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Hospital coding of Dementia: is it accurate?


Cummings, EA and Maher, RC and Showell, CM and Croft, T and Tolman, J and Vickers, JC and Stirling, CM and Robinson, AL and Turner, P, Hospital coding of Dementia: is it accurate?, Health Information Management Journal, 40, (3) pp. 5-11. ISSN 1833-3575 (2011) [Refereed Article]

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Copyright 2011 Health Information Management Association of Australia Limited

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DOI: doi:10.1177/183335831104000301


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.

Item Details

Item Type:Refereed Article
Keywords:Dementia; Clinical Coding; Database Management Systems; International Classification of Diseases; Health Services Research; Informatics; Medical Records
Research Division:Information and Computing Sciences
Research Group:Information systems
Research Field:Information security management
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Cummings, EA (Associate Professor Liz Cummings)
UTAS Author:Maher, RC (Mrs Roxanne Maher)
UTAS Author:Showell, CM (Dr Chris Showell)
UTAS Author:Vickers, JC (Professor James Vickers)
UTAS Author:Stirling, CM (Professor Christine Stirling)
UTAS Author:Robinson, AL (Professor Andrew Robinson)
UTAS Author:Turner, P (Associate Professor Paul Turner)
ID Code:74394
Year Published:2011
Web of Science® Times Cited:14
Deposited By:Information and Communication Technology
Deposited On:2011-11-29
Last Modified:2018-04-04
Downloads:4 View Download Statistics

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