CDS and utilization?

rvanvughtrvanvught
in CDI Talk Archive
Good morning-

I am wondering if there are any programs out there in which CDS staff also do UR, such as determining appropriate level of care- observation versus inpatient. If anyone out there is doing this, what kind of model or workflow do you use?

Thanks!
Robin


Robin Van Vught, RN
Clinical Documentation Specialist
Meriter Hospital
608-417-7593
rvanvught@meriter.com

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Comments

  • cselukecseluke
    edited May 2016
    We did this for 7 years here at my hospital. In 2008, we separated the
    CDI and UR functions. Since then, we've had nurses dedicated to each
    role. It did not work at all for us to combine the two functions. UR
    always had to take precedence, so CDI got pushed to the back burner. I
    think there is a tendency to understaff when the roles are combined.
    Plus, it is a very different focus and skill set.

    I would recommend against it.

    Cathy L. Seluke, RN, BSN, ACM, CCDS
    Supervisor Clinical Documentation Compliance
    MaineGeneral Medical Center
    Augusta and Waterville, Maine
    P. 207.872.1796
    F. 207.872.1594
    Cathy.Seluke@mainegeneral.org
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