MEDICAL READINESS ASSESSMENT GROUP OPERATION DESERT STORM MEDICAL LESSONS LEARNED.

File: 970207_aadci_086.txt
Page: 086
Total Pages: 139

       ODS MEDICAL LESSONS LEARNED
       C3I and TRAINING CATEGORIES
       C3I ISSUE NO. l9 Coding of Clinical Records: Training Needed
       (SGHR ITEM NO. 130)
       
       DISCUSSION: Initially, AFOMS/SGSB directed coding of inpatient records of 3Es
       and 4Es. Deployed personnel lacked coding skills' reference materiel, and
       automation. WARMED Instruction Handbook indicates 3Es and 4Es will ship
       records and loose documentation to a central repository in CONUS for coding,
       storage, and biometric accountability. Upon coordination with AFOMS/SGSB a
       compromise was reached where the AF Form 560 would be forwarded to AFOMS for
       coding and biometric purposes. ICD-9 coding books were obtained for CONHOSPs
       to support reporting.
       
       RECOMMENDATIONS: AFOMS/SGSB propose a change to WARMED Instruction Handbook.
       Medical personnel must be trained in use of ICD-9 books and clinical record
       coding. Required reference materiel must be available at deployed locations.
       
       ACTIONS REQUIRED: CONUS hospitals with taskings to support CONHOSPs UTCs need
       to ensure an adequate number of personnel assigned to FAC 5140 are trained in
       procedures for inpatient records.
       
       ACTIONS COMPLETED: New training guidance (AFI 41-106) emphasizes training
       personnel based on their wartime job. Coding of records guidelines (i.e.,
       records to be coded at CONUS depot) exist. This was a procedural item that
       requires no corrective action. ~
       
       STATUS: Closed.