self-auditing

Does anyone have any self-auditing tools? I checked the ACIDS forms & tools library & there were a few but I'm not really sure what I'm looking for. I am the only CDS at my small institution & I want to start re-reviewing my work to make sure I am being compliant. It is kind of hard to evaluate yourself so I was hoping that someone might have developed a tool that could help me. I want to look at query compliance & also missed opportunities I think.
Thanks,
Laura
ljansen@sjb.hshs.org

Laura Jansen, RN, Clinical Documentation Improvement Specialist
St. Joseph's Hospital Breese, Southern Illinois Division
618-526-5638/618-526-5623

Comments

  • edited May 2016
    Laura,


    I'm in the same situation. What I do is have the inpatient coder review
    my queries and give me feedback on if she feels I'm missing anything.
    It's very informal, but I have gotten some good feedback from her and it
    keeps our lines of communication open. I only use our standard query
    forms which are compliant so I don't worry about that part.


    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



    "Patriotism is easy to understand in America; it means looking out for
    yourself by looking out for your country" Calvin Coolidge
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