Incorporating hospital and community health services, teaching and research
Dear Sir/Madam Thank you for your Freedom of Information request concerning Clinical Coding Dept. structure. The Trust can provide the following information:
1. Please supply structure of your Clinical Coding Dept
1 x Head of Coding 1 x Quality Assurance Manager 4 x Band 5 ACC Clinical Coders 3 x Band 4 Clinical Coders
2. How many FCE’s per year do you have?
75,000 FCEs
3. How many Coders do you employ broken down into Bandings ( If not detailed
in 1 above) 4. Do you code totally from the full Medical Record or an EPR?
EPR
5. How many separate systems are used to contribute to the Coding process by
system e.g. Radiology systems, Laboratory systems?
EPR – Discharge summaries, radiology, histology, microbiology GI Reporting Tool – Endoscopies SEND – UK neonatal Badger System – neonatology K2 Athena – Obstetrics – delivery episodes
6. Who by and how are mortality reviews undertaken within your Trust?
Quality Assurance Manager, Clinical Director, Consultants
7. Do you have a qualified Clinical Coding Trainer or Clinical Coding Auditor?
1 x Clinical Coding Auditor Training is done externally by London Clinical Coding Academy
Incorporating hospital and community health services, teaching and research
8. Do you have an encoder?
Yes, 3M
9. Is the Clinical Coding Dept a centralised function?
Yes
10. Do the Coders visit wards to gather the coding information?
No
11. Are your Coders speciality specific
No
12. Do you have Coding runner/porters that support note delivery to the Coding Team
No
13. Please supply a copy of your last PbR Coding Audit
See attachment (note on page 11 name has been redacted. In regards to FOI Request the trust only release names at Director or Associate levels unless given permission by that member of staff as it is deemed personal information and exempt under section 40 of the Freedom of Information Act2000).
If you have any queries about this response please contact the information governance manager at [email protected] , in the first instance. If, following that, you still have any concerns, you may contact the Information Commissioner either by letter, FOI/EIR Complaints resolution, Wycliffe House, Water Lane, Wilmslow, Cheshire SM9 5AF, or by email www.informationcommissioner.gov.uk to take them further. Copyright Statement The material provided is subject to the HUHFT’s copyright unless otherwise indicated. Unless expressly indicated on the material to the contrary, it may be reproduced free of charge in any format or medium, provided it is reproduced accurately and not used in a misleading manner. Where any of the copyright items are being re-published or copied to others, you must identify the source of the material and acknowledge the copyright status. Permission to reproduce material does not extend to any material accessed through the Publication Scheme that is the copyright of third parties. You must obtain authorisation to reproduce such material from the copyright holders concerned. Yours sincerely
Incorporating hospital and community health services, teaching and research
James Cook Information Governance Administrator Mike Dunne Information Governance Manager/Deputy Calidcott Guardian
