you may have heard that the government intend to include A&E in the "payment
by results" scheme by 2006.
I think this roughly means you would be commissioned to provide care for a
certain number of a certain type of patients at a set (national average) fee
per person, or something like that. I presume this means we need a more
comprehensive and consistent (nationally agreed) data set on things like
diagnosis and investigations in A&E than our current state. I understand
there is something called the commissioning data set which includes this
sort of thing for A&E but whether based on ICD10 or what I don't know.
I also know there was a project to identify HRGs 3-4 years ago, but I never
saw any results.
Does anyone have
a) any nationally agreed clinical data set for A&E
b) knowledge of the HRG for A&E project and its outcome
c) any more understanding than me
cheers R
PS we are going live with symphony and don't want to change our look up
tables again in a year for this .
Ruth Brown
Consultant in Emergency Medicine
0207 886 6574
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