The Observational Coding Systems Developed For Mental Health

In the health care system, there are a lot of codes that help diagnose, treat, and discharge patients daily. Codes help nurses

At the very start of the first sentence in the introduction, the researchers poignantly point out the area of concern to be among seriously troubled children and adolescents in relation to adverse life experiences with a strong statement to grab the reader’s attentions. It also goes on to further indicate the specific area of concern being focused in the study to be among children placed in residential facilities who are being managed by their symptoms instead of healing from their trauma. In establishing the importance of the problem, the researchers break up some additional key information into subsections such as the explanation of the focus in the DSM 5 and examples of disruptive behaviors as they correlate to the DSM, as well as list

Children’s mental illness affects approximately one fifth of youth worldwide, and although it is the children who experience symptoms directly, implications associated with mental illness can impact entire families (Richardson, Cobham, McDermott & Murray, 2013). As such, healthcare systems are being redesigned to include a focus on family-centeredness. In the case of children’s mental health specifically, family-centered coordinated care represents an understanding of treatment, not only derived from the child’s experience, but also from the parents’ and caregivers’ perspectives (Olin, Hemmelgarn, Madenwald, & Hoagwood, 2015). Unlike other interventions in children’s mental health, this treatment approach acknowledges the vital role that families play in promoting the health and wellbeing of children, and it serves to empower family members by including them in treatment practices and decision-making processes (McGinty, Worthington, & Dennison, 2008; Olin et al., 2015). Through this collaborative approach to children’s mental health, partnerships can be established among health care providers, patients, and families, who each contribute to continued stabilization (Johnson, 2000; McGinty et al., 2008). Moreover, family-centered coordinated care serves to link children and adolescents with appropriate treatment interventions, while correspondingly introducing families to resources that foster parental

For my senior year field placement, I am currently working at Elwyn’s Media campus in the Children’s Behavioral Health Services Outpatient program. At the outpatient program I am working with the Director of Clinical Operations, Ellen Chung. I also work with Jennifer Torrey who is the Clinical Coordinator for Elwyn’s Media location’s Outpatient program. I also work one on one with the Outpatient Case Manager, Shaneen Brown. I am also working in the Therapeutic After School Program (TASP). At the TASP I work with the Case Manager Jennifer Ziegler and the Clinical Case Manager Denise Georganas. The outpatient therapy team at Elwyn is a multidisciplinary team that works to help children reach their fullest potential. Some services offered by the Outpatient program at Elwyn are psychiatric evaluations, individual therapy, group therapy, family therapy, medication management, client/family education and community resources. The goal of the Therapeutic Socialization Program is to facilitate socialization and communication skills and to decrease problematic behaviors through participation in fun and engaging in activities. This program is based on the principles of Applied Behavior Analysis and other proven approaches to develop individually tailored treatment protocols to help children, adolescents and young adults in the areas of socialization, self-regulation and communication. The TASP also focuses on providing parents with new information to better understand their child’s

Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.

This standardized dialect is also pertinent for medical schooling and teaching in addition to clinical research and studies conducted by scholars, scientists, and physicians by providing a valuable foundation for domestic and coast-to-coast operation evaluations. CPT is used to describe doctor’s services, a vast amount of administrative services in addition to operating services executed in medical facilities, treatment care centers, and outpatient divisions. Providing support for clerical duties and functions such as processing medical claims and initiating strategies and procedures for the evaluation of clinical care is another cause of relevance for CPT. The system also meets the need for tracking trends and identifying improvements, plus progression goals and scaling the value of healthcare services received by patients. The CPT coding system provides physicians throughout the United States with a consistent method for classifying and coding clinical procedures which in return provides a more efficient tool for recording and reporting task that were completed. Physicians, scholars and payors, have been dependent upon CPT to interconnect with other fellow associates, patients,

Uninformative codes can create confusion to what the code details. This language needs to be clear and detailed so that the health care organizations can provide the best health care as possible. When codes are

Medical coding, on the other hand, deals more closely with patient medical records. Medical coders work in the billing office, or “back office” of medical practices or hospitals. Alphanumeric codes are assigned to all illnesses, injuries and treatments. Medical procedures are coded for the purpose of classifying diseases in numerical sequences for identification and data collection purposes, similar to the Dewey Decimal System in libraries. Coding specialists review medical records and assign numeric codes for the diagnoses identified and procedures performed. Each medical procedure and patient encounter has a number (CPT code) associated with it which corresponds to an ICD code. These

An accurate and specific documentation of universally accepted set of codes are important for the protection of healthcare providers as well as increased reimbursement for services received. These codes are for the validation of which services the patient received from their health care provider ( (Page, 2009). Having the correct codes in place insures the provider with the information needed by the health insurance carrier. Maintained by the AMA (American Medical Association), this universal numeric assignment is also used for developing guidelines for medical care review as well as data collection for medical education and research (Scott, 2013).

The majority of the time the use of HIM coders are involved in billing and reimbursements. However, coding specialists are important players within the healthcare industry.(Davis, 2014,2007,2002) They certify that providers maintain accuracy with coding procedures and government rules. (Davis, 2014,2007,2002) HIM functions and complex of regulatory requirements where coding can be very challenging. (AHIMA, 2016) The coders follow guidelines of the American Health Information Management Association AHIMA) Code of Ethics. (AHIMA, 2016) On the patient level, it is vitally important for the coder to code accurately because this information will trail the patient success throughout their course of treatment and beyond.

The topic of transitioning to the ICD-10 coding system has become a very big issue within the medical practice field. In fact, as of October 1, 2015, all physicians, hospitals, and medical providers are required by the federal government to be in full compliance using ICD-10 coding. ICD-10-CM codes allow for medical providers to provide as much information as possible about the patients state of health and all treatment provided as such. In addition, "The CPT coding system offers doctors across the country a uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency (Ama-assnorg, 2015)."

First, I like how it explains the use of outpatient coding by describing the patient’s condition such as symptoms, problems, and reasons for visiting the hospital facility. Second, I like how it distinguishes inpatient and outpatient coding by listing different sets of clinical documentations. For instance, inpatient coding includes face sheet, progress notes, history and physical and discharge summary; meanwhile, outpatient coding includes an authenticated physician order for services, clinician visit notes, a diagnosis, therapies, and the medication

CBHI is an inter-agency initiative of the Massachusetts Executive Office of Health and Human Services. The goal is to fortify and increase state services into an inclusive, community-based structure of care, to promise that children and their families with substantial behavioral, emotional and mental health needs receive the support needed for success in the home, school and community. An IHT staff member’s role is to create a strengths-based, therapeutic, rapport between other clinicians in the agency, the youth & family. IHT strives to improve the family’s capability to create effective support for their children in the home. The overall goal is to avoid the children from being admitted to an inpatient hospital, psychiatric residential treatment

Medical coding is a tad bit like interpretation. Coders take medical reports from specialists, which may incorporate a patient's condition, the specialist's analysis, a solution, and whatever systems the specialist or social insurance supplier performed on the patient, and transform that into an arrangement of codes, which make up a pivotal piece of the restorative

The assessment can be re-administering at different points throughout the therapeutic relationship to monitor the effectiveness of individual and family interventions, can be used as an outcome measure in treatment effectiveness research, as well as a process measure in the areas of family interaction, adolescent development, and theoretical research (enter citation & additional reference including