Physician Education

Melissa.addis@kdmc.kdhs.us

Hello all! Our department was wondering about how other facilities conduct their physician education process or if you even do it at all? We are required to do one physician speciality group a month on a specific topic. Is anyone else doing this? If so, what is your process?

Thank you!

carmella.gay

Yes, I try to get time at the staff meetings and I will usually pick the topic based on what issue generated the most queries recently. I also let them know how this information will benefit all of us (physicians, CDI and coder's) in ICD-10.

Carmella

lprescott

We put out mailers 1-2x month- "DOC-u-tips". That explain specific documentation needs. This allows us to solve a problem sometimes while it is happening (quickly produce due to trend or identified need coming fromt he coding staff). These are also posted in their lounge. Past doc-u-tips are also available through a link on all computers within their work areas so that they can revisit in a time of need. They are quick reads- 1 page- large print.

We also write an article in their monthly newsletter on a hot topic.

I also target specific physicians with items in their mail.

We have also placed reminders- updates, specific criteria such as CKD stages, SIRS criteria, acute respiratory failure criteria etc in charts. We have a clear sleeve in front of progress notes that is our "ad space". this is not placed due to a specific documentation need but placed in all the records.

The best and most successful method is face to face- one on one....
Laurie L. Prescott RN, MSN, CCDS

robert.hodges2

I have a bi-weekly newsletter I send out via email to all providers on a documentation related issue. In addition I orient all new providers one-on-one and will also meet with providers individually if additional education is needed.



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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Hello all! Our department was wondering about how other facilities conduct their physician education process or if you even do it at all? We are required to do one physician speciality group a month on a specific topic. Is anyone else doing this? If so, what is your process?



Thank you!

angelisa.romanello

Hello,
We have a standing invitation to visit with our hospitalists once a month for about 10 minutes. We are a permanent part of the agenda.
I am very careful to only present one or two ideas and not to go over my allotted time.

Their attention span is very limited.
Sometimes, I bring handouts related to a topic, ie: Sepsis, Functional Quadriplegia, Nutrition etc.
At other meetings, I will bring their individual score cards. They enjoy seeing how many queries they have answered and their financial
Impact.

At the very beginning of our program, we went to every service line meeting and introduced ourselves.
I do have to say though, the best way to work with your physicians or provide education is one on one, on the units.
I believe when they can relate it to a specific patient, sometimes, it has a higher value.

I have a physician education power point I would be happy to share, if everyone would like it.

Lisa Romanello, RN,BSN,FNS,CCDS
CDI Specialist
CJW Medical Center
Chippenham Campus
804-228-6527

lprescott

Yes- 1:1 with new physicians is huge. They then know who you are and why you are there. This sets the tone for future interactions and compliance with expected query rates.

ddraize

Formally I attend physician staff meetings to present documentation tips and present 1 CME a year to the physicians.

Diane Draize RN, CPUR,CCDS
Clinical Documentation Specialist

Ministry Door County Medical Center
diane.draize@ministryhealth.org
920-743-5566 ex 3143

We earn trust by working together as One Ministry to keep PATIENTS FIRST in everything we do

annnd2009@gmail.com

Do you have any of the specific topics/education material you wouldn't
mind sharing?

If so thanks, if not no problem.
Ann
Annnd2009@gmail.com

angelisa.romanello

I will be happy to forward my powerpoints.

Lisa Romanello, RN,BSN,FNS,CCDS
CDI Specialist
CJW Medical Center
Chippenham Campus
804-228-6527

angelisa.romanello

This is a powerpoint I used to educate residents and interns we had at our facility. Interestingly enough, the attendings also came by and added some value points to the conversation.

Please feel free to use any of this information.

Thank you

Lisa

Lisa Romanello, RN,BSN,FNS,CCDS
CDI Specialist
CJW Medical Center
Chippenham Campus
804-228-6527
[cid:image001.jpg@01CDAAA7.CF57CAB0]

robert.hodges2

Thanks for sharing Lisa J



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

Unknown

Nice presentation Lisa, thank you for sharing it. Linnea

sharon.cole

I always start with a record audit (generally 10 records per physician) to see what documentation we are missing, what they do well, is documentation done in a timely manner, I also usually go ahead and check that orders are cosigned/timed/dated (for QM). Then meet with each physician individually either in their office or here at the hospital to review the results. I've only been able to do this with a few groups and wish I could get buy in to do this for each specialty/individual physician. Most physicians were receptive, although a couple flat out said they didn't care and weren’t going to change the way they document. A few gave me the "just let me know what you need and I'll be happy to help..." and then ignore the verbal and written queries any way. But there were quite a few who actually changed and improved their overall documentation. I have one physician whom I have never met personally, but who called me a couple of times to ask about queries that I had left. Since then, if he has a question he will either call me or he'll leave me a note on the query asking for more information, parameters, or definitions which I then fax or mail to his office or will leave on the record in the progress notes for him to pick up and take with him.
We have purchased the pocket cards that Dr Benson sells through HCPro and distributed those also. I wish we had a physician advisor, I think it would be much easier to get in to see the physicians. I talk with them on the units when I see them, but they are usually in a hurry and it goes in one ear and out the other

Sharon Cole, RN, CCDS
Providence Health Center
Case Management Dept
254.751.4256
Sharon.cole@phn-waco.org

Unknown

Thank you Lisa!
-Jane

From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, November 14, 2012 1:39 PM
To: Hoyt, Jane RN
Subject: [cdi_talk] Physician Education

This is a powerpoint I used to educate residents and interns we had at our facility. Interestingly enough, the attendings also came by and added some value points to the conversation.

Please feel free to use any of this information.

Thank you

Lisa

Lisa Romanello, RN,BSN,FNS,CCDS
CDI Specialist
CJW Medical Center
Chippenham Campus
804-228-6527
[cid:image001.jpg@01CDAAA7.CF57CAB0][cid:image001.jpg@01CDC272.E729F7C0]

annnd2009@gmail.com

Very generous of you nice job!
Ann

Sent from my iPhone

On Nov 14, 2012, at 4:18 PM, CDI Talk wrote:

Thank you Lisa!

*-Jane *

fantins

I took it a step further and worked with our Physician Director of our
residency program. We required all residents to round through the CDI
department prior to caring for inpatients. It was a 4 hour block of time.
They learned basic DRG/Coding and documentation principles (101 Course)
and then had to "Be a CDS". I had them go out at get response to
unanswered open queries from their fellow residents on the floors. It was
a great learning experience for the residents! It built great
relationships between the CDI team and the resident and well as educated
them on the importance of documentation.



Susan Fantin, RN, BSN, MSA, CCDS, CDIP
Senior Director, Clinical Documentation Improvement Specialist,
Performance Technologies
The Advisory Board Company
202-266-5862 direct | 248-321-0256 mobile | 202-266-5700 fax
fantins@advisory.com | www.advisory.com
Stay in the know

vrandall

Thanks for sharing this Lisa.


Valerie Randall, CCRN
ICU Nurse Manager
Mayo Regional Hospital
897 West Main St
Dover-Foxcroft, ME 04426
vrandall@mayohospital.com
207-564-4390

Melissa.addis@kdmc.kdhs.us

Thank you for sharing Lisa!

Thanks everyone for all your responses! How do you feel about providing education in a physician's office? We sort of feel like it's their personal space and maybe it should just be done in meetings or with newsletters, but then again, it's one-on-one and could be effective.

debra.stewart@halifaxregional.com

HI Everyone,

We do a "DIM REPORT" every quarter that CDS, Coding, Health Information Services etc. put articles in related to what we do. So the CDS, we usually put one article in their about new information, queries, core measures are areas we focus on. We also have a yearly meeting-which is coming up in December-(so any ideas for that would be appreciated)where we do an educational presentation on something-CDS. Usually do a powerpoint for that if possible. Would be glad to share some of our topics if you like.

Debra Stewart RN,BSN,CDS
Halifax Regional Health System
2204 Wilborn Avenue
South Boston, Virginia 24592
(W) 434-517-3317
(C) 434-222-9884

vivian.gannon

This is wonderful, Lisa. Thank you so much for sharing!


Vivian


Vivian E. Gannon RN,CCM,CCDS
Clinical Documentation Improvement Coordinator
vivian.gannon@chesapeakeregional.com

From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, November 14, 2012 3:39 PM
To: Vivian Gannon
Subject: [cdi_talk] Physician Education

This is a powerpoint I used to educate residents and interns we had at our facility. Interestingly enough, the attendings also came by and added some value points to the conversation.

Please feel free to use any of this information.

Thank you

Lisa

Lisa Romanello, RN,BSN,FNS,CCDS
CDI Specialist
CJW Medical Center
Chippenham Campus
804-228-6527
[cid:image001.jpg@01CDAAA7.CF57CAB0][cid:image001.jpg@01CDC319.6B241D20]

paxneros

We love Dr.Richard Pinson from HCQ Consulting!:)


Also Drs. Gold, Kennedy & Haik.

Norma T. Brunson,BS, RHIA, CDIP, CCS, CCDS

tpeyton

Do you by chance know emails for Dr Gold, Kennedy and Haik? I am trying to get together something and need to provide my manager with an idea of cost. We used to have JA Thomas and loved a few of their docs, but currently work without a consulting company.



Tracy M Peyton RN, CCDS
Bradford Regional Medical Center
Upper Allegany Health Systems
116 Interstate Parkway
Bradford, PA 16701
814-558-0406

paxneros

I believe they are all with their respective consulting companies.

Dr. Pinson: hcareq.com email: info@hcqconsulting.com

Dr. William Haik: DRGReview.com

Dr. Gold: cdbainc.com

Dr. Kennedy: cdimd.com - jkennedy@cdimd.com

And Dr. Timothy Brundige is on our ACDIS Advisory Board - email:

DrBrundage@gmail.com

evanspx@sutterhealth.org

I have had excellent experiences with Dr. James Kennedy. He provides excellent clinical overview and understands and explains the effects of documentation upon metric exceedingly well.




JKennedyMD@cdimd.com

Paul Evans, RHIA, CCS, CCS-P, CCDS

Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421

don.cdi.rn@gmail.com

Tracy,

There are several options from consulting firms that have been mentioned (Pinson, Haik, Gold, Kennedy, Brundige). I'd add also Dr Garry Huff who we've worked with.

You might want to take a look at the conference materials for sponsors and exhibit hall attendees.

This also relates to what I've been working on for a year now -- building an internal team of Physician Advisors (obviously great clinicians but also expert in CDI/coding issues and working with Medical staff, quality, IT, etc.).

Please feel free to contact me directly. I will respond as I am able (my wife is in the hospital at the moment).

Don

Donald A. Butler, RN, BSN
Manager, Clinical Documentation Advisor Program
Vidant Health, Greenville NC
DButler@vidanthealth.com ( mailto:mDButler@vidanthealth.com )

leah.taylor

We use Chartwise and love the program. You can contact mjackson@charwise.med . Dr. Elion is the physician who developed the program and is widely known as a speaker in ACDIS and AHIMA.

Leah Taylor, RN, CCDS, CCA
Data Integrity Specialist/CDI & RAC Coordinator
Iredell Health System
557 Brookdale Drive
Statesville, NC 28687
704-878-7436 office
704-878-4624 fax
leah.taylor@iredellmemorial.org

annnd2009@gmail.com

Just a thought-- there is a very short presentation, I think originated by 3m on acdis site under forms and tools, it's about APR -DRG but it contains the basic premise of "capturing" all secondary diagnoses. If you are interested and need help locating let me know and I can (tomorrow).
Ann