The introduction of activity-based funding (ABF) models across Australia has impacted profoundly on the clinical coding workforce, but Clinical Coders (CCs) have not always been included in the plans for implementation. Funding model developers and policy units in all our jurisdictions put a lot of effort into ensuring that hospital managers understand the new system and that changed funding models do not adversely influence the continued viability of a hospital. Little system-wide effort goes into ensuring that the clinical coding workforce is ready and able to function in this new environment. Most of the work with this workforce is in fact retrospective and reactive; a crisis management response rather than a strategic response to a recognised issue. In this article I will discuss the impact on the clinical coding workforce of the introduction of ABF models.
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