Performance of ICD-10-AM codes for quality improvement monitoring of hospital-acquired pneumonia in a haematology-oncology casemix in Victoria, Australia
- Author(s)
- Valentine, JC; Gillespie, E; Verspoor, KM; Hall, L; Worth, LJ;
- Details
- Publication Year 2024-05,Volume 53,Issue #2,Page 112-120
- Journal Title
- Health Information Management
- Publication Type
- Research article
- Abstract
- BACKGROUND: The Australian hospital-acquired complication (HAC) policy was introduced to facilitate negative funding adjustments in Australian hospitals using ICD-10-AM codes. OBJECTIVE: The aim of this study was to determine the positive predictive value (PPV) of the ICD-10-AM codes in the HAC framework to detect hospital-acquired pneumonia in patients with cancer and to describe any change in PPV before and after implementation of an electronic medical record (EMR) at our centre. METHOD: A retrospective case review of all coded pneumonia episodes at the Peter MacCallum Cancer Centre in Melbourne, Australia spanning two time periods (01 July 2015 to 30 June 2017 [pre-EMR period] and 01 September 2020 to 28 February 2021 [EMR period]) was performed to determine the proportion of events satisfying standardised surveillance definitions. RESULTS: HAC-coded pneumonia occurred in 3.66% (n = 151) of 41,260 separations during the study period. Of the 151 coded pneumonia separations, 27 satisfied consensus surveillance criteria, corresponding to an overall PPV of 0.18 (95% CI: 0.12, 0.25). The PPV was approximately three times higher following EMR implementation (0.34 [95% CI: 0.19, 0.53] versus 0.13 [95% CI: 0.08, 0.21]; p = .013). CONCLUSION: The current HAC definition is a poor-to-moderate classifier for hospital-acquired pneumonia in patients with cancer and, therefore, may not accurately reflect hospital-level quality improvement. Implementation of an EMR did enhance case detection, and future refinements to administratively coded data in support of robust monitoring frameworks should focus on EMR systems. IMPLICATIONS: Although ICD-10-AM data are readily available in Australian healthcare settings, these data are not sufficient for monitoring and reporting of hospital-acquired pneumonia in haematology-oncology patients.
- Publisher
- Sage
- Keywords
- Humans; Victoria; *International Classification of Diseases; *Quality Improvement; Retrospective Studies; Healthcare-Associated Pneumonia; Electronic Health Records; Diagnosis-Related Groups; Male; Pneumonia; Aged; Cross Infection; Female; Middle Aged; Icd-10-am; casemix; clinical coding; data analysis; health information management; health policy; hospital-acquired pneumonia; quality indicators; surveillance
- Department(s)
- Infectious Diseases
- Publisher's Version
- https://doi.org/10.1177/18333583221131753
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2024-07-25 05:51:34
Last Modified: 2024-07-25 05:51:55