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Hospital coding of Dementia: is it accurate?

This paper investigates the coding of dementia in the episode of care in a pilot study group (N=48) post hospital discharge and the possible implications of under-coding. The assigned ICD-10-AM codes and Diagnosis Related Groups were reviewed. Results demonstrate under-coding of dementia and of cognitive de„±cits; poor correlation between admission diagnoses and dementia codes on separation; and changes in individual patients¡¦¡¦ cognitive status across forms and assessments in the same admission. The complexities of accurately coding dementias will impact upon planning for future treatments and service provision and will have a „²ow-on effect for patients, hospitals, and patient care in Australia.

History

Publication title

Health Information Management Journal

Volume

40

Pagination

5-11

ISSN

1833-3575

Department/School

School of Information and Communication Technology

Publisher

Health Information Management Association of Australia

Place of publication

Australia

Rights statement

Copyright 2011 Health Information Management Association of Australia Limited

Repository Status

  • Restricted

Socio-economic Objectives

Evaluation of health and support services not elsewhere classified

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