CDS Engagement and Accountability

We are a maturing CDI program in a six-hospital network, with 15 clinical documentation specialists.  Our productivity benchmarks are 8-10 new reviews per day, and 12-15 follow-up reviews.  CDSs are responsible for reconciling cases with coders, and mitigating PSIs. Our CDSs also pursue "no response" queries x 2 attempts with docs before escalation to mgt. We have a full EMR and a vendor software program for CDI. Many of our CDSs continue to struggle to meet productivity benchmarks. Our consulting vendor supports benchmarks, and we do have a couple of CDSs who regularly meet them. Staff are held accountable for quality, but we have not applied accountability to productivity benchmarks.  Most are averaging 7 new reviews and 8-10 follow-up reviews daily, just under benchmark.

How do you manage productivity standards? What are your productivity standards and do you hold staff accountable? We focus on physician engagement so much as a profession. What do you do to promote CDS engagement?

Thanks for sharing!

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