Here is the definition I'm currently using. Love to get some feedback and thought on this as well.
Thanks in advance. *********************** The CDI physician advisor acts as a liaison between the CDI professional, HIM, and the hospital’s medical staff to facilitate accurate coding, DRG assignment, and representation of severity, acuity, and risk of mortality.
The physician advisor assists with educating physicians in all specialties and other providers on the link between ICD-9/10-CM coding and clinical terminology to improve their understanding of severity, acuity, and risk of mortality as well as DRG assignments on their individual patient records. Education should also include ways to provide improved health record documentation that specifically affects ICD-9/10-CM code and DRG assignment and capture of severity, acuity, and risk of mortality.
This education can be provided at department meetings to include the importance of complete and accurate disease reporting which directly impacts physician performance profiling, physician E & M assignment, appropriate hospital reimbursement, and profiling for patient care. The physician advisor should also assist with CDI specific topics in the Medical Center newsletter or other communication vehicles to further educate the medical staff.
The physician advisor should work with the HIM and CDI personnel on a routine basis to review selected health records concurrently or retrospectively. The advisor should explain documentation issues found during chart reviews including common issues such as congestive heart failure, chronic kidney disease, urosepsis, pneumonia, anemia, and respiratory failure.
The advisor should help develop clinically appropriate and compliant provider queries to further clarify documentation. The advisor should facilitate complete health record documentation by aiding in quality assurance, Medicare core measures, and other initiatives.
The advisor should assist with data analysis of coded data primarily used to determine, measure, and report severity and risk adjusted outcomes and cost data for various metrics. These include cost, VERA patient class assignment, length of stay, complications, mortality and readmissions. *******************************
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
Comments
Thanks in advance.
***********************
The CDI physician advisor acts as a liaison between the CDI professional, HIM, and the hospital’s medical staff to facilitate accurate coding, DRG assignment, and representation of severity, acuity, and risk of mortality.
The physician advisor assists with educating physicians in all specialties and other providers on the link between ICD-9/10-CM coding and clinical terminology to improve their understanding of severity, acuity, and risk of mortality as well as DRG assignments on their individual patient records. Education should also include ways to provide improved health record documentation that specifically affects ICD-9/10-CM code and DRG assignment and capture of severity, acuity, and risk of mortality.
This education can be provided at department meetings to include the importance of complete and accurate disease reporting which directly impacts physician performance profiling, physician E & M assignment, appropriate hospital reimbursement, and profiling for patient care.
The physician advisor should also assist with CDI specific topics in the Medical Center newsletter or other communication vehicles to further educate the medical staff.
The physician advisor should work with the HIM and CDI personnel on a routine basis to review selected health records concurrently or retrospectively. The advisor should explain documentation issues found during chart reviews including common issues such as congestive heart failure, chronic kidney disease, urosepsis, pneumonia, anemia, and respiratory failure.
The advisor should help develop clinically appropriate and compliant provider queries to further clarify documentation. The advisor should facilitate complete health record documentation by aiding in quality assurance, Medicare core measures, and other initiatives.
The advisor should assist with data analysis of coded data primarily used to determine, measure, and report severity and risk adjusted outcomes and cost data for various metrics. These include cost, VERA patient class assignment, length of stay, complications, mortality and readmissions.
*******************************
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
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"We are dealing with Veterans, not procedures; With their problems, not ours." --General Omar Bradley
Great definition. Very detailed. Thanks, Susan