{"title":"Assessing the impact of automated coding & grouping technology at St Vincent's Hospital, Sydney.","authors":"M H Howes","doi":"10.1177/183335839302300403","DOIUrl":"https://doi.org/10.1177/183335839302300403","url":null,"abstract":"<p><p>In 1992 the Hospital recognised that the existing casemix data reporting systems were too removed from individual patients to have any meaning for clinicians, analysis of the data was difficult and the processes involved in the DRG assignment were subject to considerable error. Consequently, the Hospital approved the purchase of technology that would facilitate the coding and grouping process. The impact of automated coding and grouping technology is assessed by three methods. Firstly, by looking at by-product information systems, secondly, through subjective responses by coders to a satisfaction questionnaire and, thirdly, by objectively measuring hospital activity and identified coding elements before and after implementation of the 3M technology. It was concluded that while the 3M Coding and Grouping software should not be viewed as a panacea to all coding and documentation ills, objective evidence and subjective comment from the coders indicated an improvement in data quality and more accurate DRG assignment. Development of an in-house casemix information system and a feedback mechanism between coder and clinician had been effected. The product had been used as a training tool for coders and had also proven to be a useful auditing tool. Finally, linkage with other systems and the generation of timely reports had been realised.</p>","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 4","pages":"117-22"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The National Coding Centre--an overview.","authors":"P J Watson","doi":"10.1177/183335839302300404","DOIUrl":"https://doi.org/10.1177/183335839302300404","url":null,"abstract":"<p><p>Medical Record Administrators have been aware of the need for a National Coding Authority in Australia for many years. With the establishment of the National Reference Centre for Reference Centre for Classification in Health in 1991 and the subsequent call for tenders for the establishment of a Coding Authority the movement to develop much needed standards, improve data and coding quality began to take shape. This paper outlines the lead up to the call for tenders, the terms of reference and objectives of the Coding Centre, the proposed staff, and the work program for the first three years.</p>","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 4","pages":"123-8"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality discussed in high places ... at last.","authors":"C Balding","doi":"10.1177/183335839302300412","DOIUrl":"https://doi.org/10.1177/183335839302300412","url":null,"abstract":"","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 4","pages":"147-8"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial issues in health care--Part 3. Senator Richardson's reforms.","authors":"M Frainey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 4","pages":"136-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optical imaging systems--the future of medical record storage.","authors":"G Bryant","doi":"10.1177/183335839302300303","DOIUrl":"https://doi.org/10.1177/183335839302300303","url":null,"abstract":"<p><p>This paper explains the processes which were undertaken to solve the problem of lack of storage for medical records at Logan Hospital. The paper contains analysis of why optical disk proved to be the most appropriate storage medium, and the system components of an Optical Disk System. A detailed description of how the Optical Imaging System has been structured and the processes which make the Optical Disk System a major part of the hospital's Health Information System is provided. The paper also discusses the much talked about legal side of optical imaging. Lastly the paper explains the future plans of Logan Hospital's Medical Record Storage System.</p>","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 3","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information technology and health information management.","authors":"J Mitchell","doi":"10.1177/183335839302300304","DOIUrl":"https://doi.org/10.1177/183335839302300304","url":null,"abstract":"","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 3","pages":"83-4"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial issues in health care, Pt II. The New Zealand health reforms.","authors":"M Frainey","doi":"10.1177/183335839302300310","DOIUrl":"https://doi.org/10.1177/183335839302300310","url":null,"abstract":"","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 3","pages":"105-6"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300310","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving health care with computerised records.","authors":"S Ainger","doi":"10.1177/183335839302300305","DOIUrl":"https://doi.org/10.1177/183335839302300305","url":null,"abstract":"<p><p>University researchers have begun a $400,000 computer-based project which could revolutionise the way Australian GPs keep patient records and in the long term improve patient care and health planning.</p>","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 3","pages":"85-6"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The evolution of organisational structures--one hospital department's experience.","authors":"L Robertson","doi":"10.1177/183335839302300309","DOIUrl":"https://doi.org/10.1177/183335839302300309","url":null,"abstract":"","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 3","pages":"100-4"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839302300309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Information Management Association of Australia. Submission to Casemix Implementation Project Board February 1993.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79562,"journal":{"name":"Australian medical record journal","volume":"23 2","pages":"35-9"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}