The theme for this issue is Managing staff; Change management; Clinical coder in-house training; Professional development! There are some very big topics in this theme and while our contributions in this issue deal with some aspects of these, they don’t cover the full spectrum of health information management endeavour. Our guest editors Claire Pierce and Kate Horkings discuss management of clinical coding teams (Pierce and Horkings, 2016), while Lyn Williams (Williams, 2016), and Susan Claesson and Anne Elsworthy (Claesson and Elsworthy, 2016) cover changes to clinical coder training. However,contributions from hospital-based Clinical Coders (CCs) seem to be difficult to attract.
In today’s international economy with its rapidly changing healthcare environment, any organisation that is not investing in professional development will fall behind. By funding management training and development, organisations can ensure that employees, who are the ones who refine, protect, deliver and manage healthcare services, will be better equipped to deal with change. It is also an opportunity to single out those who are ready for the next level and possibly move them into a management or leadership role.
What does a mythologist have to do with your career? I realise this is an unexpected marriage, but give me ten minutes of your time and I will explain.
In May 2014, I landed a plum job, one that most record managers dream of – implementing an electronic Document and Records Management System (eDRMS) from scratch. Joining the project team at Metro North Hospital and Health Service (MNHHS) and driving the formation of the Enterprise Records Management Team has been the biggest learning curve of my career. The journey has been crazy at times and highly challenging. However, as the saying goes, with great risk comes great reward. Our eDRMS implementation has successfully raised the profile of corporate recordkeeping within MNHHS and set a benchmark within Queensland Health.Here is our story.
In 2015 the Australian Consortium for Classification Development (ACCD) delivered new edition updates for ICD-10-AM/ACHI/ACS Ninth Edition fully online for the first time. The impetus to move away from delivering educational updates from traditional face-to-face workshops was multifactorial.
For many years HIMAA has been lobbying government and the Community Services and Health Industry Skills Council for the development of a full qualification for Clinical Coders (CCs) under the Vocational Education and Training system. Three units of competency are currently available for CC training within the Health Training Package1 however it has long been recognised that the entry level unit does not meet industry needs. Despite additional lobbying by some of the jurisdictions and recognition by the Community Services and Health Industry Skills Council that a qualification was needed, Commonwealth funding was not available to undertake the development work by the Community Services and Health Industry Skills Council.
The act of mentoring can be highly beneficial, both for the mentor and the mentee. Within the Queensland University of Technology (QUT) Career Mentor Scheme in 2015, hundreds of students were matched with mentors from a wide range of industries, including business, education and health; but how prevalent is mentorship within the health information management profession? Because of the relatively small size of the profession (compared with the extremely broad disciplines of business and education), it could be assumed that the opportunities for and benefits of mentorship for HIMs are quite limited.
This conference was advertised in the IFHIMA newsletter. I decided that as I was already on this side of the world, I would like to attend and support a developing health information management association. Therefore I submitted a paper, which was accepted, and consequently I packed my bags. The National Maternity Hospital in Ireland, where I was working at the time, very kindly supported my registration.
In the last Quality Conversation, I discussed the clinical governance issues that arose from the Djerriwarrh Health Services clinical governance failure case in Victoria in 2015. In this Conversation I ask: If that’s what clinical governance failure looks like, what are high performing boards and executives doing differently?
THE FAMILIAR PHRASE “think globally, act locally” urges people to consider the health of the entire planet and to take action in their own communities and cities. The rapid spread of epidemics such as Avian flu, Ebola, HIV, and the latest threat of Zika to pregnant women and their unborn children remind us how small the world is. This also underscores the importance of embracing global standards to facilitate information collection and data sharing to advance health and wellness.