The Health Informatics Unit (HIU) was established in 2002 and is housed within the Clinical Standards Department of the Royal College of Physicians in London.


Aims of the HIU

The main aims of the HIU are:

  • to develop standards for recording and communicating information about patients
  • to apply these standards to operational records to improve the validity and utility of patient data 
  • to structure the records so that the information can be incorporated into electronic records, shared with other healthcare providers and analysed with confidence

The HIU believes in the development of a patient-focused, longitudinal, generic electronic record that can be customised to the wide variety of contexts in which patients are seen. 

 

The Case and the Vision for Patient-Focused Records

Council of the Royal College of Physicians has endorsed a vision statement which emphasises the importance of focusing the development of electronic patient records on supporting the care of the individual patient.

  

Key Activities

The main areas of our recent focus include:

 

Project with Audit Commission - August 2009

In 2008, the Audit Commission’s Payment by Results (PbR) data assurance framework found significant levels of error at both the clinical coding and the Healthcare Resource Group (HRG) levels. The most common factor found to contribute to errors was the quality of the source documentation from which the coding data were extracted. The Audit Commission invited the HIU to collaborate in a joint project to explore the impact on clinical coding of introducing the new record keeping standards.

 

Record Keeping Standards - October 2008

Launch of Medical Record Keeping Standards for hospital admission records, handover and discharge documentation.

 

Clinicians Guide to Hospital Activity Data - December 2007

Work on the collection and clinical validation of routine data.  A clinicians guide has been published.

 

 

 Latest

15 July 2010 - Digital Health and Electronic Medical Records: Aligning the EU and UK Agendas

July 2010 - Protecting your Patients and protecting yourself booklet available

  • To access booklet

 

March 2010 - In 2009 we worked with DH Informatics - Information Governance Policy Team to develop e-learning modules on the record keeping standards

October 2009 - Stakeholder Forum: A vision of a patient focused record

August 2009 - Report available from joint project with the Audit Commission to demonstrate the impact of medical record keeping standards on the quality of coding and Payment by Results

May 2009 - Tool to audit against the generic medical record standards first developed in August 2007 is now available