Marie Glynn,

Education Manager

� Training provided by HPO

� Hospital’s Role

� Supervisor/Manager/HCC key role◦ New Coders

◦ Experienced Coders

� Information about Clinical Coder Education curriculum ◦ www.hpo.ie

� Advertising courses◦ Training Calendar

◦ Coding Notes

◦ E-mail

◦ www.hpo.ie

First steFirst steFirst steFirst stepppp◦ A potential new Coder needs to be informed of training involved

� Initial training

� Ongoing training

� Face to face

� Virtual

◦ Self study

� Ideally a new Coder would spend time in the HIPE Coding Dept prior to initial HIPE training

� Training a new Coder takes time

� Impact on Experienced Coders

� Supervisor/Manager needs to be familiar with:◦ the Coder training schedule

◦ and logical pathway

� Inform HPO when a new Coder takes up duty

� Starter Pack◦ Allow time for study

◦ Provide guidance

◦ Ensure all exercises are completed

� A new Coder needs to participate in core training in the order that’s prescribed by HPO1. Introduction to HIPE

2. Introduction to A&P

3. Coding Skills I

4. Same-day endoscopies

5. Coding Skills II

6. Z-codes

7. Coding Skills III

8. Coding Skills IV - Specialty if applicable

� Communication ◦ Introduce the Coder to other relevant staff & departments in the Hospital

� Chart flow

� Chart layout

� Access to IT systems◦ X-ray

◦ Histopathology

◦ Laboratory

� Confidentiality

◦ Decide who will mentor the new coder� Pre-course reading and exercises

� Start coding low complexity cases◦ Focus on relevant Australian Coding Standards, Irish Coding Standards, Coding Rules & Coding Notes

◦ Anatomy & Physiology & Medical Terminology & Abbreviations

� Check coded cases & provide feedback

� Time management� Allocate specific time slots each day for questions

◦ Lead by example

� When looking up codes always follow the 5 steps to quality coding.

� Never supply a code without instruction on look-up

� Refer them to the relevant ACS, CR & ICS

◦ Encourage new Coders to read and never ignore edit checks on the HIPE Portal

� HPO have access to the edit trail & explanation notes

� Only change their status from Junior to Senior following adequate experience, training & proven advancement

◦ Cases returned by HPO for review

� Checking lists are reviewed by HPO� 200 episodes of care

� Explain why the cases have been queried

� Where errors have recurred run a report to identify other cases

� Refer to relevant ACS, Coding Rules, ICS & training materials

◦ Run reports on the HIPE Portal at Hospital level to review coded cases for new Coders

Ongoing training includes:

� Advanced courses◦ Specialty workshops

◦ Clinical presentations

� Coding Refresher courses

� Anatomy & Physiology Courses

� Update Courses

� Supervisor/Manager/HCC key role◦ Provide ongoing support

� Release Coders to participate in training� If not possible for all Coders to participate in a

Session nominate one or more

� Provide feedback to the Coding team

� Allowed to travel to training

� Supervisor/Manager/HCC key role◦ Monitor training requirements

� New specialties

� Coders returning from extended leave

� Coders who move to your hospital

with previous coding experience

� Refresher training required

� Identify areas where there are training requirements as a result of data quality issues

� Supervisor/Manager/HCC key role◦ Facilitate

� Internal training sessions

� Coding query meetings

◦ Keep up to date with Coding Notes

� Supervisor/Manager/HCC key role◦ Ensure that documents are current

� Instruction Manual

� Irish Coding Standards

◦ Latest versions

� Turbo Coder

� HIPE Portal

� Archive◦ Keep older documents for reference

Marie Glynn,

Education ManagerContact: hipetraining@hpo.ie