average length of stay with associated DRG

tcoffeytcoffey
edited May 2016 in CDI Talk Archive
Hello there...We have a length of stay (LOS) initiative here at our facility and our Hospitalists wondered if there was a way for us (Case Management or the CDS) to communicate the associated ‘average’ LOS with the working DRG.
Does anyone happen to know of any resources that could help us with this?
Thank you!

Theresa A. Coffey RN, BSN, CCM / CDI Specialist
HealthAlliance Hospital – A Member of UMass Memorial Health Care
60 Hospital Road, Leominster, MA 01453 | www.healthalliance.com
email: tcoffey@healthalliance.com

Comments

  • Unknown
    edited May 2016
    If you have the DRG Expert it gives you GMLOS and AMLOS with each DRG.

    Charlene Thiry RN, BSN, CPC, CCDS
    Clinical Documentation Specialist
    Quality Resources
    Menorah Medical Center
    5721 W. 119th Street | Overland Park, Kansas 66209
  • rmhosler1rmhosler1
    edited May 2016
    We utilize the JATA software and it computer the GLOS. We still have a paper chart (partial) so we write this on the front of the chart as
    EDOD (expected date of dc) as an actual date.

    When we go fully electronic, we will have to use a different plan.


    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
  • ddouthitddouthit
    edited May 2016
    If you have a DRG expert, GMLOS, AMLOS and Relative Weight are listed below each DRG.
    www.cms.gov has this information in an excel spreadsheet. See link below
    http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2013-IPPS-Final-Rule-Home-Page-Items/FY2013-Final-Rule-Tables.html
    Table 5 contains information that you requested.
    Dorie Douthit RHIT,CCS
    ddouthit@stmarysathens.org
  • sabullocksabullock
    edited May 2016
    We use Epic as our EHR. We developed a flowsheet where we can enter the working MS DRG and GLOS and Working APR DRG and ALSO. We are able to update these if the working DRG changes.
    It is not a permanent part of the medical record. It is visible to all - Case Management and Physicians. We have only implemented this in our Children's hospital at this time but have the capability of expanding it to adult. Since the CDI is already in the EHR it is not very time consuming. We have dual monitors so they can work in the CDI system as well as the EHR.

    If you have an EHR work with your team to leverage technology. It can be a wonderful asset. Beats extra emails and phone calls.

    Prior to Epic we left a copy of our paper worksheet on the front of the chart and coding removed it at discharge. The information was capture there.

    Shelia

    Shelia Bullock, RN, BSN, MBA, CCM, CCDS
    Director, Clinical Documentation Improvement
    University of Mississippi Health Care
    2500 North State Street
    Room H139
    Jackson, MS 39216
    T: 601-815-3079 F: 601-815-9505
    sabullock@umc.edu
    umhc.com
  • ssalinasssalinas
    edited May 2016
    Table 5 (DRG listing from CMS) from the CMS website has the geometric and arithmetic mean LOS for each DRG. I have attached a copy or it can be found at:
    http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Final-Rule-Home-Page-Items/FY-2014-IPPS-Final-Rule-CMS-1599-F-Tables.html?DLPage=1&DLSort=0&DLSortDir=ascending

    Hope this helps,

    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org
  • ssalinasssalinas
    edited May 2016
    Just re-read your email and think I was on the wrong track.

    We have Meditech and we set it up to pull that information from abstracting onto the physician's rounding report. It could be pulled from elsewhere but feel ABS is the most accurate since it is updated to match most recent documentation of conditions and procedures.

    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org
  • ssalinasssalinas
    edited May 2016
    The link below takes you to FY 2013 data. Probably want to make sure you to the FY 2014 -
    http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Final-Rule-Home-Page-Items/FY-2014-IPPS-Final-Rule-CMS-1599-F-Tables.html?DLPage=1&DLSort=0&DLSortDir=ascending
    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Wednesday, December 11, 2013 11:25 AM
    Subject: RE: [cdi_talk] average length of stay with associated DRG

    If you have a DRG expert, GMLOS, AMLOS and Relative Weight are listed below each DRG.
    www.cms.gov has this information in an excel spreadsheet. See link below
    http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2013-IPPS-Final-Rule-Home-Page-Items/FY2013-Final-Rule-Tables.html
    Table 5 contains information that you requested.
    Dorie Douthit RHIT,CCS
    ddouthit@stmarysathens.org
  • tcoffeytcoffey
    edited May 2016
    Thank you all for your suggestions! Appreciate it!

    Theresa A. Coffey RN, BSN, CCM / CDI Specialist
    HealthAlliance Hospital - A Member of UMass Memorial Health Care
    60 Hospital Road, Leominster, MA 01453 | www.healthalliance.com
    phone: 978-466-2824
    fax: 978-466-4159
    email: tcoffey@healthalliance.com
  • jdavis@hprhs.comjdavis@hprhs.com
    I would caution that some MD's might keep patients longer when the GLOS is posted. Our UR Dept. used to post a working DRG with LOS about 22 years ago but found that some physicians tried to keep longer because the LOS was not yet reached.

    Janice Davis, RN, CCDS
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