View June's Board Pack - Royal Bournemouth Hospital

Areas selected for follow up11 As part of the programme this year, two areas were selected for followupso that we could provide assurance for commissioners on the progress ina particular area. Where necessary we "regrouped" the information toenable a direct comparison.12 In 2009/10, the HRG error rate in General Medicine was 35 per centand this year, the HRG error rate was 7 per cent - an improvement of 28percentage points. This indicates that coding in this area has improvedsignificantly following the discussions and agreement between the CodingManager and Clinical Staff. The improvements to the quality of theelectronic discharge summary and the improvement of the informationrecorded on the electronic patient record are evident in the audit results.However, as noted above, ensuring that the electronic discharge summarycontains the right level of detail is an ongoing issue as clinical staff rotateand change regularly.13 In 2007/08, the regrouped HRG error rate in Cardiology was 3 per centand this year, the HRG error rate was 10 per cent - a deterioration of 7percentage points. This indicates that coding in this area is poor as themajority of errors in Cardiology were due to recording codes as instructedby clinical staff or a lack of complete information available on the electronicdischarge summary.Financial impact of errors14 Table 1 below shows the financial impact of the HRG errors acrosseach of the areas audited. The financial value of all of the errors is £152from an audit sample of £342,424 – 4.0 per cent. The net impact of errors isvery small. Based on the sample tested, the Trust is overcharging itscommissioners by £152.Table 1:Table of main findingsAreaauditedSpecialty/Subchapter/HRGNumberof FCEs% ofepisodeschangingHRGPreAuditPaymentPostAuditPaymentNetchange%changeTheme General 100 7.0 £79,712 £79,665 -£47 -0.1MedicineSpecialty Cardiology 100 10.0 £201,825 £197,126 -£4,699 -2.3SubchapterJC - Skin 70 18.6 £46,626 £51,220 £4,594 9.9surgeryHRG EB01Z 30 0.0 £14,261 £14,261 £0 0.0Overall 300 10.0 £342,424 £342,272 -£152 0.0Audit Commission Payment by results data assurance framework 4