CDMatters | Measuring Response Rate versus Agreement Rate

Clinical Documentation Key Metrics: Measuring Response Rate versus Agreement Rate
During a recent CDI Metrics webinar sponsored by DJ Iber and presented by Ruthann Russo and Barbara Hinkle-Azzara, the following question was asked. Because it sparked much interest from the over 150 attendees, we wanted to share this question and answer with our readers at CD Matters.
Question: How do you differentiate between a no response and a disagree when following up? Rarely do I have a physician state, “I disagree with the question.” It is more common that the diagnosis seems to go in a different direction after my query. Is this an example of a disagree? For instance, with congestive heart failure (CHF), I query for specificity based on preliminary findings, but in the following days, there is no further mention of CHF as the diagnosis was determined. .
Read Full Article, Rate it or Share Your Comments

Advertisement
CDI Guidebooks for Managers
The Manager's Guides to Clinical Documentation is a 3 volume set of guidebooks designed to introduce a facility's management to the concept of clinical documentation and how it can impact an organization. More Information

Electronic Medical Record (EMR) Stage Four: Clinical Documentation Improvement Opportunities
In stage four, the use of computerized evidence-based medicine protocols presents additional opportunity for value-added synergies between the electronic medical record (EMR) implementation and clinical documentation improvement (CDI). According to the Healthcare Information and Management Systems Society (HIMSS), stage four EMR transformation means the organization has implemented a computerized physician order entry (CPOE) for use by any clinician along with the second level of clinical decision support capabilities related to evidence-based medicine protocols. If one patient service area has implemented CPOE and completed the previous stages, then this stage has been achieved.
Read Full Article, Rate it or Share Your Comments

Clinical Documentation and Organizational Strategy: Valuable Intellectual Capital for Your Organization
Clinical documentation embodies a good portion of the intellectual capital of your organization. Today, we focus on ensuring high quality clinical documentation (HQCD) for patient care, reimbursement, research, and planning purposes. These will always be important concerns. However, as we enter the electronic medical record (EMR) era, clinical documentation takes on a new perspective. Now, we can design systems and use information to help protect the intellectual capital of the healthcare organization. The single most valuable tenet that an executive team in healthcare should remember is the following. The knowledge worker is a key competitive differentiator for your organization. It is your responsibility to capture as much of the knowledge worker’s intellectual capital through technology as you can for re-use by your organization as a whole. However, you still need to focus on the basics of strategy to win and keep patients. Brook Manville and Nathaniel Foote identified the five basics of strategy that every organization must continue to focus on, even though you recognize the importance of knowledge workers and intellectual capital to your organization. These strategy rules are outlined below.
Read Full Article, Rate it or Share Your Comments

Reader Poll
Visitors were asked the following question and here are the results:
My facility currently tracks CDI metrics such as query rate or response rate:

92.6% - Yes
7.4% - No
0% - Unsure

Current Poll
How would you categorize your current concurrent query rate?
Vote now at cdmatters.com

About:
Clinical Documentation Matters is a web-based resource and newsletter for clinical documentation professionals…sign up for our complimentary weekly newsletter now.

Share CDMatters
If you have a friend or colleague who you think has an interest in clinical document ion or would find this resource valuable please feel free to forward this message to them or use our referral system.

Did You Know?
In a recent survey conducted by DJ Iber Publishing, a third of organizations reported that their concurrent query rates were between 10 and 24 percent, and another 22 percent of organizations reported that their concurrent query rates were between 25 and 35 percent.

Webinar
CDI Key Metrics: key outcomes metrics to track for CDI success and how physician training can positively impact your results. 3/18/09
Register Today