SNOMED Update

1
SNOMED Update

• 4/1/06
• Dr Grant Kelly

2
Progress?

• Structure constant
• Early Adopters
• Content, Function Presentation
• Education Training
• Aimed at secondary care
• Discussion, Comments, Improvements

3
Positives

• (CRS) cant live without it
• Accuracy, less duplication
• Only way to make sense of it all
• Unifying and standardising
• Get rid of ICD-10/OPCS/HRG mess
• Research
• Private work
• Etc..

4
Caveats

• A year late
• Consultants will never code
• Never mention coding
• Consultants will take it happily
• What does BUPA think?
• Whats coding? That ICD-10 thing?
• The size of the task impossible

5
Negatives

• Its the suppliers job
• Its a technical matter
• -Twice-
• From the same source
• The unseen negative

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What are we doing now?

• Interviewing EA Project Managers
• Advertising for two clinicians
• Subset development tool now available
• Subset groups identified
• DOAS tied in

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Plan

• Get the subset process going
• Constraints
• Time, coders, money
• Supplier uncertainty
• Pluses
• -Enthusiasm
• -Web-based tool
• Registration website up running

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Subsets 1

• Cataract
• AE
• GP Summary
• Nursing

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Subsets 2

• Dermatology
• Cataract
• Nephrology
• Diabetes
• Gastroenterology
• GP
• Stroke\CVA
• AE

• Surgery
• Radiology
• Physiotherapy/AHPAnaesthetics
• Hepatology
• Cardiology
• Biochemistry
• Theatres

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Subset buy-in

• Exactly what should be registered?
• What should ISB legitimately study?
• What assurance is there?

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EA Project

• Help
• Generic problems and solutions
• ET programme building
• Profile raising
• Testing buy-in subset process
• Scoping safety
• Refining overall programme

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Other issues

• Datasets
• Clinical Content
• Entanglement with record implementation