Clinical Information Assurance

The Health Information Audit Program

• Provides a measure of quality assurance for users of Diagnosis Related Groups (DRGs) including accuracy of DRG assignment, compliance with the admitted patient activity business rules and accuracy of clinical coding for inpatient data
• Performs audits to monitor the performance and compliance of relevant patient activity data business rules
• Conducts ad hoc targeted audits where required.

• Patient Activity Data policy – MP 0164/21
• Clinical Information Audit Program – Hospital Activity Reporting (Operational Directive 0201/09) (external site)
• Admission, Readmission, Discharge and Transfer Policy (MP 0058/17) (external site)
• Clinical Coding Policy (including WA Coding Standards) (MP 0056/17) (external site)
• Data Quality Policy (MP 0057/17)
• Hospital Morbidity Data Reporting Cycle and Edit Protocol Policy (MP 0059/17) (external site)
• Hospital Morbidity Data Collection Reference Manual - Part A - Contacts, Hospital Responsibilities, Data Element Definitions (PDF 2.1MB)
• Hospital Morbidity Data Collection Reference Manual - Part B - Reference Documents (PDF 3.1MB)