service vs. unit based

elsie.harriselsie.harris
in CDI Talk Archive
I am part of a new CDI program instituted in a Level I Trauma, county hostpital and teaching institution with total documentation in the EMR.
We face a lot of challenges with our surgery services and were orignially assigning our CDI by service but have some in administration who would prefer us to be unit based.
I was looking for some help here regarding some benchmarking data for how CDI programs are distributed in similiar institutions. Any information would be greatly appreciated. We want to know what has worked best in these type of institutions!

Thanks.

Comments

  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited May 2016
    ACDIS On Line Poll:
    2/18/08 How are cases assigned to your CDI specialists?
    by floor 73%
    by physician 5%
    by service line / department 12%
    first come, first served 1%
    Randomly 9%

    Also the White paper -- 2010 CDI Staffing Survey (I think you'll find it under the Journal)
    How do you primarily assign CDI specialists to record reviews?
    Unit-based 62%
    Service line 8%
    Physician-based 0%
    First come/first served admissions 6%
    Other (please specify) 24%

    With a near complete EMR, we've moved over the last year to a mostly service line approach. Seems to have some advantages. Better relationships, identity, recognition.

    Don
  • karen.dohoneykaren.dohoney
    edited May 2016
    Our assignments are unit based with a rotation schedule. We rotate assignments every two months so as not to silo the CDSs in a specialty area.

    Have a blessed day!

    Thank you,

    Karen B. Dohoney, RHIA
    AHIMA Certified ICD-10 Trainer
    System Director, Coding & C.D.I.
    KentuckyOne Health - Louisville Market
    Conifer Health Solutions
    539 South Fourth St.
    Louisville, KY  40202
    O:  502.587.4751
    C:  502.322.6450
    F: 502.562.7045
    Email: KarenDohoney@KentuckyOneHealth.org
    Email: karen.dohoney@coniferhealth.com 
    Website:  www.coniferhealth.com
  • Unknown
    edited May 2016
    We are a level 1 trauma center, academic, safety net hospital. We also find copious opportunity with our surgery services. Having been generally unit-based, we are piloting a new approach. 2 staff will be working primarily with Neurology and Pediatrics. They will attend rounds and give daily and specific feedback to these groups regarding the entire record. This includes ensuring that the record is thorough, complete, accurate, and consistent. Also, that written diagnoses are being monitored for improvement or deterioration and rationale/thought process for intervention.
    We are really changing the direction of our CDI program beyond cc/Mcc capture. Our hope is that by working closely with physician groups, we will help them embrace the new direction of documentation requirements for the inpatient record.

    -Jane
  • elsie.harriselsie.harris
    Thank you everyone for your comments! Don thank you for the information. I have a feeling that service based may work best for our instittution. Will let everyone know if we make the switch!!
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