View June's Board Pack - Royal Bournemouth Hospital

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Appendix 9 – GlossaryTermExplanationBenchmarkingThe process of measuringstandards of actual performanceagainst those achieved by otherswith broadly similar characteristics.The aim is to improve quality sothat other organisations or servicescan raise their own performance tothat of the best. The process helpspractitioners take a structuredapproach to share, compare,identify and develop the bestpractice.DiagnosisDiagnostic codes are used to groupand identify diseases, disorders,symptoms, and medical signs, andare used to measure morbidity andmortality. Diagnoses codes areaudited against ICD-10 standards,as set by the World HealthOrganisationFinished Consultant Episode (FCE) An FCE or episode of care is acompleted period of care of apatient using an NHS hospital bed,under one consultant within onehealthcare provider. If a patient istransferred from one consultant toanother, even if this is within thesame provider unit, the episodeends and another one beginsGrouperSystem which uses diagnosis andprocedure codes to allocate activityto HRGs for billing purposes.Healthcare Resource Group (HRG) A grouping consisting of patientevents that have been judged toconsume a similar level ofresource. This is the currency usedfor payment under Payment byResultsHRGv3.5 NHS Grouper used until 2008/09HRG4 NHS Grouper used from 2009/10ICD10International Classification ofDisease and Related HealthProblems. An internationallydefined classification of disease,managed by the World HealthOrganisation – 10th Revisions.OPCS-4.5Office of Population Censuses andSurveys version 4.5 (now the OfficeAudit Commission Payment by results data assurance framework 77
TermProceduresSpellExplanationof National Statistics). The standardclassification system used to recordhealthcare procedures andinterventions in England. Version4.5 mandated for use since 1 April2009.Procedure codes are numbers oralphanumeric codes used toidentify specific health interventionstaken by medical professionals.Procedure codes are auditedagainst national standards inOPCS-4.5.A continuous spell of admitted carecomprising one or more finishedconsultant episodes. A hospitalspell is the period from the date ofadmission to the date of discharge.A hospital spell may consist ofmore than one FCE.Audit Commission Payment by results data assurance framework 78
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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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Appendix 3 - Specialty A - General
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Financial impact of errorsTable 10:
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Example 2ID Speclty 300 ThemeEpisod
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