Table 4 Grouping and naming 3 factors

0.7810

Summary Audit is always conducted

0.7793

Results of Summary Audit are informed and used to improve discharge summary

0.7246

Results of Medical Record Audit are used for improvement

0.6939

There is a committee responsible for Summary Audit

0.6931

Coding Audit is always conducted

0.6849

Results of Medical Record Audit are publicly announced

0.6719

Medical Record Audit is always conducted

0.6591

Results of Coding Audit are informed and used to improve coding

0.5940

There is a committee responsible for Coding Audit

0.5789

There is a committee responsible for Medical Record Audit

FACTOR 2 - CODING PRACTICE

0.6268

There is a policy to ensure that physicians do the codings themselves

0.6011

Physician has to provide diagnosis and procedure codes in the discharge summary

0.5544

The hospital develops a computer software to check the codes given by coder

0.5527

There is a physician responsible for coding practice

0.4844

There is an incentive/punishment mechanism to ensure timeliness of the discharge summary completion

0.4413

The hospital provides clear career pathway for medical statistician

0.4094

There is a staff responsible for using DRG Seeker software

FACTOR 3 - REIMBURSEMENT

0.7626

Various combinations of codes are entered into DRG Seeker software to see the change in RW/Adjusted RW

0.7310

Principal and secondary diagnoses may be swapped in order to see the change in Adjusted RW

0.5849

DRG Seeker software is used for every inpatient

Uniqueness > 0.70

0.5818

Health insurance status will be checked before coder can code

0.4935

Checking health insurance status is an essential step of coding practice

0.4876

There have been attempts to find diagnosis and procedure codes that give as high RW as possible

0.3768

A criteria is used to select some discharge summary for code checking

0.3440

Coder always needs to see laboratory results