CDI and Core Measures

vdavis2vdavis2
in CDI Talk Archive
Hi Everyone,

For those CDI programs that do not track Core Measures concurrently during the CDS review, I would like inquire about how your CDI program helps make an impact on Core Measures Compliance. How can CDI help maintain or increase compliance with Core Measures?

We are looking for creative, proven ways to ASSIST with Core Measures like:

Skimming charts during the CDI review, review the 4 major measures when assigning Pdx specific to those areas, work with Core Measures to do MD education?

Thanks so much,
Vicki Davis, RN Clinical Documentation Improvement Manager
vdavis2@armc.com
336-586-3765

Comments

  • mdomineseymdominesey
    edited May 2016
    I added a "Process of Care Core Measure Reminder" to my queries for PNA, Sepsis, MI, CHF, etc. I include the core measures bulleted out. These are the queries most often placed! (other than tx w/out diagnosis)

    Mark



    Mark N. Dominesey, RN, BSN, MBA, CCDS, CDIP
    Sr. Clinical Documentation Improvement Specialist
    Sibley Memorial Hospital

    5255 Loughboro Rd NW
    Washington DC, 20016-2695



  • vdavis2vdavis2
    edited May 2016
    Mark, I LOVE THAT IDEA!!!!!!!! We will use that one!!! Thank you!!!! VICKI

    Vicki S. Davis, RN CDS
    Clinical Documentation Improvement Manager
    Health Information Management Department
    Alamance Regional Medical Center
    Office (336) 586-3765
    Ascom Mobile (336) 586-4191
    Fax (336) 538-7428
    vdavis2@armc.com

    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug."- Samuel "Mark Twain" Clemens


  • mdomineseymdominesey
    edited May 2016
    The reminder on the query is more to prompt them (the physician) that this is a core measure diagnosis and to please make sure they address the indicators. The follow-through/auditing of the chart for the presence of that indicator is not my purview, but if I notice something missing, I will address it with the physician.

    Attached is the PNA query I created (with the gracious help of many here) and it has the process of care core measure reminder.

    Mark



    Mark N. Dominesey, RN, BSN, MBA, CCDS, CDIP
    Sr. Clinical Documentation Improvement Specialist
    Sibley Memorial Hospital
    5255 Loughboro Rd NW
    Washington DC, 20016-2695

  • jskagenjskagen
    I print a daily report listing all the patients I have reviewed and thier core measure diagnoses and give it to both Quality and Case Management. The report also includes GLOS and actual LOS. I use the 3M CDIS software and it is an already available report.

    Julie A. Skagen RN, BSN
    Clinical Documentation Specialist

    Medical Records
    Bozeman Deaconess Hospital
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