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Volume 32 Number 2: >>  Research in health information management
 
A classification of service types and glossary of terminology
for non-government mental health services 

Christie Wood and Duane Pennebaker 
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Abstract
This article presents a defined classification of non-government community mental health services designed for reporting by the non-government sector. Initial classification involved review of the relevant literature, advisory committee consultation and content analysis of the Department of Health, Western Australia’s service specifications and service contracts. A proposed classification was evaluated by a sample of 50 non-government service providers via focus groups and telephone interviews for internal validity and applicability. The revised classification was validated by Victorian government and non-government providers. The final validated classification contained one service class, seven service types and seven service sub-types, accompanied by a glossary of terms.


Modelling and encoding Therapeutic Guidelines: applying ICD-10-AM and European Article Number codes 
Bryn Lewis, Ken Harvey, Jonathan Dartnell and Jennie Shepheard 
[ PDF ]

Abstract
This article reports on the assignment of ICD-10-AM and EAN codes to 2500 topics in Therapeutic Guidelines (TG). The analysis of the assignment of ICD-10-AM codes in this project has revealed that ICD-10-AM is not capable of describing the complete clinical information in the guidelines series. It is not likely that any existing single classification scheme will be capable of this and that a combination of schemes will be necessary. The TG data model was integrated with the prototype MCCA data model for drug products. This integration indicates that the representation of drugs, while not ideal, is an appropriate means of linking clinical drug reference information to drug product information.


Determinants of job satisfaction and effectiveness among health information administration professionals in Kuwait
Naser Al Enezi, Makhdoom Ali Shah, Rafiqul Islam Chowdhury and Margret Amatayakul  
[ PDF ]

Abstract
Job satisfaction and organisational effectiveness among health information administration professionals were analysed in relation to selected background, work environment and organisational characteristics. The data comprised a 15% (n = 171) random sample of health information administration professionals in Kuwait, of whom 91.2% (n = 156) responded. It was found that remuneration compatible with qualifications, opportunity for continuing education, and work experience had a significant and positive relationship to job satisfaction. It was concluded that the provision of continuing education, availability of orientation and job description, effective supervision, and remuneration compatible with qualifications are facilitators of job satisfaction and organisational effectiveness.


A profile of coding staff in Sydney metropolitan public hospitals
Jean McIntosh, Vera Dimitropoulos, Michelle Bramley 
[ PDF ]

Abstract
This survey assessed the profiles of ICD-10-AM coding staff employed in 13 major, acute care public hospitals in Sydney, Australia, during a two-week period in 1999. Approximately 90% (56/61) of respondents gave their job title as Clinical Coder or Coding Clerk; of these, 20 (36%) were qualified Health Information Managers, of whom 10 coded for great_eq.jpg - 477 Bytes 90% of their work-time and three for <75% of the time. One quarter of all Clinical Coders/Coding Clerks spent >25% of their work time performing duties other than coding. Five Health Information Management (HIM) Clinical Coders/Coding Clerks were paid under the Clerical, rather than the HIM, Award.


The effects on clinical coding of the critical pathway recording methodology 
Moira Cameron and Kerin Robinson 
[ PDF ]


Abstract
A two-stage study aimed to identify the effects of the critical pathway recording methodology on clinical coding practice and to determine coders’ participation in pathway development. Critical pathways were found to be in widespread use, with low coder participation in pathway development and poor education on pathway data extraction. Coders favoured the traditional medical record format; private sector coders predominated amongst those who preferred to code from records containing pathways because of poor private sector clinical documentation. The documentation factors that most affected the clinical coding process were consistent with those identified previously and were primarily doctor-related.


© 2008 Health Information Management Journal of the Health Information Management Association of Australia Ltd