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Stroke clinical coding education program in Australia and New Zealand

Overview of attention for article published in Health Information Management Journal, July 2023
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  • Above-average Attention Score compared to outputs of the same age (63rd percentile)

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Stroke clinical coding education program in Australia and New Zealand
Published in
Health Information Management Journal, July 2023
DOI 10.1177/18333583231184004
Pubmed ID

Monique F Kilkenny, Ailie Sanders, Catherine Burns, Lauren M Sanders, Olivia Ryan, Carla Read, Miriam Lum On, Anna Ranta, Tara Purvis, Carys Inman, Dominique A Cadilhac, Helen Carter, Stella Rowlands, Lee Nedkoff, Muideen T Olaiya


Accurate coded diagnostic data are important for epidemiological research of stroke. To develop, implement and evaluate an online education program for improving clinical coding of stroke. The Australia and New Zealand Stroke Coding Working Group co-developed an education program comprising eight modules: rationale for coding of stroke; understanding stroke; management of stroke; national coding standards; coding trees; good clinical documentation; coding practices; and scenarios. Clinical coders and health information managers participated in the 90-minute education program. Pre- and post-education surveys were administered to assess knowledge of stroke and coding, and to obtain feedback. Descriptive analyses were used for quantitative data, inductive thematic analysis for open-text responses, with all results triangulated. Of 615 participants, 404 (66%) completed both pre- and post-education assessments. Respondents had improved knowledge for 9/12 questions (p < 0.05), including knowledge of applicable coding standards, coding of intracerebral haemorrhage and the actions to take when coding stroke (all p < 0.001). Majority of respondents agreed that information was pitched at an appropriate level; education materials were well organised; presenters had adequate knowledge; and that they would recommend the session to colleagues. In qualitative evaluations, the education program was beneficial for newly trained clinical coders, or as a knowledge refresher, and respondents valued clinical information from a stroke neurologist. Our education program was associated with increased knowledge for clinical coding of stroke. To continue to address the quality of coded stroke data through improved stroke documentation, the next stage will be to adapt the educational program for clinicians.

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Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 July 2023.
All research outputs
of 24,166,768 outputs
Outputs from Health Information Management Journal
of 165 outputs
Outputs of similar age
of 253,129 outputs
Outputs of similar age from Health Information Management Journal
of 2 outputs
Altmetric has tracked 24,166,768 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 165 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one is in the 46th percentile – i.e., 46% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 253,129 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 2 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them