Building a Casemix Information System in Hospitals: Challenges for the Medical Record Service

Abstract

Medical record professionals, working in close collaboration with colleagues in a Consortium of teaching hospitals and the University of New South Wales, are making a major contribution to the development of casemix information systems in these hospitals. This paper describes the projects underway and the methods being used to share knowledge and experiences within the Consortium. An overview of the project is followed by a discussion of the specific medical record aspects of quality of coding and the medical record, and development of casemix reports. Other issues discussed include the education programs needed to support the project and the impact on the medical record service of concurrent changes in the organisational structure of some of the hospitals. (AMRJ, 1991, 21(2), 44–52).

Get full access to this article

View all access options for this article.

References

Allcorn

(1990). Using matrix organization to manage health care delivery organizations. Hospital and Health Services Administration, 35(4), 575–590.

Brown

(1982). Major problems in data accuracy remain unsolved. Topics in Health Record Management, 2(4), 4–8.

Charns

M.P.

(1986). Product line management and clinical costing systems. Australian Health Review, 9, 396–405.

Degeling

Bennett

K.R.

Krantz

(1990). Perceptions of organisational change in three teaching hospitals in New South Wales. Kensington: University of New South Wales.

Fetter

R.B.

Freeman

J.L.

(1986). Diagnosis Related Groups: Product line management within hospitals. Academy of Management Review, 11(1), 41–54.

Galbraith

J.R.

(1973). Designing complex organizations. Reading: Addison-Wesley.

Hindle

Cook

Pilla

(1989). Computation of production costs of inpatients: Some implications for discharge abstracting. Australian Medical Record Journal, 19(2), 56–62.

Mintzberg

(1979). The structuring of organizations, New Jersey: Prentice-Hall.

Palmer

G.R.

Aisbett

Fetter

R.B.

Winchester

Reid

B.A.

Rigby

(1991). Casemix costs and casemix accounting in seven major Sydney teaching hospitals. Kensington: Centre for Hospital Management and Information Systems Research.

10.

Stoelwinder

J.U.

Stephenson

L.G.

Wallace

P.G.

Abernathy

M.A.

Putt

C.M.

(1986). Clinical costing at the Queen Victoria Medical Centre. Australian Health Review, 9(4), 372–386.