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Health Research Information Division, ESRI, Dublin, July 2008 The Audit Process The Audit Process Phase 1: Audit Preparation Phase 2: Conduct audit and analyse results Phase 3: Findings and Recommendations The Audit report Computerised audit Audit Process Always consider the resources required to conduct all phases of an audit Time Coding skills Analysis Administrative support Availability of charts Preparation of report Audit Process Phase 1- Audit Preparation Decide on subject of Audit Identify Population Identify Sample Size Contact Hospitals Chart availability Office requirements Arrange to meet with coding staff/supervisor Audit Process Audit Process Audit Process Phase 1 Phase 1- Decide on subject of Audit Resources may determine focus and size of audit One hospital or many hospitals Examples of audits High cost areas High frequency areas High complexity areas Audit Process Phase 1 Phase 1- Decide on subject of Audit Examples Particular DRG Cases with a long length of stay Cases with a particular procedure E.g. Hip replacements Complex neonate cases Cases with a stay in intensive care Areas where there is a data quality query Audit Process Phase1 Phase 1: Identify population and sample size Population= The entire number of cases that meet the chosen criteria for the subject of the audit When the population is known the sample size can be determined Audit Process Phase 1 Phase 1: Identify population and sample size Sample size: The number of cases to be audited Note: Resources may influence the sample size Audit Process Phase 1 Phase 1: Identify population and sample size Sample Size: Must be practical 5% of one months discharges is a statistically acceptable sample size for a chart based audit (Source Australian Coding Benchmark Audit, 2nd Edition, NCCH, Sydney) Audit Process Phase 1 Phase 1: Identify population and sample size Suggested Sample Size: General Audit = Minimum of 40 charts Targeted audits = Audits on specifi