ACDIS 2012 Conference Take Homes

don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
in CDI Talk Archive
Was wondering what several significant items people are coming home from the conference as items learned, items that need action, items that strongly need further research & consideration, etc.

May be a bit early (barely have my list started) to actually respond or discuss, but thought this could be a fun string!

I'll come back to this with my own first answers later this week.

Don

Donald A. Butler, RN, BSN
Manager, Clinical Documentation
Vidant Medical Center, Greenville NC
DButler@vidanthealth.com ( mailto:mDButler@vidanthealth.com )



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Comments

  • robert.hodges2robert.hodges2
    My first thoughts are keep preparing for ICD-10 and educating and querying for the level of specificity that will be needed now rather than waiting. The other is the number of posters and presentations on mortality and documentation.

    I have my own "to do" list and need to review my notes more. Just playing catch up today.

    Robert

    Robert S. Hodges, BSN, MSN, RN, CCDS
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • cstukenbergcstukenberg
    edited May 2016
    Glad this thread was started as I wondered what others came back with from the conference.

    Colleen Stukenberg, MSN, RN, CCDS, CMSRN

  • MelindascharfMelindascharf
    edited May 2016
    One thing I came away with is how common the problem of physician support is. University of Washington had it put into their physician bylaws that they had to participate in documentation improvement. Apparently they have 100% response rate. Has anyone else had this put in to their physician bylaws and if so what was the process like?
    Just wondering if it is a battle that is worth taking on!

    Melinda Scharf RN BSN CCDS
    St Joseph Hospital
    714-771-8000 ext:18119

  • sharon.colesharon.cole
    edited May 2016
    Our CFO recently added something to the hospitalist's contract that they have to answer at least 95% of their queries each month. They do not have to agree, just give us an answer. It HAS improved their response rate, but not necessarily their attitudes:0).
    Our big OB/Gyn grp doesn't have anything in their contract about answering queries, but they are held to the GMLOS pretty tightly by the hospital admin. I was invited to one of their finance meetings and am now a permanent part of that process per the physicians' requests. I've been able to review their charts and sit down with them 1:1 afterwards to show them areas for documentation improvement. It's made a huge difference.
    Admin also asked me to do this with our cardiovascular group. 2 were supportive, but 1 told me flat out he didn't care. They have gotten a little better at addressing other diagnoses documented and treated by other specialties in their discharge summaries, but they still don't usually answer queries - always defer to the specialists.

    Sharon Cole, RN, CCDS
    Providence Health Center
    Case Management Dept
    254.751.4256
    srcole@phn-waco.org

  • absteelhammerabsteelhammer
    The most significant take home items for me, or ideas that were truly relatable to our program and recent efforts, came from Track 5 (CDI and Quality). Reinforcement and justification of the notion to review all payers versus targeted payers, while also strategically working smarter, not harder, to capture a complete and accurate record from a quality perspective.

    I appreciate all of the experts that gave their time and effort to information share last week. So much to learn in so little time. Thanks Don for staring this thread...I am interested to see what else folks are excited about.

    Abby Steelhammer
    Novant Health
    Charlotte, NC
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