How do other cdi programs with EMR provide notification of queries?

joyce_williams_30088joyce_williams_30088
in CDI Talk Archive
How are other CDI programs with EMR provide notification of queries to the physicians and what is the scope of information in the notification. (is the pt information put in a text page or diagnosis included?) any information will be helpful. Thank you

Comments

  • robert.hodges2robert.hodges2
    edited May 2016
    We send queries either verbally or via email (written). Those sent by email are sent securely using encryption per policy. The email is not in the EMR. Verbal queries follow the same format as the written/email queries.

    I hope this helps a little.

    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

  • joyce_williams_30088joyce_williams_30088
    edited May 2016
    Thank you. Do you text the MD's to notify them of a query and if you do what information is included in the text page?

    Joyce M. Williams, RN, MS, CCDS
    Certified Clinical Documentation Specialist
    Lifespan Corporate Services
    Cell phone: 585-0461
    Office phone: 793-7439
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  • robert.hodges2robert.hodges2
    We don't text the providers that they have a query. If I send them an unencrypted email all it says is that they have a pending query. Nothing more. Anything more than that, including the patients name could be considered a privacy violation.

    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
  • cynthia.a.goeweycynthia.a.goewey
    edited May 2016
    We have EPIC and we place the query in the providers In Basket in a folder labeled "Coding Follow-Up". We then send them an e-mail stating we are following pt X and have reviewed their record and have sent a query to their In Basket to a folder labeled "Coding Follow-Up". We had hoped this e-mail notification would be short lived as our providers learned our EMR but that has not proven to be the case. After 20 months we are still having to send the e-mail notification as not all the providers use their In Basket well.
    Cindy

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Our queries are a PowerNote in Cerner. They are a part of the permanent record and are sent to the physicians Inbox in Cerner. Therefore, our queries have all the pt information, clinical indicators from the record, etc.. We just implemented this system this summer and we are still struggling a bit to get MD's to respond quickly, but we hope over time, the process becomes more streamlined.

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

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