mobile work station
Our administration feels it is necessary to be more visible/available to the physicians; we presently work from our office.
The nursing units have very little space for the CDIS.
Our director is interested in purchasing a "mobile work station."
Any ideas? Is anyone presently using such a system? We are thinking something similar to the "WOW" systems the nurses use on the floor; however with an attached seat??
Please advise! Thank you.
Colleen M. Nolan R.N.
CDI Specialist
Quality Management
Phone: 440-816-6398
cnolan@swgeneral.com
Southwest General - HEALTH is our passion, QUALITY is our focus, COMPASSION is our way
18697 Bagley Road | Middleburg Heights, Ohio | 44130-3497 | Tel: 440-816-8000 | www.swgeneral.com
The nursing units have very little space for the CDIS.
Our director is interested in purchasing a "mobile work station."
Any ideas? Is anyone presently using such a system? We are thinking something similar to the "WOW" systems the nurses use on the floor; however with an attached seat??
Please advise! Thank you.
Colleen M. Nolan R.N.
CDI Specialist
Quality Management
Phone: 440-816-6398
cnolan@swgeneral.com
Southwest General - HEALTH is our passion, QUALITY is our focus, COMPASSION is our way
18697 Bagley Road | Middleburg Heights, Ohio | 44130-3497 | Tel: 440-816-8000 | www.swgeneral.com
Comments
Wendy
Are you in only one unit per CDI? I cannot imagine doing that, and can honestly say that I don't think providers would utilize us just because we were there. For us, I think it would cut down on the number of patients we review- because we would feel that the noise, interruptions etc detracted from our focus. Our office is a quiet environment that allows us to focus. We generally see all Medicare patients on every floor so I cannot imagine having to truck around a WOW/COW to the units and 10 floors that we go to. I think that would even further cut down on the accts reviewed! Good luck though! We do have lap tops, and even finding a spot for those is some days isn't reasonable. I think you have to find the fine line of being visible for your providers, but not necessarily IN the way!
We do round daily as we are still hybrid; we ask providers we see if they need anything, and make a special trip to the provider lounges. We send out weekly "information pearls" through our CMO to all providers. We hang posters with our photos and numbers EVERYRWHERE-provider lounges, dictation areas etc. We attend HOSP meetings and pretty much accost them at every opportunity. I would wonder, what your director thinks moving to the floors is going to do? Unless you are "elbow" educating every provider I would wonder the value? I would like to know once you start if your review numbers go down!!?? Good Luck!
Juli
I have since been given office space and spend much less time on the units. In my experience, being more visible on the floor equates to less records reviewed.
Charlene Thiry RN, BSN, CPC, CCDS
Clinical Documentation Specialist
Quality Resources
Menorah Medical Center
The pros: you can make a desk anywhere. You can catch the doctors when they round. You can take the laptop out but their is a risk there. We were recently told we could no longer do that, due to HIPPA, in case it were stolen etc. We have a concurrent process, no retrospective.
The cons: hard to see the screen, one more thing in the hallway and you are frequently in the way. After awhile they do get used to you if you stay in the same spot. The printer is a mobile printer so you frequently go through them as well as cartridges. I would way we go through a printer a year as an average. This is multiplied x 5r people, so 5 printers a year. We try to print from the floor printer, but we use colored paper for Queries which have to be recopied onto pink paper, etc. I would definitely try to get your own printers.
As far as the screen, I would not use a laptop inside a mobile station. The font is very small. I would get the biggest screen your cart can handle.
Funny, we are talking about becoming more office based as we go fully EMR.
Mary A Hosler MSN, RN
Clinical Documentation Specialist
Alumnus CCRN
McLaren Bay Region
1900 Columbus Ave.
Bay City, Michigan 48708
(989) 891-8072
mary.hosler@mclaren.org
We have three CDI's and each cover multiple units!
I believe it helps tremendously to be in front of the physicians and available if they have questions or concerns.
It works for us and we have a 95% response rate on our queries.
Lisa
Lisa Romanello,RN,BSN,FNS,CCDS
Manager, Clinical Documentation Improvement Specialist
CJW Medical Center
Quality and Compliance
804-228-6527
We recently changed departments and there was a big push for 'communication' with the providers. They wanted more verbal queries and 'at-the-elbow' discussions. After a month or two the feedback they got from the providers wa that they prefer written queries and not to be bothered when they are on the unit unless it is urgent. We do go to rounds and try to get any questions answered then.
I have seen some good mobile options but I definitely think that you will see a decrease in productivity. I would want to make sure that everyone was aware of that prior to making the switch.
Good luck!
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
I know that everyone does not use an encoder while performing CDI work, but If this is your method, I am curious as to how you view all of the information concurrently. Our team has access to the coding software which provides us with MS-DRG and APR-DRG information.
Thanks,
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: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
evanspx@sutterhealth.org
We do not concurrently code each record, but we do use the encoder for some charts depending on the situation. However, we do use a web-based program to track reviews so we always have at least that and the EMR open at the same time. We all have duel screens. When I do not have access to my duel screens, I see a SIGNIFICANT drop in my productivity.
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
On some units we review records in the doctor's dictation rooms, on others, there is a work room for ancillary staff - us, case management, OT/PT/ST, dietary, etc. I would love the opportunity to work remotely!
Sharon Cole, RN, CCDS
CDI Specialist
254.751.4256
Sharon.cole@phn-waco.org
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: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
evanspx@sutterhealth.org
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
To echo Katy, since going completely electronic (including our queries), the providers spend very little time on the floors - except to see their patients. Their chart completion is done from workrooms / offices. Sadly, it seems like the good old days of interacting with the providers on the floors/units is over.
Cindy
Cindy Goewey RN, BSN, CCDS
Clinical Documentation Specialist
Dartmouth-Hitchcock Medical Center
1 Medical Center Dr
Lebanon, NH 03756
Phone 603-653-6814
Pager 4741
Mary A Hosler MSN, RN
Clinical Documentation Specialist
Alumnus CCRN
McLaren Bay Region
1900 Columbus Ave.
Bay City, Michigan 48708
(989) 891-8072
mary.hosler@mclaren.org
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: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
evanspx@sutterhealth.org
Lisa Romanello, RN,BSN,FNS,CCDS
Manager, Clinical Documentation Improvement Specialist
Quality Department
CJW Chippenham Campus
Angelisa.Romanello@hcahealthcare.com
804-228-6527
I appreciate all the talk about whether or not to be on the floors. We have been debating whether or not to be on the floors and the information provided is helpful.
Mary Lindenboom, RN, BSN, CCDS
Clinical Documentation Manager
Flagler Hospital
400 Health Park Blvd.
St. Augustine, FL 32086
(904) 819-4254
I will tell you we have dual computer screens on our desks. IT is a true blessing. You can review the electronic chart on one screen with all of your labs and then input the information into your documentation system ( currently we use 3M CDIS). It is also helpful to have the dual screens when creating your queries. Our queries are electronic now so we have the actual query form on one screen and the medical information on the other.
It is such a time saver to have dual monitors ! Our laptops that we use on the units are capable of a split screen however when we return to our offices the dual screens are fabulous.
Good Luck with your conversion to EPIC !
Lisa Romanello, RN,BSN,FNS,CCDS
Manager, Clinical Documentation Improvement Specialist
Quality Department
CJW Chippenham Campus
Angelisa.Romanello@hcahealthcare.com
804-228-6527
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: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
evanspx@sutterhealth.org
Deb
Sharon Cole, RN, CCDS
CDI Specialist
254.751.4256
Sharon.cole@phn-waco.org
Because of this, we have found that rounds is the best time to 'see' the providers. Otherwise, even if we are on the units, they likely won't be....
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
Being out on the floor has its pros and cons, but I would definitely prefer a quiet office. Our boss really wants us to stay visible, but I think those days of being there for the physicians really is over. They just don't stay on the floor like they used to!
Rebekah Foster RN CCDS
Kaweah Delta Medical Center
400 W. Mineral King
Visalia, CA 93291
(559) 624-5085
rfoster@kdhcd.org
Do those who follow a less in-person process see this changing at all with I-10 prep and implementation? I believe the docs will need significantly more guidance through this period and in-person would be effective.
Thoughts?
Janice
Janice Schoonhoven RN, MSN, CCDS
Clinical Documentation Integrity
Manager- PeaceHealth Oregon West Network
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
Howvever I am interested in what you wrote here:
"Additionally they have 'remote access' to their PC from any computer out on the floor so they can use their programs when at the physical chart as well".
What application do you use to do this? Do you have access to encoder software this way? We have been talking about the capability to log onto any PC and work. It would give us more mobility.
Thanks,
Norma T. Brunson, BS, RHIA,CDIP,CCS,CCDS
Rebekah Foster RN CCDS
Kaweah Delta Medical Center
400 West Mineral King
Visalia, CA 93291
559-624-5085
rfoster@kdhcd.org
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
Rebekah Foster RN CCDS
Vicki S. Davis, RN CDS
Clinical Documentation Improvement Manager
Health Information Management Department
Cone Health at Alamance Regional
Office (336) 586-3765
Ascom Mobile (336) 586-4191
Fax (336) 538-7428
vdavis2@armc.com
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