Introduction General Questions Development of National Coding Standards within the Czech DRG System Introduction General Questions Why does the quality of information matter? Causes of Poor Information Quality Information Quality Assurance through Information Governance A Strategy for Information Quality Assurance ?

Causes of Poor Information Quality Development of National Coding Standards within the Czech DRG System Causes of Poor Information Quality Information Quality and Error The Nature of Error Electronic Records and Information Quality

Development of National Coding Standards within the Czech DRG System Poor quality information impacts directly upon each and every use made of that information. · In clinical care, poor quality information may: - result in patients being harmed or distressed - undermine the trust clinicians place in recorded information · In disease surveillance, poor quality information may: - obscure facts and put the public at risk - undermine the validity of conclusions drawn

Impacts of poor quality Information (contd.) Development of National Coding Standards within the Czech DRG System Impacts of poor quality Information (contd.) In medical research, poor quality information may: - undermine the credibility of evidence based care - cause the validity of findings to be questioned In health service management, poor quality information may: - prevent understanding of best clinical practice - result in resources being poorly targeted

Development of National Coding Standards within the Czech DRG System Basic principles high quality clinical information underpins high quality clinical care; information should be captured once only; information should be accurate and complete the first time it is recorded; information for management purposes should be, wherever practicable, derived from the information collected to support care.

Information Governance Development of National Coding Standards within the Czech DRG System Information Governance provides a broad-based approach to improvement. It looks at all aspects of how information is handled by organisations

Development of National Coding Standards within the Czech DRG System how it is Held, Obtained, Recorded, Used and Shared (HORUS) and the standards that should apply in terms of Management, Systems, Process and People.

Development of National Coding Standards within the Czech DRG System Within this model, the standards derived from law, policy and agreed best practice can be broken down into easily understood requirements. The Information Governance approach is to provide clear guidance on how to meet each requirement and to drive improvement through incremental and achievable steps.

Information Quality Assurance Development of National Coding Standards within the Czech DRG System Information Quality Assurance as a component of broader Information Governance, adopts this approach, but also looks at information pathways in recognition that techniques that need to be applied will differ at different stages of a pathway.