Abstract
Introduction: Coding medical procedures should be optimal especially concerning Implantable Medical Devices (IMD). A University Hospital conceived a consistency check (COHERENCE) between medical acting data of implanting IMD and traceability data. The aim of this work is to assess the impact of this checking: quantitative review of controlled hospital discharge records, income gain of controlling these records and IMD reimbursed as “add-on list”.Methods: COHERENCE matches data of coding medical procedures with IMD traceability data, generating automatically discharge records to check. These records would be controlled by the DIM to check data entry of medical procedures. In case of error on traceability, Pharmacy would check these records.Results: For the first 2017 trimester, COHERENCE detected 151 discharge records requiring a control. 48% of these controls concerned cardiovascular IMD; 36% Orthopedic IMD. 38% of these records required a correction on Medical procedure entry versus 19% with traceability problems. Income gain of the controlled discharge records is estimated at +261 667 €. The gain of correcting Medical procedure entry was assessed at +119 019 € (+4 104 €/record). Regarding IMD reimbursed as “add-on list”, traceability correction by the Pharmacy permeated an income gain of +28 158 €.Conclusion: Results obtained reveal the financial and sanitary impact of using an automatic consistency check between medical procedure and medical devices.