Annual Report and Financial Accounts 2010/11
Quality Report 2010/11 Year 2011 2010 2009 2008 2007 2006 Site
Christchurch Hospital Bournemouth Hospital Christchurch Hospital Bournemouth Hospital Christchurch Hospital Bournemouth Hospital Christchurch Hospital Bournemouth Hospital Christchurch Hospital Bournemouth Hospital Christchurch Hospital Bournemouth Hospital
Environment Score
Good Good Good Good Good Good Good Good Good Good
Excellent Acceptable
number of admissions by the number of screens. Some admitted patients receive more than one screen.
Clostridium Difficile The Trust has had the lowest rate in the southwest for each of the past five years. All cases of C.difficile infection at this Trust are reported and investigated. The numbers of cases have been well within the contract target for the entire year.
Clinical Effectiveness and Quality of Care
Reducing Hospital Mortality The Medical Director chairs a Mortality Review Group which meets monthly and proactively reviews mortality data for the Trust. All potential alerts are fully investigated by a lead clinician and this means that potential coding issues are identified and resolved earlier and before an alert is issued by the Care Quality Commission.
Food Score
Excellent Good
Excellent Good
Acceptable Good
Excellent Good
Excellent Excellent Excellent Good
Privacy & Dignity Score
Good
Excellent Excellent Good Good Good N/A N/A N/A N/A N/A N/A
Two Alerts have been issued by the CQC in 2010/11 and on each occasion the Trust had already identified the risk group and had initiated an internal notes review. The CQC Alerts related to Pulmonary heart disease, and, Coronary Atherosclerosis and other heart disease.
The Medical Director provided a full written report to the CQC for each alert. In all cases, coding errors were identified which have now been resolved. The reviews did not identify concerns about the clinical management of the patients.
In order to improve coding, the Mortality Group has led on a number of initiatives this year. This has included implementation of an improved electronic immediate discharge form (eIDF); training for junior doctors on death certification and producing discharge letters; direct consultant involvement in confirming appropriate death certification; proactive case note reviews and clarity on clinical coding definitions.
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