Building a Casemix Information System in Hospitals: Challenges for the Medical Record Service

Medical record professionals, working in close collaboration with colleagues in a Consortium of teaching hospitals and the University of New South Wales, are making a major contribution to the development of casemix information systems in these hospitals. This paper describes the projects underway and the methods being used to share knowledge and experiences within the Consortium. An overview of the project is followed by a discussion of the specific medical record aspects of quality of coding and the medical record, and development of casemix reports. Other issues discussed include the education programs needed to support the project and the impact on the medical record service of concurrent changes in the organisational structure of some of the hospitals. (AMRJ, 1991, 21(2), 44–52).

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