CDI and Case Management Combo
Anyone have a model where the above are combined positions?
Specifically, everyone is a case manager and case managers are responsible for point of entry reviews for status, utilization review, core measures, CDI and DC planning in addition to the more traditional roles of a case manager?
Am extremely interested in your thoughts, models, staffing ratios and experiences.
Arguments for and against?
Please feel free to reply to me here or in a off line email as below.
Thanks so much!
c
Carla Fowler
Colquitt Regional
229-891-9363
Specifically, everyone is a case manager and case managers are responsible for point of entry reviews for status, utilization review, core measures, CDI and DC planning in addition to the more traditional roles of a case manager?
Am extremely interested in your thoughts, models, staffing ratios and experiences.
Arguments for and against?
Please feel free to reply to me here or in a off line email as below.
Thanks so much!
c
Carla Fowler
Colquitt Regional
229-891-9363
Comments
We then got away from CDI for about a year. Sr Leadership realized how that was affecting the bottom line and we reinstituted a CDI with a dedicated CDI group, a dedicated CM group for UR/UM/status reviews and a dedicated SW group for dc planning about a year and half ago. It worked very well for about a year but as time goes on, case managers and CDI are issued extra tasks here and there and our time is becoming more stretched. Having worked as a case manager for years and now dedicated to CDI, I will say that I much prefer a separated case management/CDI model for the nurses. It allows for more of a concentrated focus.
Feel free to contact me directly if you have questions I might be able to help with.
Karen McKaig, BSN, RN, CCM, CPUR, CCDS
Case Manager
Clinical Documentation Specialist
Baxter Regional Medical Center
Mountain Home, AR 72653
870-508-1499
kmckaig@baxterregional.org
Sharon Cole, RN, CCDS
Providence Health Center
Case Management Dept
254.751.4256
srcole@phn-waco.org
something I advocate. No one person can do a thorough, decent job with
all those criteria in mind at the same time. So while CDI and CM should
be communicating on an ongoing basis, each one is trained specifically
to do a very specific job. Additionally, physicians find it confusing
at best.
Donna
Donna Kent, RN, BSN, CCDS
Manager, Clinical Documentation Integrity Program
Clinical Quality and Accreditation
Torrance Memorial Medical Center
ph.:310 784-6884 fax:310 784-6899
donna.kent@tmmc.com
Diane Draize RN, CPUR,CCDS
Clinical Documentation Specialist
Ministry Door County Medical Center
diane.draize@ministryhealth.org
920-743-5566 ex 3143
We earn trust by working together as One Ministry to keep PATIENTS FIRST in everything we do
Katy Good, RN, BSN, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Office: 928.214.3864
Cell: 928.814.9404