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Posted on 06 Aug 2019

Last month, VAHI was pleased to resume provision of monthly Performance Indicators for Coding Quality (PICQ®) numerator reports to public hospitals. These reports, previously provided by the Department of Health and Human Services, are a key tool for health services to use for coding quality assurance and education. They provide record-level information that allows public hospitals to review and correct coded data to improve overall coding accuracy against Australian Coding Standards (ACS) and coding conventions.

VAHI has obtained a 12-month statewide licence for the PICQ® tool. PICQ® is a set of pre-determined indicators that identify records in the Victorian Admitted Episodes Dataset (VAED) that may be incorrectly coded according to the ACS and coding conventions. This coding quality tool measures data accuracy against indicators and identifies records for correction.

PICQ® reviews admitted patient morbidity data that has been coded using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) and the Australian Classification of Health Interventions (ACHI).

In addition to the numerator reports, the statewide licence enables VAHI to provide PICQ® statewide benchmarking information to public and private hospitals. The benchmarking information allows health services to compare performance with other hospitals. Statewide benchmarking reports for public and private hospitals will be available after the VAED final consolidation for 2018–19.

Hospitals can also purchase their own PICQ® licence so they can use it as part of their quality assurance. Victorian public hospitals are entitled to a discount on the cost of the individual licence due to VAHI having a statewide licence. 

VAHI has also obtained a 12-month licence for RISQ™ a new measurement and auditing tool that reviews records in datasets to assess the quality of Condition Onset Flags (COF) data and the incidence of hospital-acquired complications (HACs). This provides a method to measure and compare the relative safety and quality performance, facilitating reporting, benchmarking, coding, and clinical service improvement. 

The statewide licence for RISQ™ provides hospitals, for the first time, the opportunity to systematically review each record for quality of HAC coding and COF assignment quality. 

More information on RISQ™ will be provided in upcoming issues of VAHI news. In the meantime, please contact Carla Read, Manager Health Classification and Coding, via carla.read@vahi.vic.gov.au with any queries.

Page last updated: 07 Aug 2019