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Dear Editor, What's happening In future issues of the column we will be discussing "Quality Matters": Countdown to number one. TQM and Risk Management. A small Working Party has been formed to update In the first issue of the Quality Assurance column, the MRAA produced booklet - titled "Evaluating "Quality Matters" (currently being compiled). QA Medical Services Using the Criteria Method". The booklet is to be brought in line with modern approaches curriculum content for each of the Medical Record to Quality Assurance in medical record services. Administrator training schools in Australia will be discussed. We have invited the schools to provide Seminars/Conferences details of the Quality Assurance training given to The 2nd Australian and New Zealand Conference Medical Record Administration students. We have on Quality Assurance in Health:QA Gamble, Gain or also asked them to comment on the content of the Guarantee is to be held May 16/17 1991 at Conrad course and plans for the future direction of Quality International, Jupiters Casino, on the Gold Coast in Assurance training. Queensland. This is a date you should definitely note in your diary. Do you feel that there is a need for more specific Janice Ruhnau educational sessions for previously graduated Medical and Susan Tansley Record Administrators, targeting the "how to" of NSW Quality Assurance tools and techniques in the 90s? The Australian Grouper needed, and what arrangements will be needed in rela tion to annual updates. In November 1990, the Australian Institute of Health Plans are that the eventual Australian grouper will called a consensus conference of representatives of have more structure to its numbering system (more like health authorities and national hospital organisations to an lCD-type structure with room for new DRGs to be consider whether all States should use the same grouper inserted later and a hierarchy so data can be "rolled up" (easily decided "yes") and if so which one (not so easily if less detail is required). Attention will also be given to decided). Several medical record administrators were making documentation more readily available. It was there, representing health authorities or industry decided that the Australian grouper should use the organisations. latest version of CM and be updated annually (there are Readers who attended the Brisbane DRG conference good and bad effects from this: we will always be able to will know the two main contenders were Yale's Refined use the latest CM enhancements but we will need new DRGs (RDRGs) and New York DRGs (NYDRGs); books or have to amend the old ones each year). ultimately a compromise was reached, summarised by Proposed date for introduction of this new system is 1 the Australian Health Ministers' Advisory Council at its July 1991. (No, that isn't a typing error but perhaps this meeting on 13 December 1990, as follows: timetable will have to be revised.) For coders, the crucial The consensus conference recommended that the Aus point is "what edition of CM do we need?" As the new tralian DRG version should be based on the updated grouper, whenever it is ready, will use the edition of CM New York version, with modifications being made to current in the USA, all States will need to introduce new account for local clinical practices. Two working CM codes but wait for instructions from your State groups were recommended to support the process of health authority before taking any action on new books validating the Australian version - a National Clinical or revisions to in-house software (it may be necessary to Panel and a National User Group. The Clinical Panel "map" from the edition you are currently using to is generally to determine clinical modifications in line whatever edition the Australian grouper works with). with Australian practices and the User Group is to This column will keep you informed but also look out negotiate details ofpurchase of the licence for the ver for information from your State health authority and sion. The Commonwealth Department of Community coding committee, and the Australian Casemix Bulletin. Services and Health is currently in the process of obtaining information on the details of the New York version licence including details such as whether an Irene Kearsey Australian licence or individual State licences will be Victoria 28 AMR JOURNAL, MARCH, 1991
Australian Medical Record Journal – SAGE
Published: Mar 1, 1991
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