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View June's Board Pack - Royal Bournemouth Hospital

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45 As the audit of Cardiology was undertaken in 2007/08 and groupedusing HRGV3.5, we have converted the data from 2007/08 HRG4 to providea more accurate base for comparison with this year’s result.Table 4:General Medicine area progressItem 2009/10 % 2010/11 % Change %HRG errors i 35 7 -28Primary Diagnosis 46.0 12.0 -34errorsSecondary 41.6 9.1 -32.5Diagnosis errorsPrimary13.3 11.8 -1.5procedure errorsSecondary 7.9 0 -7.9procedure errorsNet Financialimpact of errors£2,045 -£47 £2,092Table 5:Cardiology area progressItemRegrouped 2010/11 % Change %2007/08 %HRG errors ii 3 10 7Primary Diagnosis 10.0 2.0 -8errorsSecondary 30.7 24 -6.7Diagnosis errorsPrimary14.4 7.3 -7.1procedure errorsSecondary 11.6 0 -11.6procedure errorsNet Financialimpact of errors£2,418 -£4,699 £2,28146 Coding in General Medicine has improved significantly following theimprovement of the quality of the electronic discharge summary and theimprovement of the information recorded on the electronic patient record.This was the result of joint working between the Coding Manager andclinical staff.47 Coding in Cardiology has deteriorated, however, the majority of errorswere due to recording codes as instructed by clinical staff or to a lack ofcomplete information available at the time of coding.Financial impact of audited errors48 The sample covered 300 FCEs. These episodes were then grouped to221 spells with a total value of £342,424. The total value of all errorsregardless of who they favoured (absolute or gross change) was £13,538.i Only HRGs have been regroupedii Only HRGs have been regroupedAudit Commission Payment by results data assurance framework 12

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