OB Chart reviews

cstukenbergcstukenberg
in CDI Talk Archive
Hi
Does anyone do OB chart reviews? If so, what are some of the main documentation issues you see in this area? What are the main complications, etc?

Comments

  • dallend@einstein.edudallend@einstein.edu
    edited May 2016
    We do not do concurrent reviews on OB charts. We do post discharge queries for issues such as acute blood loss anemia and insufficient prenatal care. They are the most common, but I only do about 6 a month. That is a very small percentage of our admissions. Our population is mostly uninsured and medicaid.


  • digardskdigardsk
    edited May 2016
    We don't do OB, only GYN surgeries.


  • cbarnescbarnes
    edited May 2016
    I do OB reviews @ our hospital and I review UHC, SELF-PAY, PASSPORT ADV, MEDICAID and the occasional MEDICARE. My #'s average about 12-20/month and it's hardly worth the trouble. Any patient that is acutely ill is transferred to a larger hospital that can provide a higher level of intensive care for the baby. Most of the questions I ask are for acute blood loss anemia. The OB/GYN's are good about documenting no PNC on their own. I also cover ICU and the Medical Oncology floor and that is much more satisfying.


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