Review of Clinical Coding Hywel Dda University Health Board

12 Jun 2014 - 9:44am

Hywel Dda University Health Board gives clinical coding a high profile, supporting it with a good level of investment, and is focused on improving the quality of management information although further improvements to local practices are required.

The importance of clinical coding to support the effective operation of its business is recognised in the health board although more needs to be done to raise the profile of medical records and focus on accuracy.

Many aspects of the clinical coding process are sound but clinical engagement is sometimes lacking, medical records are often poor and some records take a long time to be coded.

Clinical coded data is used appropriately and meets the Welsh Government standards for timeliness and completeness but some coding is inaccurate and the Board are not aware of the inaccuracies or its implications.

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