- Posted Tuesday July 8, 2014
Thornfields are proud to announce a suite of new courses that focus on aiding the development of your practice team in terms of understanding the importance of data quality, summarising, clinical coding and exception reporting.
In this article, we are going to look at two of Thornfields new training courses on clinical coding. These two courses provide training and support for practice staff new to, or who are simply looking to brush up their clinical coding skills using Read Version 2 or Clinical Terms Version 3.
Clinical Coding in Primary Care - Read Version 2
Read codes are a coded thesaurus of clinical terms which enable clinicians to make effective use of computer systems. These codes facilitate the access of information within patient records to enable reporting, auditing, research, automation of repetitive tasks, electronic communication and decision support.
This workshop is suitable for anyone in general practice who is new to clinical coding using Read Version 2, or who just wishes to reassure themselves that they are coding correctly.
The workshop will cover the history and development of Read codes; the structure of Read Version 2 codes and the principles of coding to a high standard.
The session will look at different search techniques for finding the correct codes and the anomalies within clinical coding such as square bracket codes [ ] and abbreviations eg. NOS, OS. The importance of episodicity and the correct filing of problems/diagnoses will also be discussed.
Having also looked at common coding errors, delegates will feel confident in the knowledge that they are coding correctly and accurately and have a sound working knowledge of Read Version 2.
Clinical Terms Version 3 (CTV3)
Clinical Terms Version 3 commonly referred to as CTV3, was first released in 1994. It was developed to address problems with the earlier Version of Read codes (relating to their rigid hierarchical structure) and provides the level of detail required by clinical specialists for maintaining a computerised record whilst capturing the natural language used by clinicians in their everyday work.
Changing from a clinical system which previously used Read Version 2 to a system which uses CTV3 e.g. TPPs SystmOne can present its problems. Unfamiliarity with the structure of CTV3 and how this differs from Read V2 might hinder the effective use of the clinical system. Suddenly, there are many more codes/terms to choose from and codes beginning with X---- give no clue as to which chapter they may belong!
The capture of data in electronic health records is expected to improve clinical effectiveness, governance, and outcomes. However, the data collected must be accurate and consistent.
This workshop is designed specifically for practice staff either new to or wishing to brush up on their clinical coding skills using CTV3. Delegates will develop a sound working knowledge of CTV3, including the difference in structure and hierarchy to Read Version 2. The course will cover different search techniques to find appropriate clinical terms quickly and easily and provide delegates with hints and tips on coding accurately and effectively.
CTV3 contributes to over half of the original content for SNOMED CT (now officially approved as a fundamental standard by the Information Standards Board for Health and Social Care for use within the NHS in England) so a good understanding and working knowledge of Clinical Terms Version 3 is undoubtedly a useful tool for the future.
Both of these courses are suitable for anyone new to clinical coding, practice managers, administrative staff involved in clinical coding, GPs and practice nurses and are available as a full or half day session.
Please note that the full day session is designed for a single practice team to enable delegates to consolidate their learning by the completion of exercises whilst logged on to their own clinical system using a dummy patient.
Half day sessions are theory based with demonstrations by the trainer using the NHS Browser. A joint practical exercise will be undertaken with the trainer and input from delegates and a further exercise is provided within the workbook which should be completed back at practice.
Thornfields are now taking bookings for both clinical coding courses. For more information visit the Training Courses section on the Thornfields website where you will also find more information on their other exciting new courses.
The next article from Thornfields will focus on their new course: Clinical Notes Summarising in Primary Care.