View June's Board Pack - Royal Bournemouth Hospital

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Example 2ID Speclty 300 ThemeEpisode Start 19/04/2010 End 20/04/2010TrustCodingAuditCodingError KeyPDiag K20X Oesophagitis K921 Melaena PDODiag1 B378 Candidiasis - Candidiasis K20X Oesophagitisof other sitesDiag2 K259 Gastric ulcer - Gastriculcer, unspecified asacute or chronic, withouthaemorrhage orperforationB378 Candidiasis - Candidiasisof other sitesDiag3 I259 Chronic ischaemic heartdisease - Chronicischaemic heart disease,unspecifiedDiag4 I10X Essential (primary)hypertensionDiag5 J449 Other chronic obstructivepulmonary disease -Chronic obstructivepulmonary disease,unspecifiedI259I10XJ449Chronic ischaemic heartdisease - Chronicischaemic heart disease,unspecifiedEssential (primary)hypertensionOther chronic obstructivepulmonary disease -Chronic obstructivepulmonary disease,unspecifiedDiag6 K259 Gastric ulcer - Gastriculcer, unspecified asacute or chronic, withouthaemorrhage orperforationProc1 G451 Fibreoptic endoscopicexamination of uppergastrointestinal tract andbiopsy of lesion of uppergastrointestinal tractG451Proc2 Z272 Stomach Z272 StomachHRG FZ31A Disorders of theOesophagus with MajorCCFZ16ZSpellHRGFZ31ABasetariffShortstayadj.Specialist TopUpExcessbeddaysTotalPriceCoding SourceDisorders of theOesophagus with MajorCCFZ16Z£3,235 £2,295£0 £0£0 £0£0 £0£3,235 £2,295Clinical RecordFibreoptic endoscopicexamination of uppergastrointestinal tract andbiopsy of lesion of uppergastrointestinal tractVery Major Proceduresfor Gastrointestinal BleedVery Major Proceduresfor Gastrointestinal BleedCodingManual orCodingClinicreferenceThe coder had omitted the primary diagnosis. Episode 2 of 2Audit Commission Payment by results data assurance framework 25
Example 3ID Speclty 300 ThemeEpisode Start 06/04/2010 End 10/04/2010TrustCodingAuditCodingError KeyPDiag A419 Other septicaemia -Septicaemia, unspecifiedDiag1 N390 Urinary tract infection,site not specifiedDiag2 D479 Other neoplasms ofuncertain or unknownbehaviour of lymphoid,haematopoietic andrelated tissue - Neoplasmof uncertain or unknownbehaviour of lymphoid,haematopoietic andrelated tissue,unspecifiedDiag3 F019 Vascular dementia -Vascular dementia,unspecifiedDiag4 I48X Atrial fibrillation andflutterDiag5 Z867 Personal history ofdiseases of thecirculatory systemD649 Other anaemias -Anaemia, unspecifiedA419 Other septicaemia -Septicaemia, unspecifiedN390 Urinary tract infection,site not specifiedD479 Other neoplasms ofuncertain or unknownbehaviour of lymphoid,haematopoietic andrelated tissue - Neoplasmof uncertain or unknownbehaviour of lymphoid,haematopoietic andrelated tissue,unspecifiedF019 Vascular dementia -Vascular dementia,unspecifiedI48X Atrial fibrillation andflutterDiag6 Z867 Personal history ofdiseases of thecirculatory systemHRG WA03V Septicaemia with MajorCCSpellHRGWA03VSepticaemia with MajorCCSA09ESA09EOther Red Blood CellDisorders withIntermediate CCOther Red Blood CellDisorders withIntermediate CCPDICodingManual orCodingClinicreferenceBase£3,643 £2,437tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£3,643 £2,437PriceCoding SourceClinical RecordThis patient was admitted with recurrent anaemia and given blood transfusions as an in-patient. The dischargesummary in the casenotes records that the patient deteriorated and this is thought to have been secondary sepsisto a urinary tract infection. The main condition treated was the anaemia. The sepsis and urinary tract infection wasAudit Commission Payment by results data assurance framework 26
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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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Page 36 and 37: Where next for the NHS reforms in E
Page 54 and 55: THE ROYAL BOURNEMOUTH AND CHRISTCHU
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Page 60 and 61: ContentsSummary....................
Page 62 and 63: Figure 1: HRG, procedure and diagno
Page 64 and 65: Key areas for improvements15 The ke
Page 66 and 67: Detailed reportIntroduction22 The P
Page 68 and 69: 31 The remaining 100 FCEs were sele
Page 70 and 71: 40 The HRG error rate at the Trust
Page 72 and 73: The net value of the HRGs that chan
Page 74 and 75: Follow up of previous year’s reco
Page 76 and 77: 60 A summary of the key results wil
Page 78 and 79: Appendix 2 - Action Plan (Trust)Rec
Page 80 and 81: Appendix 3 - Specialty A - General
Page 82 and 83: Financial impact of errorsTable 10:
Page 86 and 87: only mentioned in the discharge sum
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Page 92 and 93: changePrice of net change -£47 -0.
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Page 124 and 125: Analysis of errors - Chapter JC - S
Page 126 and 127: Appendix 6 - HRG area EB01Z - Nonin
Page 128 and 129: Analysis of errors - HRG EB01Z:All
Page 130 and 131: Appendix 7 - Ungrouped original Car
Page 132 and 133: KEYDESCRIPTIONcoding. This is where
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KEYSee PDSCDESCRIPTIONCODED DUE TO
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Appendix 9 - GlossaryTermExplanatio
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Catering UpdateThe first phase of t
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Board of Directors - Part I10 th Ju
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What Who Board Where of Directors B
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What Who Where Board Before of Dire
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