My "aha" moment

judithbatesjudithbates
in CDI Talk Archive
I have been a CDI for almost 5 years now and have accomplished some things I can be proud of. I have my certification and with starting a local ACDIS chapter that brought me some satisfaction. All of that being said, I can't really say that I have done anything with the job itself that is anything outstanding. And from where I sit, that would be about revenue.
So I would like to know if there are any particular projects that people have developed that really made the powers that be take notice.
I regularly follow this sight and have seen many projects, ie death chart reviews, educational fliers, etc. I look at the metrics and I know we are doing a good job, just wonder if there is that one thing that changed your practice with a BOOM!

Comments

  • sharon.colesharon.cole
    edited May 2016
    We hold a quarterly CDI Leadership meeting with the majority of the top administrators and directors. CFO, COO, another CxO, CNO, HIM director, Quality Mngt director, VP medical affairs: Chief Medical Director, Corporate Compliance Officer, Director Case Mngt, the CDI team, and some other Sr VPs and VPs that I can't name off the top of my head. Anyway, it really got us noticed and allows us to toot our horn, discuss any issues and possible strategies. They like to see how the Query Log looks and who is and isn't answering queries. We also review PEPPER data and traditional Medicare CMI as well as present any new education we have provided or plan to provide to the physicians such as articles, documentation tips, brochures, etc - many are things that people have provided here or that we have created ourselves.
    It's helped create more cohesiveness within the hospital. I can't hide anymore, because they all know my name and face and I've learned not to be surprised at who is on the other end of the line whenever I answer my phone. It's been absolutely fantastic for the program, although I must admit, my natural instincts are to fly under the radar!

    Sharon Cole, RN, CCDS
    CDI Specialist Team Leader
    Providence Health Center
    254.751.4256
    Sharon.cole@phn-waco.org


  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    I suggest you report on the Observed/Expected Mortality Metric - this can provide concrete verification that CDI has positively affected a very important Quality Metric.

    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

  • judithbatesjudithbates
    edited May 2016
    Sorry Penny,
    Thought my signature was automatic...Seems to me it was at one time...Are we able to do that???
    Judi Bates RN, BSN, CCDS
    Our Lady of Lourdes Med Center
    Camden NJ
    batesj@lourdesnet.org


  • Unknown
    edited May 2016
    Do we track this metric? Sounds like it might be a good idea. I like the suggestions given for meeting with senior leadership.

    Jamie Dugan, RN
    Clinical Documentation Improvement Specialist
    Baptist Health System
    Office: 904-202-4345
    Cellular: 904-237-7253

  • Unknown
    edited May 2016
    Could you repost your original post with your signature? the way you add your signature is go through your email program and set up signature :)

    Jamie Dugan, RN
    Clinical Documentation Improvement Specialist
    Baptist Health System
    Office: 904-202-4345
    Cellular: 904-237-7253

  • janice.gaskinsjanice.gaskins
    edited May 2016
    There is no way at this point in time they we can start tracking this.
    Maybe later when we have more staff.



  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    The O/E is not something the CDI tracks as a metric - it should be a Metric tracked by your Quality Team. Our CDI team does not directly (manually) generate the O/E - no CDI team would do so.

    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

  • sharon.colesharon.cole
    edited May 2016
    I really wanted to get into the mortality data but our Quality Management department does this. I would love to know what our numbers are, but it's not shared with me.

    I'm very glad we started the Leadership meetings. We hold it in the admin boardroom and the first one only about 7 showed up, then second meeting, only us. The third, only us again so our VP asked me who all accepted the meeting request. I told her everyone had and she then went office to office and got all of admin who had been invited to come into the boardroom plus phoned those who's offices weren't in admin. We have had a packed house ever since. One administrator even asked to be included! I am very grateful to my VP for doing that:)

    Sharon Cole, RN, CCDS
    CDI Specialist Team Leader
    Providence Health Center
    254.751.4256
    Sharon.cole@phn-waco.org

  • judithbatesjudithbates
    edited May 2016
    WOW!!!
    Sharon, sounds like your administration thinks you have a very important message and that everyone involved needs to hear...


    Judi Bates RN, BSN, CCDS
    Our Lady of Lourdes Medical Center
    CDI Specialist
    856-757-3161
    Beeper 66x2906

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