View June's Board Pack - Royal Bournemouth Hospital

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Appendix 7 – Ungrouped original Cardiologyresults from 2007/0897 This section shows the finding from the audit of Cardiology completed in2007/08. This was coded using OPCS-4.3 and grouped using HRGv3.5grouper. To enable an accurate HRG level comparison between the2007/08 and 2010/11 audits we have regrouped the 2007/08 audit data toHRG4.Table 20: Original Cardiology area: coding errorsTotal fromepisodesauditedIncorrectTotalincorrect%incorrectCodererrorNon CoderErrorPrimary 100 5 5 10 10.0diagnosisSecondary 153 18 29 47 30.7diagnosisPrimary 90 11 2 13 14.4procedureSecondary 95 4 7 11 11.5procedureOverall 438 38 43 81 18.5Table 21: Original Cardiology area: HRG errorsTotal 100Total changing HRG 2% changing HRG 2.0EpisodesFinancial impact of errorsTable 22: Original Cardiology area: financial impact of errorsPre AuditPaymentPost AuditPaymentGrosschange% GrossChangeNetchange£236,816 £239,234 £3,682 1.5 £2,418 1.0% netchangeAudit Commission Payment by results data assurance framework 71
Appendix 8 – Error keysError Key DescriptionsKEYDESCRIPTIONUTAUNSAFE TO AUDITThe Auditor is unable to audit the coded clinical data against the sourcedocumentation.For example:There is insufficient or no information regarding the episode in theAuditor’s source documentation.Primary Diagnosis error keysCoder errorPD3PRIMARY DIAGNOSISINCORRECT AT THREECHARACTER LEVELThe primary diagnosis code has been allocated to an incorrect threecharacter code.PD4PRIMARY DIAGNOSISINCORRECT AT FOURCHARACTER LEVELThe primary diagnosis code has been allocated to an incorrect fourthcharacter.PD5PRIMARY DIAGNOSISINCORRECT AT FIVECHARACTER LEVELThe primary diagnosis code has been allocated to an incorrect fifthcharacter.PDISPRIMARY DIAGNOSISINCORRECTLY SEQUENCEDThe primary diagnosis code recorded by the Auditor has not beensequenced by the Coder as the primary diagnosis.PDOPRIMARY DIAGNOSIS OMITTEDThe primary diagnosis recorded by the Auditor has not been recorded bythe Coder in any diagnosis field.Non-Coder ErrorPDIINFORMATION AVAILABLE ATTHE TIME OF AUDIT NOTAVAILABLE AT THE TIME OFCODINGInformation available to the Auditors was not available at the time ofAudit Commission Payment by results data assurance framework 72
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THE ROYAL BOURNEMOUTH AND CHRISTCHU
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50/11 DECISION3% by the 4 th quarte
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52/11 INFORMATIONClinical advice -
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Board of Directors10 June 20111 Pur
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Board of Directors10 June 2011Part
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Board of Directors10 June 2011Emerg
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Board of Directors10 June 2011C.Dif
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Board of Directors10 June 20118 15
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Board of Directors10 June 2011The t
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The Royal Bournemouth & Christchurc
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Board of Directors Part 110 June 20
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Board of Directors Part 110 June 20
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Board of Directors10 June 2011THE R
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Where next for the NHS reforms in E
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Board of Directors - Part I10 th Ju
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Payment byresults dataassurancefram
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ContentsSummary....................
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Figure 1: HRG, procedure and diagno
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Key areas for improvements15 The ke
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Detailed reportIntroduction22 The P
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31 The remaining 100 FCEs were sele
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40 The HRG error rate at the Trust
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The net value of the HRGs that chan
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Follow up of previous year’s reco
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60 A summary of the key results wil
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Appendix 2 - Action Plan (Trust)Rec
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