data immediately available in live reporting
  • clinical research with a focus on generic and disease-specific patient outcomes.

Read the case study to learn more.

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Clinical Coding Specialty Workshop Collaborative Pilot

We are very happy to announce that a new pilot project will be launched this summer to trial an alternative approach to the development of Clinical Coding Specialty Workshops. There is a clear and ongoing need for specialised training materials tailored to the requirements of particular clinical specialties and to the different needs of clinical coders and coding departments. For a number of years we have worked with the Clinical Coding Academies to try to meet this need, but despite the best endeavours of all parties we have not made as much progress as we hoped. New technologies and development methods now provide us with an opportunity to take a different approach, one that we hope will offer a sustainable model for generating high quality training resources that are dynamic and flexible.

The Specialty Workshop Collaborative Development Pilot will run from July 2017 to March 2018 and will focus on a single specialty: Obstetrics and Perinatal. The development will be led by MIAA Clinical Coding Academy, with support from West Midlands Clinical Coding Academy and contributions will be invited from across the clinical coding community (trainers, coding managers, coders). NHS Digital will contribute to the development process through iterative quality assurance and final endorsement of the materials and we will provide and support the collaborative platform (Delen).

If successful, the pilot approach should reduce the development burden on any single contributor by spreading it across a wide number of collaborators, thereby increasing its sustainability. Equally importantly, the approach, by drawing on the expertise of people involved in day to day coding and training delivery, will result in materials that properly reflect the nature and demands of real life clinical coding.

In addition to developing high quality, relevant materials, it is essential that those materials are made available as easily as possible to approved clinical coding trainers. It has been agreed with the Clinical Coding Academies, therefore, that the core materials will be made available free of charge to all trainers who contribute to the development process. Contributions could range from providing one or more Clinical Coding Scenarios, through to the development of an e-Learning module, or the quality assurance of classroom presentations.

The priority here is to find a model that is sustainable, one that acknowledges the effort required to lead a development but also recognises the practical realities that mean NHS Trusts are unable to commit their staff to significant activities beyond their day jobs.

Our hope is that the approach outlined here will achieve this balance and will enable clinical coders across the NHS to benefit from a wide range of high quality training materials that support them in their day to day work. A further announcement will be issued early in August, giving more details about the development approach, including roles and timescales and a call for volunteers to take part in the pilot.

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Launch of Clinical Coding Trailblazer Apprenticeship Project

We are delighted to be working with Health Education England (HEE) and a group of employer organisations to support the National Clinical Coding Apprenticeship Trailblazer Project. This exciting project promises to offer significant support to the Clinical Coding Workforce and the wider NHS. Click here to read a blog by the project lead Lucy Hunte.

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Launch of Delen Consultation Space

We have recently launched a new space on Delen to run consultations on a variety of topics relating to the development and delivery of our products and services. The consultations provide useful information to help us make better decisions and help us understand the priorities of our stakeholders. Consultations will be added on an on-going basis to allow you to see what’s going on and to participate.

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Coding of Sepsis

We have been made aware of a number of issues with the application of standard DChS.I.1: Sepsis, septic shock, severe sepsis and neutropenic sepsis. The standard was developed in collaboration with the NHS England Cross-system Sepsis Programme Board and we are working with them to further develop and refine the standard for use from 1 April 2018.

We have outlined the issues identified so far and provided advice on how you should apply the standard if you encounter the same problems.

We would like to gather feedback and comments on the coding of sepsis and standard DChS.I.1 to assist us in the update of the standard and the work of the programme board.

The consultation is open until Friday 8 September 2017.

Access the Coding of Sepsis consultation via the Consultations area on Delen.

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SNOMED CT Webinars - New Dates

NHS Digital runs regular interactive webinars allowing participants to share, receive and discuss information in real-time.  The webinars are all live and allow delegates to ask questions and listen to questions raised by other delegates. Details of all the webinars we offer and dates available can be found here.

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ICD-11: Field Trials Update

NHS Digital, in its role as a designated UK World Health Organization-Family of International Classifications (WHO-FIC) Collaborating Centre, set up an ICD-11 Field Trial Centre to participate in the WHO Field Trial activities. The Line Coding and the Case Coding components are now complete. We are currently analysing the UK results of the trials to understand what the issues are and where improvements and changes would need to be made to the ICD Classification, Coding Tool and Browser.

We will feed back our recommendations to the WHO to inform the ongoing development of ICD-11. We would like to thank the 65 volunteers who took time to participate in the Field Trials and for providing their feedback on the Classification. We will produce a summary report on the analysis of the Field Trials that will be available on Delen.

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Organisational Changes

The previous Terminology and Classifications teams within NHS Digital are now a single team known as the Terminology and Classifications Delivery Service. Although we have always worked closely together, by formally uniting these teams we can better meet the increasingly interrelated needs of the users of our terminology and classifications products and services.

This will mean very little in terms of visible changes, but references such as “Clinical Classifications Service” will now be replaced with ‘Terminology and Classifications Delivery Service’.

More significantly, however, we hope and expect that you will notice a more holistic and streamlined approach in our communications and engagement activities and a more joined up service.

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Clinical Coding Auditor and Trainer Workspace Refresh

We have completed a major redevelopment of the Clinical Coding Auditor and Trainer Workspaces, to make them easier to use and to give them a fresher user interface. If you are a member of these workspaces, we hope you like the new improvements and would very much welcome feedback via the discussion forums if there are further improvements we could make.

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Newsletter content

We would like to know whether this newsletter has been informative and interesting. If you would like to provide feedback about this edition of the Newsletter and / or suggest topics for inclusion in future editions, please click here.

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 Please feel free to forward this blog item to colleagues and others who might be interested in the content of the newsletter.

By Katy Park 1 year ago

Categories: Newsletter