Query Percentage

adrienne.baker

I would like to ask the group how your CDI program figures your query rate on cases. Do you base your query percentage on initial reviews as the denominator or initial reviews plus subsequent reviews in the equation for figuring query rate?

Thanks in advance!


Adrienne Younger, RN CCDS
Documentation Specialist Supervisor
BSA Health System
212-5245- office
212-9575- pager
[CCDS_pin_1inch]

rmhosler1

Our query rate is figured by our program.

angelisa.romanello

Hello Adrienne,
Our query rate is based on initial reviews only.
Lisa

Lisa Romanello, RN,BSN,FNS,CCDS
Manager, Clinical Documentation Improvement
Quality and Compliance
CJW Medical Center
804-228-6527
AHIMA Approved ICD-10 CM/PCS Trainer
Co-Chair of CJW Nursing Informatics
Angelisa.Romanello@HCAHealthcare.com

loretta.hoffmeister@samcstl.org

We use both. We measure the query response to the "initial" review to see how many are answering the queries without requiring any follow up per CDI and we also measure the "final" query response after any follow ups per CDI and PA referral.

kbenson@uwhealth.org

We calculate both for the CDSs

vanessa.falkoff

The number of queries divided by the number of cases reviewed.

Vanessa Falkoff RN
Clinical Documentation Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322

Compassion * Accountability * Respect * Integrity

don.cdi.rn@gmail.com

# of cases with 1 (or more) queries / total # of cases reviewed.

Do not factor in the number of reviews per case.
Multiple queries on a single case does not increase the query percentage.

Include all queries. Also calculate a query rate subset for cases with possible financial impact and a separate one for cases without (severity).

Response rates & 'agree' rates calculated with the denominator being total # of queries -- don't break out subsets.

Don

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

axel.olson@essentiahealth.org

Im curious how the "query percentage" is used?

it seems to have so many variables and such constant fluctuation..

Has anyone noticed real consistancies while tracking it?

How did these rates affect the process?

Are they used in evaluating employees progress/production?
(and how?)


Thank you


Axel Olson, RN, CDS
Clinical Documentation Improvement
Axel.Olson@essentiahealth.org

dallend@einstein.edu

HI
We calculate our query rate based on #charts with queries.

Debby


Deborah A. Dallen, RN, CCDS
Co-Chair, Philadelphia/S Jersey Chapter ACDIS
Einstein Medical Center
5501 Old York Road
Phila Pa 19141
215-456-8902
dallend@einstein.edu

don.cdi.rn@gmail.com

1-- one of several metrics to track program performance
2-- long(er) term stability and trends (quarterly vs monthly data points)
3-- I've used as one of several metrics that were a component of CDS annual evaluations. Benchmarked against ACDIS annual surveys, long term internal program data, Advisory Board study and personal conversations with several consultants.

Don

sbaine

Don,

I have the same set up. We use corporate query practice guidelines (productivity standards) that capture each query in relationship to number of case reviews. Therefore, we get credit for each query.

I also have my own SOI/ROM excel spread sheet that captures data related to SOI/ROM and if it impacted the DRG +/- along with physician non-compliance with SOI/ROM queries. It gives my HIM-D a better picture of my overall performance.

I also use this methodology when teaching CDI skills in new/existing programs.


Sara Baine, MSN-Ed,CCDS
MedPartners, a P2P Staffing Company
sbaine-c@medpartners.com