Job satisfaction in small self contained facility v.s. larger health care system

afulmerafulmer
in CDI Talk Archive
I'm considering a job change to a larger health care system that is just starting their program. They will preceed the implementation with training & education for the CDIS ...& they are planning on approx 4 new positions. As far as I know none of the other applicants have any prior experience.
In my current position I did received any formal training....I was assigned to the role and the rest was up to me. With self study I did obtain my CDI certification.
I am anxious about the transition/step but feel it might be a wonderful learning opportunity...just feel a little intimidated...any insight/suggestions/words of wisdom???

Joan

Comments

  • afulmerafulmer
    Correction: I did "not" receive any training in my current role.
    Joan
  • angelisa.romanelloangelisa.romanello
    edited May 2016
    Joan,
    Much of what I have learned has been through reading and fellow CDI folks. Join your state organization, read CDI strategies and other AHIMA information and you will be great.

    Good Luck

    Lisa Romanello, RN,BSN,FNS,CCDS
    CDI Specialist
    CJW Medical Center
    Chippenham Campus
    804-228-6527
  • fishdl@shands.ufl.edufishdl@shands.ufl.edu
    edited May 2016
    Joan,
    I can speak from both sides... starting a program from scratch (in a large academic medical center, no less), and assisting with hiring/training new CDI Reviewers - some with previous CDI experience and some without.
    You can contact me off line to discuss, if you want.
    Donna
    Donna Fisher, CCS, CCDS
    Clinical Documentation Improvement Coordinator
    Shands at the University of Florida
    Ph: 352.265.0680 ext 48769
    fishdl@shands.ufl.edu

    "RISK - you cannot discover new oceans unless you have the courage to lose sight of the shore"
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    I agree with Lisa's comments - there is no particular best way to learn how to implement a new program. I would also add attend a Boot Camp for CDI, if not already done. Read CDI strategies and use the tools available on ACDIS site - these are very good.

    An important component is a 'good' data repository that will help you create and track meaningful Metrics - we use MIDAS and find it inadequate.

    When you start a new program, you should establish some of your vital baseline data and began tracking - O/E - CC/MCC capture - CMI - and so forth.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002
    Fax:  415.600.1325
    Ofc:  415.600.3739
    evanspx@sutterhealth.org
  • mdomineseymdominesey
    edited May 2016
    I would echo the comments already placed. Another resource is the excellent book by Russo about establishing a CDI program (available from AHIMA).

    A concern is not to go too gung-ho on them. They might not be ready for all the facets of a fully functioning program from the beginning. They may need to be eased into it. My plan was gung-ho, but I had to scale back my own expectations and "lead them by the hand" through all the reasons a CDI program is helpful. It has taken me nearly a year, but after a string of really great months I am getting some great feedback, resources and assistance.

    My words of wisdom are to have a strong backbone and to accept all the trials and setbacks from both sides (physicians and execs) as part of the process. Be strong, be assertive, try not to make people mad, and try to be as diplomatic as possible. They may know they need you, they just don't know how much they need you.... yet!

    Mark
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