@mulberrybush Good job it's going to be made a crime then Diana, considering how life-critical this is. Ignorance will be no defence then...
@mulberrybush @skwalker1964 I don't buy that at all I'm afraid D. There's a reason you regulate things - for control. This isn't good enough
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@C7RKY@skwalker1964 you would probably find it useful to sit down with a coder too, > there were things that I found were unexpected.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@skwalker1964 coding properly requires adequate staffing adequate skills & time. & also needs decent case notes. not always there -
@mulberrybush@skwalker1964 140 may be unclear. My point is, WHATEVER challenges you found, they should've been found month 1 in regulation. -
@C7RKY@skwalker1964 hospitals encouraged to innovate, experiment with one of the range of different systems that emerged. was not "policy" -
@mulberrybush@skwalker1964 'Experiment & innovate' with mortality rate monitoring? Lord save us all.. I'm struggling to comprehend this! -
@C7RKY@mulberrybush How do you know which is best or if it works at all until you experiment? -
@skwalker1964@C7RKY Yes. and the work that was done after HSMR by the intelligence team from HCC & CQC is remarkable, & it works.
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@C7RKY@skwalker1964 when budgets get tight the things that get cut are the back office staff - it looks like optional extra until you see!Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@mulberrybush So much of process is matter of judgment. Inherently subjective. -
@skwalker1964@C7RKY and a lot depends on background information about condition - I had thought this would come from GPs. It doesnt.
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