AB006. SOH23ABS_096. Quarterly performance monitoring audit, University of Limerick Hospital Group, Department of Urology September 2022

Background: Coding system used by the Hospital In-Patient Enquiry (HIPE) in University of Limerick Hospital Group (ULHG) is the Australian modification of the international coding of diseases version 10 (ICD 10 AM). The 10th edition has been specified by the World Health Organisation (WHO) in 2015 for diseases and procedures. To date there is scarce of publications in the Urology coding and the implication of that on the volume of centres. This study is meant to review the HIPE publication in comparison to quarterly report of performance monitoring. And to provide preliminary base to check HIPE data collection and publication. The purpose of this study is to quantify the load of work in Urology department at ULH and to compare the HIPE data with the actual working data.

Methods: This is a cross sectional retrospective study conducted from the first of June 2022 to the thirty first of August 2022. Data has been collected from 77 oncall handovers for the emergency service, alongside the data provided by the secretaries for outpatients department (OPDs), elective theatres, day cases and surgical day wards (SDWs). Data has been processed manually for the calculations of the totals and means. Serial meeting with HIPE representative was done to compare data.

Results: Data of the volume of Urology Department workload has been traced in the period between the first of June through August 2022. Massive value of work has been aimed to be compared with the HIPE data base. Comparison points were only applicable to inpatients procedures. All other activities were found to be off pointed.

Conclusions: HIPE prospective of coding and subsequently publishing relies on complexity of patients, which is related to comorbidities i.e., the patient complexity before having the procedure. However, this doesn’t reflects the amount of effort done in the procedure. This needs to be rectified by raising awareness among Surgeons about the HIPE principles of coding.

Keywords: Hospital In-Patient Enquiry (HIPE); performance report; surgical day wards (SDWs); outpatients department (OPD); World Health Organisation (WHO)