Financial impact of inaccurate Adverse Event recording post Hip Fracture surgery: Addendum to 'Adverse event recording post hip fracture surgery'

  • Matthew J. Lee
  • Kevin Doody
  • Khalid M. S. Mohamed
  • Audrey Butler
  • John Street
  • Brian Lenehan
Original Article
  • 3 Downloads

Abstract

Introduction

A study in 2011 by (Doody et al. Ir Med J 106(10):300–302, 2013) looked at comparing inpatient adverse events recorded prospectively at the point of care, with adverse events recorded by the national Hospital In-Patient Enquiry (HIPE) System.

Methods

In the study, a single-centre University Hospital in Ireland treating acute hip fractures in an orthopaedic unit recorded 39 patients over a 2-month (August–September 2011) period, with 55 adverse events recorded prospectively in contrast to the HIPE record of 13 (23.6%) adverse events. With the recent change in the Irish hospital funding model from block grant to an ‘activity-based funding’ on the basis of case load and case complexity, the hospital financial allocation is dependent on accurate case complexity coding. A retrospective assessment of the financial implications of the two methods of adverse incident recording was carried out.

Results

A total of €39,899 in ‘missed funding’ for 2 months was calculated when the ward-based, prospectively collected data was compared to the national HIPE data. Accurate data collection is paramount in facilitating activity-based funding, to improve patient care and ensure the appropriate allocation of resources.

Keywords

Cost Data quality Financial Health policy Hip fracture HIPE 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

11845_2018_1742_MOESM1_ESM.pdf (157 kb)
ESM 1 (PDF 157 kb).

References

  1. 1.
    Health Service Executive Ireland (2015) Irish Hip Fracture Database. Annual Report. Website accessed July 2017. https://www.noca.ie/wp-content/uploads/2015/04/NOCA-IHFD-National-Report-2015-FINAL.pdf
  2. 2.
    Health Service Executive Ireland (2015) Activity Based Funding Programme. Implementation Plan 2015–2017Google Scholar
  3. 3.
    Health Service Executive Ireland (2015) Healthcare pricing office reportGoogle Scholar
  4. 4.
    von Friesendorff M et al (2016) Hip fracture, mortality risk, and cause of death over two decades. Osteoporos Int:1–9Google Scholar
  5. 5.
    Leal J et al (2016) Impact of hip fracture on hospital care costs: a population-based study. Osteoporos Int 27(2):549–558.  https://doi.org/10.1007/s00198-015-3277-9 CrossRefPubMedGoogle Scholar
  6. 6.
    Royal College of Physicians (2015) United Kingdom National Hip Fracture Data Base. Annual Report. National Health ServiceGoogle Scholar
  7. 7.
    National Institute for Health and Care Excellence (2011) The management of hip fracture in adults. Clinical guideline (CG124). 24/07/2016; Available from: www.nice.org.uk/guidance/cg124
  8. 8.
    Hospital In-Patient Enquiry (2016) Health Care Pricing Office. Available from: https://www.hiqa.ie/healthcare/health-information/data-collections/online-catalogue/hospital-patient-enquiry
  9. 9.
    Doody K, Mohamed KM, Butler A (2013) Adverse event recording post hip fracture surgery. Ir Med J 106(10):300–302PubMedGoogle Scholar
  10. 10.
    Farrar S, Yi D, Sutton M, Chalkley M, Sussex J, Scott A (2009) Has payment by results affected the way that English hospitals provide care? Difference-in-differences analysis. BMJ 339(aug27 2):b3047.  https://doi.org/10.1136/bmj.b3047 CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Blunt I, Bardsley M (2012) Use of patient level costing to increase efficiency in NHS TrustsGoogle Scholar
  12. 12.
    National Institute for Health and Care Excellence (2012) Hip fracture quality standard (QS16). 24/07/2016; Available from: www.nice.org.uk/guidance/qs16
  13. 13.
    British Orthopaedic Association (2007) The Care of Patients with Fragility FractureGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2018

Authors and Affiliations

  1. 1.Department of Trauma and OrthopaedicsUniversity Hospital LimerickLimerickIreland
  2. 2.Graduate Entry Medical SchoolUniversity of LimerickLimerickIreland
  3. 3.Department of OrthopaedicsUniversity of British ColumbiaVancouverCanada

Personalised recommendations