Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality Reportthree serious incidents which havesubsequently been reported to theInformation Commissioner’s Office.This reflects greater awareness of theInformation Commissioner’s Officethinking on issues of data protectionand patient confidentiality following aseries of fines of NHS organisationssince March 2012.Further work in 2013/14 will beundertaken to firmly embed theInformation Asset Owner roles withinthe organisation, including a thoroughreview and risk assessment of flows ofdata to and from the organisation. Workwill also be undertaken to embed andsustain the current 76% compliancewith the Information GovernanceToolkit.Statement Eight:Clinical Coding Error RateThe Trust was subject to a Paymentby Results (PbR) clinical coding auditduring the reporting period by the AuditCommission and the error rates reportedin the latest published audit for thatperiod of diagnosis and treatment coding(clinical coding) were 12.5%.The results should not be extrapolatedfurther than the actual sample audited;the services that were reviewed withinthe sample were 100 Finished ConsultantEpisodes (FCE’S) in Urology 100 FCE’Srandomly selected.Additional Information:Clinical coding is the process bywhich medical terminology writtenby clinicians to describe a patient’sdiagnosis, treatment and managementis translated into standard, recognisedcodes in a computer system. It isimportant to note that the clinicalcoding error rate refers to the accuracyof this process of translation, and doesnot mean that the patient’s diagnosis ortreatment was incorrect in the medicalrecord. Furthermore, in the definition todetermine the clinical coding error rate,‘incorrect’ most commonly means thata condition or treatment was not codedas specifically as it could have been,rather than there was an error. TheTrust’s error rate in the previous year’saudit was 13.7% against a nationalaverage of 9%.3.0 Review of qualityperformance 2012/13The following section provides anoverview of the care offered by the Trustbased on performance in 2012/13 againstkey quality indicators selected by theBoard of Directors in consultation withstakeholders. The indicators have beenselected to demonstrate the Trust’scommitment to patient safety, clinicaleffectiveness and enhancing the patientexperience. The indicators have also beenselected on the basis of data collection,accuracy and clarity.Reducing adverse eventsThe Trust supports an open culture forreporting and learning from adverseevents and near miss patient safetyincidents. The Trust has an AdverseIncident Policy and standard AdverseIncident Report (AIR) Form.All reported incidents are graded interms of the actual severity of theincident. Standard gradings set downby the National Patient Safety Agency(NPSA) are applied. All incidents arefully investigated, including near missand no harm events, and are used as anopportunity for reflective practice, sharedlearning and quality improvement.Annual Report and Accounts 2012/13 73