One of our Biggest CDI Challenge winning stories by Stacey Forgensi was chosen not only for the title [Accountability: The Missing Link], but also because Stacey presents over 10 different strategies for obtaining accountability for physicians based on her own experience. In the end, she shares with us both the positive and challenging sides of her work: surgeons did not cooperate, but it looks like the Family Medicine physicians are on board. So, it appears that Stacey's multi-tiered strategy to CDI is beginning to pay off after all. Read about Stacey's challenges, successes, and all of the strategies she employed (strategies are in italics) to increase the accountability of the physicians on her medical staff.
Last Updated on Sunday, 07 March 2010 17:07
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After almost a month of blogging five times a week about CDI, I have decided to collect and share stories about our Biggest CDI Challenges. I know that I have had many CDI challenges – and I am sure they are not all in the past! Challenges help us to grow as long as we learn from them and apply the new knowledge and skills in future situations. More importantly, by sharing your Biggest CDI Challenge stories with others, you can multiply any benefit you received by a thousand! To make the process more interesting and fun, I’ll select the top five stories. The individuals who submitted each of the top 5 stories will receive $100 and a copy of the CAMP Method CDI Training Program. Here are the guidelines:
Last Updated on Sunday, 31 January 2010 19:12
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Clinical Documentation Improvement Key Metrics: key outcomes metrics to track for CDI success and how physician training can positively impact your results Ruthann Russo, PhD conducts this complimentary interactive webinar, where you will learn about the key metrics you should be collecting to measure the success of your clinical documentation (CDI) program. Barbara Hinkle-Azzara, RHIA, of Meta Health Technology Inc. joins Dr. Russo during the webinar. Barbara will add her perspective to this timely program. Sample CDI report cards will be provided and explained. You will also learn about the relationship between physician training and the likelihood of improved CDI metrics. Finally the use of commercial software products or internally-developed databases to collect, measure, and analyze clinical documentation program data will be discussed.
Last Updated on Thursday, 19 March 2009 08:17
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One of our Biggest CDI Challenge winning stories by Salath Hard, from Multicare Health Systems, was chosen because of Salath's candor in addressing both her new role as a CDI professional (after spending years as an ED nurse) as well as how she came to terms with the noble cause of the work she does in clinical documentation improvement. Salath describes this epiphany in the following paragraph from the story: "When the Centers for Medicare and Medicaid Services (CMS) implemented MS (Medicare Severity) DRGs in 2007, physician documentation had to be more specific to ensure accurate reimbursement and reflect severity of care. For example, CHF. Was it acute or chronic; diastolic, systolic or combined? Coders had less success retro- querying physicians on the back end. Hospitals had to think forward or else fall backwards. It was a sink or swim situation, a play or go home mentality. So hospitals brought forth CDSs to play with the physicians and coders. It was then that I realized hospitals had to implement CDI programs to survive the constant cuts to Medicare reimbursement. I didn’t believe it was solely for profit. Our government changed the rules, and physicians were caught in the middle. By accurately documenting, the physicians were showing that they took care of really sick patients and those patients had positive outcomes vs. negative, i.e. death. The program was a win for patients, physicians, and the hospital. Being the messenger wasn’t so bad after all." Read Salalth's complete story
Last Updated on Wednesday, 03 March 2010 22:51
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Pull your medical staff into documentation compliance: Audio & downloads available to CD Matters registrantsProgram Description It is essential to base your clinical documentation training on the objective, well-defined theory of high quality clinical documentation (HQCD). The theory holds that high quality documentation meets seven criteria, all derived from official sources including the Medicare Conditions of Participation, the Joint Commission, the Office of the Inspector General’s Hospital Compliance Guidance and the American Health Information Management Association’s practice briefs. These criteria (legibility, timeliness, clarity, completeness, consistency, reliability and precision) are described in detail during this session. Documentation examples of each criteria are shared with participants. You will learn the value of using the criteria for HCQD as a structure that physicians can process in a more scientific manner than the approaches used in traditional clinical documentation training. You will learn how to walk physicians through the criteria and application so they can apply the criteria to their own clinical documentation practices.
Last Updated on Monday, 11 January 2010 00:02
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