从胸部和复杂的内血管大动脉修复的单中心血管质量改善审计中学到的经验教训
Siwei Dong1, Ahmed A Sorour1, Donna Fleming1
1Department of Vascular Surgery, Heart & Vascular and Thoracic Institute, and Aortic Center Cleveland Clinic, Cleveland, OH, USA.
Vascular
|September 17, 2025
概括
血管质量倡议审计发现,胸内血管大动脉修复 (TEVAR) 程序中的编码错误影响了财务结果. 准确的数据输入和持续的编码员教育对于提高VQI注册表准确性和机构实践至关重要.
科学领域:
- 血管外科 血管外科
- 改善医疗保健质量 改善医疗保健质量
- 医学审计 医学审计
背景情况:
- 血管质量倡议 (VQI) 包括14个注册机构,旨在提高血管医疗保健的质量,安全性和成本效益.
- 参与VQI要求进行常规审计,以确保数据的准确性和完整性.
研究的目的:
- 评估一个机构对胸内血管大动脉修复 (TEVAR) /复杂内血管动脉瘤修复 (EVAR) 注册表的VQI审计经验.
- 确定从VQI审计过程中获得的好处和经验教训.
主要方法:
- 对2021年1月1日至2021年12月31日期间执行的所有TEVAR/复杂EVAR程序进行了VQI审计.
- 索赔验证数据与手动输入的VQI注册表数据进行了匹配,以确定差异.
- 一个编码专家对不匹配的信息进行了审查,以进行潜在的修订.
主要成果:
- 在索赔数据和VQI注册表条目之间观察到86%的匹配率 (108/125名患者).
- 审计发现13名患者的账单是不正确的,主要是误认为TEVAR的新程序是延期.
- 重新计入和重新计入对该机构产生了重大财务影响.
结论:
- VQI审计强调了精细编码和手动审查的重要性,以保持注册表的准确性和优化财务绩效.
- 对编码和计费人员进行持续的教育是必不可少的.
- 参与VQI有效地识别了编码差异,并推动了机构实践的改善.
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