Annual Report and Financial Accounts 2010/11


Quality Report 2010/11


The error rate reported in the latest published audit for diagnosis and treatment coding is 10% which is a significant improvement compared to the previous year error rate of 24%. The Trust is performing close to the national average (9.1%) when compared to the overall performance of trusts in 2009/10. The results should not be extrapolated further than the actual sample audited. The speciality’s audited are listed above.


The Trust is continuing to improve the quality of the source documents for coding which will help to reduce our coding error rate below the national average. The Coding improvement work has seen much better accuracy on primary and secondary diagnosis and procedure codes.


The vast majority of issues identified in the Audit have already been rectified as relatively straight forward issues, leaving


the Trust well positioned for extremely high accuracy rates next year. To further improve coding accuracy, the move away from READ coding, planned for 11/12, will ultimately reduce error rates. This will make a more meaningful comparison to the national average rates, as most Trusts do not have to deal with the handicap of coding in a separate system (READ) and translating into International Classification of diseases version 10 (ICD10) and Office of Population Census & Surveys (OPCS) classification of surgical operations and procedures version 4.5.


These measures combined with ongoing clinical engagement and the move to electronic notes give assurance that coding accuracy is improving.


The net effect of these coding adjustments was zero pounds, i.e. there was no gain or loss to any organisation as a result of the audit.


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