View June's Board Pack - Royal Bournemouth Hospital

Follow up of previous year’s recommendations54 The coding audit for 2010/11 took place in January 2010. Progress onthese recommendations was followed up at the set up meeting and duringthe course of the audit visit. There were 12 recommendations from our2009/10 report, including one outstanding from previous audits. Of theseone had been outstanding since 2008/09. The Trust has fully implemented10 of the 12 recommendations, which is satisfactory. Despite action beingtaken on the remaining recommendations, they had not been fullyimplemented or the issues are still affecting coding.55 Bournemouth and Poole Teaching PCT, as lead commissioner for theTrust, should work in partnership with other commissioners to ensure actionis being taken to address the issues raised in this report.Implemented recommendationsR1 in 2009/10 (R2 in 2008/09 report; revised): Include all local codingpolicies within the Policy and Procedure document. Updates to thisdocument should be formally agreed, signed and dated by relevantclinicians. Coders’ awareness of local policies should be assessedregularly.■ Action: All local policies have been reviewed and updated asnecessary and Clinicians have signed relevant statements.R2 in 2009/10: Investigate causes of multiple incorrect episodes beingcreated within spells, and address the issues to ensure transfers of careare recorded accurately.■ Action: A Clinical Data Quality Co-ordinator is now in post toimplement changes in the recording of consultant transfers whichwill reduce errors.R3 in 2009/10: Code from full casenotes for long-stay patients with actualmultiple episodes, in order to identify individual incidents and avoidinaccuracies in coding the component episodes.■ Action: A clinical coder has been placed on the ward to facilitatethis.R4 in 2009/10: Review departmental staffing levels and workloads (in linewith national averages) to improve coding accuracy.■ Action: A review has taken place of the workload and it was foundthat the workload should reduce now the multiple consultanttransfer errors have been resolved.R5 in 2009/10: Carry out internal audits to ensure clinicians are completingsummaries within timeframes, and coders are reading through the entirecontents of the summaries.■ Action: An audit has taken place on the content of dischargesummaries and the timeliness – both are improving. Coders haveAudit Commission Payment by results data assurance framework 15