Terminology & Classifications News

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  • Query Resolution Database Update

    Published: August 2019

    The resolution to UID 5341 has been removed and replaced with UID 12560.

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    By Heather Douglas 2 years ago

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  • Terminology and Classifications Delivery Service Newsletter: August 2019

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    Terminology and Classifications Delivery Service Newsletter

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    Welcome to the August Newsletter. In this issue, we feature:

     

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    Annual customer survey

    The Terminology and Classifications Delivery Service annual customer survey ran from 20 March to 17 May 2019 and we were delighted to receive 219 responses, many of which included constructive and very useful narrative comments. We are analysing the comments and intend to produce a service improvement plan which will be hosted on Delen, then maintained to reflect progress against our commitments. Our survey report summarises statistical responses and provides commentary about the feedback we received. Thank you to all who responded to the survey. 

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    Delen Refresh

    Following beta testing, our refreshed Delen site went live at the beginning of May.

    Thank you to everyone who took time to provide feedback on the design. We are particularly grateful to those of you with additional needs who provided detailed advice to help us build Delen in a way that works well for you. Feedback has been overwhelmingly positive and entirely constructive, and we hope the revised site meets your needs.

    Below is a brief summary of the changes we’ve made:

    • Fewer Navigational Layers

    By using some new features, such as carousels and accordions, we are able to place a large amount of information on a single page without making the page look cluttered or dense. This allows you to see at a glance a broad set of information topics and then reveal the detail under those that interest you. Our hope is that this will help you get to the information you need as quickly as possible, reducing the need to chase information through layers of pages and navigate back and forth.

    • Improved Accessibility

    We’ve designed Delen in a way that we hope provides a good experience for all of our users with additional accessibility needs. The interface has been kept clean and simple and all graphical elements have supporting text that can be processed by screen readers and other accessibility tools. For autistic and neuro-diverse users, we have ensured navigation mechanisms are consistent and have removed “busy” and moving content.

    • Promoting content

    As well as making Delen easier to navigate, we have also brought the content that our users access most frequently to the front of the site. This means you will find the Query Resolution Database and Read to SNOMED CT mapping tables on the landing page, along with our latest news items. We have also tried to make the network of Delen workspaces more visible, so that you can see all the workspaces and what each workspace is for and request access where appropriate.

    Although this is a major refresh, we are committed to continuous improvement, so please use the feedback mechanism on the new site to let us know how we can make Delen even better.

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    SNOMED CT in Mental Health Webinars

    Adoption of SNOMED CT in mental health systems and provider organisations is to be undertaken by April 2020. Data submitted to the Mental Health Services Data Set has been acceptable in SNOMED CT since 2016 and is to be provided in SNOMED CT by, at the latest, 2020.

    A collaborative project within NHS Digital is coordinating activity to achieve SNOMED CT adoption. For those unfamiliar with SNOMED CT, we are running monthly “Introduction to SNOMED CT for Mental Health” webinars.

    This webinar provides a basic understanding of SNOMED CT for Mental Health and it illustrates how to use a browser to find terms. The session covers different ways of searching and understanding our four key hierarchies.

    You may also be interested in the workbook (and associated answers) that provides short exercises to help you practice what the webinar covers.

    The main themes covered in the webinars are:

    • What is SNOMED CT?
    • Why SNOMED CT?
    • Brief overview of SNOMED CT fundamentals
    • SNOMED CT Content – Using Browser
    • Classifications and SNOMED CT
    • Subsets (Refsets)
    • Useful Information on SNOMED CT

    There will also be an opportunity to ask questions.

    You can register for one of our webinars by visiting the Education and Training area of our SNOMED CT in Mental Health Delen workspace.

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    Auditor e-Assessment Tool

    The Auditor e-Assessment Tool has been designed to replace the former one-day Auditor Refresher Workshop following service feedback that the workshop involved too much time and expense for little benefit.

    The Classifications Training team and a member of the Business Management Team (BMT) designed the Tool to refresh the practical skills and theoretical knowledge of all approved clinical coding auditors. It comprises two modules:

    • Module 1 tests an auditor’s ongoing error key assignment skills and has a pass mark of 95%
    • Module 2 tests an auditor’s ongoing understanding of the Clinical Coding Audit Methodology, the Clinical Coding Auditor Requirements Framework, the Data Security Protection Toolkit Data Standard 1 in respect of clinical coding audit, GDPR and Data Protection and has a pass mark of 90%.

    As part of the development, we asked all approved clinical coding auditors to upload five anonymised clinical coding audit worksheets across all specialties to a dedicated area on our Approved Clinical Coding Audit Workspace for us to review, update and use to populate Module 1 of the e-Assessment. We drafted a number of theory-based audit questions in multiple formats to populate Module 2. We also established a dedicated Auditor Sub-Group to test the Tool and modules at various stages of development. Feedback from this Sub-Group informed several changes before it was demonstrated at the four Auditor Forums held during March 2019 where further feedback was taken and actioned by the BMT before going live.

    The Auditor e-Assessment went ‘live’ on the IT Skills Pathway LMS platform on 1 April 2019 and will be completed by all 227 approved clinical coding auditors at a time that’s convenient to them before 31 March 2020 as part of their ongoing Continuing Professional Development. To date 121 approved auditors have registered to access the Tool and 88 have successfully completed both modules. We will continue to take feedback throughout 2019/20 ready to inform v2.0.

    We’re confident that this Tool will help support an auditor’s ongoing CPD and will be an excellent mechanism for ensuring that the clinical coding audit methodology is applied correctly and consistently across the service supporting high quality audits of coded clinical data over the coming years.

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    ISO9001: 2015 Certification

    Following a Surveillance visit by Certification Europe in March 2019, Terminology and Classifications have maintained our ISO9001: 2015 certification. The audit involves an inspection of our processes, quality assurance, stakeholder engagement, leadership and governance.

    This is an excellent reflection of the hard work and dedication of the team and our commitment to the continual improvement of our operations, taking into account feedback from our customers.

    We will continue to work hard to improve in all areas and to prepare for a surveillance visit in September and a full external audit in February 2020. 

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    World Health Assembly endorsement of ICD-11

    The World Health Organization announced the outcome of the World Health Assembly meeting at which Member States agreed on 25 May 2019 to adopt the eleventh revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11), to come into effect on 1 January 2022.

    NHS Digital is the UK WHO-Family of International Classifications Collaborating Centre (in partnership with the Office of National Statistics) and the classifications team worked closely with WHO through the WHO-FIC Network over the past four years to field test ICD-11 using the WHO ICD fit platform (our initial field trial findings were published on Delen) as well as participation in various WHO-FIC working groups focusing on definitions, morbidity rules, education and training etc. There is still work to do to inform and support implementation.

    ICD-11 is included in the draft Clinical Information Standards framework for England which accompanies the October 2018 Secretary of State policy paper ‘The future of healthcare: our vision for digital, data and technology in health and care’. The draft framework describes plans for the future, indicative roadmap and dependencies.

    The WHO statement included:

    “ICD is the foundation for the identification of health trends and statistics globally, and the international standards for reporting diseases and health conditions. It is the diagnostic classification standard for all clinical and research purposes. ICD defines the universe of diseases, disorders, injuries and other related health conditions.

    The ICD also captures factors influencing health, or external causes of mortality and morbidity, providing a holistic look at every aspect of life that can affect health.

    Understanding what makes people sick, and what eventually kills them, is at the core of mapping disease trends and epidemics, deciding how to programme health services, allocate healthcare spending, and invest in improving therapies and prevention.

    ICD-11 has been updated for the 21st century and reflects critical advances in science and medicine. It can be well integrated with electronic health applications and information systems. This new version is fully electronic, allows more detail to be recorded and is significantly easier to use and to implement, which will lead to fewer mistakes and lower costs, and make the tool much more accessible, particularly for low-resource settings.”

    You can find out more by visiting the WHO website.

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    Have your say

    If you would like more information about any aspect of our products or services, please let us know. Just write to us at information.standards@nhs.net, quoting “T+CD Newsletter” in the “Subject” field and providing details of what you would like us to cover.

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    By Katy Park 2 years ago

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  • 2020-21 Clinical Coding Auditor Programme (CCAP) and Clinical Coding Trainer Programme (CCTP)

    Published: August 2019

    Dear Colleague

    The Terminology and Classifications Delivery Service can confirm that it is our intention to initially release the dates only of the assessment days/courses/forums within both of these programmes during November/December 2019. Prices and venues will be confirmed during late January – early February 2020. The release of these dates, minus venues and cost, is purely to allow potential delegates to schedule their calendars appropriately reducing the possibility of missing the assessment days.

    It is important to emphasise that the dates we release during November/December 2019 may be subject to change and will be tentative dates only pending full details being released to the service in January/February 2020.

    Applications for the programmes will not be accepted until full details have been released to the service (late January – early February 2020).

    An early notification list is in operation for both programmes, which will ensure that you receive notification 7-10 days in advance of wider release to the service.  If you would like to be added to this list, please let us know via information.standards@nhs.net detailing the programme you are interested in.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • Query Resolution Database update

    Published: August 2019

    An addendum has been added to UID 4323 with regards to co-morbidity local policies. 

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    By Katy Park 2 years ago

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  • Query Resolution Database Updates

    Published: August 2019

    The resolution to UID 3901 has been removed and replaced with UID 12490.

    The resolution to UID 5233 has been removed and replaced with UID 12491.

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    By Heather Douglas 2 years ago

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