1. Allied Health Statistics
AAHBC 2015

2. Why collect statistics?
Informing decision making and resource allocation
Monitoring key processes
Improving systems and processes
Measuring performance against targets
Measuring contribution to the health care process
Predicting implications of changes in practise
Quality activities to ensure that services are being delivered in the most efficient way
Benchmarking activities across organisations
Service and contract negotiation
AAHBC 2015

3. Allied Health Activity
Has been divided into 4 categories by the National Allied Health Casemix Committee (NAHCC) 2001
Allied Health Activity
Clinical Care
Teaching & Training (TT)
Research
Clinical Services
Management (CSM)
Individual Patient Attributable (IPA)
Non Individual Patient Attributable (NIPA)
AAHBC 2015

4. Clinical Care
Activities which provide a service to an individual, community or group to influence health status
Clinical Care is comprised of both:
IPA: Individual Patient Attributable
NIPA: Non-Individual Patient Attributable
AAHBC 2015

5. IPA Individual Patient Attributable
A clinical care activity that can be assigned to an individual patient (medical record number known)
Examples:
Treatment of a client
Writing a discharge report for a patient
Telephone call about a client to a community agency to arrange home support
AAHBC 2015

6. NIPA Non Individual Patient Attributable
Any clinical care activity that can not be assigned to an individual patient
Examples:
Unit meetings/ward rounds/case conferences/handover/caseload allocation.
Group activity eg antenatal (UR unknown)
Patient education material development
Preparation, planning, delivery and evaluation of an education program to group
Health promotion event
Travel associated with clinical care which can not be directly related to a specific patient
AAHBC 2015

7. Teaching and Training
Formal teaching and training activities which relate to the imparting of knowledge, skills and clinical competency
Undergraduate students and post graduate students
Practitioners in own discipline
Other practitioners
Examples:
Preparation time associated with the delivery of formal Teaching & Training eg. inservices, lectures, seminars
Delivery of inservices, lectures, seminars
Supervising a student treating a patient
Meeting/consultation/communication on teaching activities
Interaction with training institutions
AAHBC 2015

8. Research
Activities which are undertaken to advance the knowledge and delivery of care to an individual, group or community.
Research is limited to activities that lead to and follow formal approval of the project by a research committee or equivalent body.
AAHBC 2015

9. Clinical Services Management
Professional and management activities which support and are essential to clinical care.
Examples:
Staff management
Staff meetings
Quality improvement
Supervision: general matters unrelated to a specific patient or group
Work related to a submission/proposal for a new service/ program
Undertaking professional development
Statistics gathering and reporting
Travel specifically associated with Clinical Services Management (CSM)
AAHBC 2015

10. Statistics Entry Algorithm
Does the activity provide a service to an individual, group or community, to influence health status ?
Does the activity relate to formal Teaching and Training activities ?
Does the activity relate to a formal research project? (ie leads to and follows formal approval of the project by an ethics committee)? NO NO
YES
YES
Clinical Care
Teaching & Training
YES NO
Can the Clinical Care activity be attributed to a patient(s) ?
Clinical Services
Management (CSM)
YES NO
Individual Patient Attributable (IPA)
Non Individual Patient Attributable (NIPA)
Research
AAHBC 2015

11. Is the meeting about…..? A specific patient (IPA)
An approved program for patients that is currently being designed (NIPA)
A program for patients that you think would be a good idea and want to discuss with others (CSM)
A formal research project that you are collecting data for (Research)
A clinical placement with a training institution (Teaching & Training)
AAHBC 2015

12. Is the telephone call about….?
An individual patient (IPA)
Students (Teaching & Training)
Research (Research)
AAHBC 2015

13. Is the travel for ….? A patient home visit (IPA )
A meeting to discuss a new service (CSM)
A meeting to discuss the teaching activities at your site (TT)
AAHBC 2015

14. Is the literature review to help…..?
Provide optimum treatment to a patient that you are treating (IPA)
Develop a research proposal to submit to the ethics committee (Research)
Prepare a lecture for students or staff (Teaching & Training)
AAHBC 2015

15. How would you code?
Develop an education package that has been endorsed by management and that is directly related to the clinical care of a certain patient group
-> NIPA
Work planning for the day (including non-clinical care activities)
-> CSM
Department student coordinator meets with University staff in relation to student placement program
-> Teaching and Training (TT)
AAHBC 2015

16. How would you code?
Clinician provides training session to a group of nurses as a regular and formal part of their in-service program
Clinician: -> Teaching and Training
Clinician presents a talk to other AH staff in a structured continuing education program
Presenter: -> Teaching & Training
Audience: -> CSM
AAHBC 2015

17. How Would You Code?
Clinician observes a student providing an intervention to a client for supervision purposes only
Student: -> IPA
Clinician: -> Teaching and Training
Clinician treats a patient. Supervisor observes to perform competency assessment as part of formal department learning program
Clinician: -> IPA
Supervisor: -> CSM .
AAHBC 2015

18. How Would You Code?
Student observes a clinician providing an intervention to a client. Session takes longer than normal due to interaction with the student eg explanations
Normal session time -> IPA ( clinician)
Extra time taken > Teaching & Training
Student treats the patient without the clinician present. Afterwards the clinician discusses the treatment session with the student without the patient present.
Student: > IPA
Supervisor: > Teaching & Training
AAHBC 2015

19. Common confusions (from previous audits)
Professional development
Program development , delivery and evaluation
Group development, delivery and evaluation
AAHBC 2015

20. Professional Development (CSM vs TT)
Receiving teaching and training such as attending inservices, lectures, seminars and is professional development. This includes journal reading, journal clubs, implementation of the staff member’s professional development plan etc.
-> CSM
Preparation and delivery of inservices, tutorials or seminars
-> TT
AAHBC 2015

21. New program development, and delivery (CSM vs NIPA)
Conceptual stage
Preparation of a briefing note or submission, needs analysis or literature review for planning a new service
-> CSM
After approval has been obtained
This would include activities associated with the design and development of specific programs such as session structure, content and research for the program, further literature review.
-> NIPA
AAHBC 2015

22. Program evaluation and review
NIPA vs CSM
Review of the processes in a current intervention e.g. Meeting to discuss location change of inpatient cardiac rehab to improve process for next intervention with current group of patients
-> NIPA
An evaluation of the program overall is considered a quality improvement activity and should be assigned to CSM.
-> CSM
AAHBC 2015

23. Group development & delivery
CSM v NIPA v IPA
A meeting to plan for new group service -> CSM
A discussion about what to include in the design of the approved new group -> NIPA
Delivery of the approved new group program
IPA where practical to divide the time between individual patients
NIPA where it is not practicable to divide clinician’s time
AAHBC 2015

24. Group outcomes and evaluation
IPA v NIPA v CSM
Evaluation of individual group member’s outcomes -> IPA
Review of the processes in a current group session to plan the process for the next session
-> NIPA
Evaluation of the program overall (quality activity) -> CSM
AAHBC 2013

25. Annual audit
All AAHBC membership organisations are required each July to undertake an Activity Coding Audit.
The Activity Coding Audit is circulated to all AAHBC membership organisations by the AAHBC Activity Coding Working Party.
AAHBC 2015

26. Summary
This presentation has been endorsed by the AAHBC membership organisations and should not be altered.
If you have any queries regarding this presentation please contact your AAHBC representative.
Further information at:
AAHBC 2015