Use of software/ report worklist to prioritize reviews

julie.geiger

Hello,
Our hospital has been shown a demo of software that prioritizes CDI reviews. The software scans the EHR and picks up on key words,labs, etc. to identify potential query opportunities. Our CDI program uses 3m 360 and the clinical edits identify query opportunities but not until we have entered our diagnoses in codefinder. Our EHR is Epic.

Does anyone use software or a worklist report in addition to their CDI software to prioritize what reviews the CDI should complete first? Does anyone run an Epic worklist report?

Thank you in advance for your response.

Julie Geiger, BS,RN, CCDS
Operational Lead Clinical Documentation Specialsit
Parkview Health
11109 Parkview Plaza Drive
Fort Wayne, IN 46845
260-266-1240
julie.geiger@parkview.com

delana.knupp@wiseregional.com

Hello Julie,

We are looking at 3M360 for our facility. Doesn’t it have a work list already?

Delana Knupp, RN, CRRN
Integrated CDI/Case Mgmt Director
Wise Regional Health Systems
O: 940-626-1242
F: 940-626-3935
delana.knupp@wiseregional.com

cmorell

I would be very interested in hearing of anyone's experience with these software programs that identify potential query opportunities.

My concern is they will create lists of "opportunities" that are in fact not opportunities because the software doesn't know coding guidelines.
E.g. Identify a query opportunity for debridement that actually isn't because it is preparatory for another procedure.

So I worry that these programs will have CDIs reviewing records that actually don't have opportunities and missing the chance to review records that actually do have opportunities for things like conflicting documentation.

Thanks,
Charlie

carlena.forsha

I am also interested in this. We currently have Epic and JATA, but the hospital is looking to change to 3M 360. From what I can see, 3M suggests query opportunities based on what patients with a particular diagnosis has and not what is within the chart. It does not give suggestions until the chart is coded. I find that the suggestions are not helpful as I am an experienced CDI, however it might be a good starting point for those new to the field. I would be concerned that if software were to prioritize what to look for, it would be looking at what the common comorbidities are for such patients.

Does anyone have experience with JATA and 3M 360?

Carlena Forsha MSHCA, BSN, RN, CCDS
System Manager Clinical Documentation Improvement
John C. Lincoln NM 602-870-6060 x 3971

sharon.cooper@owensborohealth.org

We currently use JATA as well. They have CA CDI software that is to be released soon. We were unable to be a Beta user because our IT department was in the middle of an Epic upgrade & could not handle anything extra at that time.
From what little I know, the program will auto suggest clinically-driven clarifications to the CDS.

I have only seen the demo, so I really can't answer any specific questions anyone may have at this point.

Sharon

Sharon Cooper, RN-BC, CCS, CCDS, CDIP, CHTS-CP
AHIMA-Approved ICD-10-CM/PCS Trainer/Ambassador
Manager Clinical Documentation/Appeals

sharon.cooper@owensborohealth.org
(270) 417-4612 Office
(270) 316-9088 Cell
(270) 417-4609 Fax

Owensboro Health Regional Hospital
P.O. Box 20007
Owensboro, KY 42304-0007

julie.geiger

Hi Delena,
360 does have worklists. The worklist does not have any identifying information that clues the CDS that that record should be reviewed first. But the worklist can be sorted by admission time/date and number of documents listed to review. So from the worklist I can see to review a record that has 15 documents to review rather than selecting a record with only 5 documents first.

360 clinical edits are taken from the documentation of the medical record. It provides standard indicators for the diagnosis but also provides the ''evidence''of the clinical indicators in that medical record by listing all the documents and information that supports the query.

I hope this helps answer your question. Thank you for your reply
Julie

julie.geiger

Thank you Charlie for your input. Great thoughts.
Julie

julie.geiger

Hi Carlena,
Our CDI program used JATA prior to changing to 3mCDIS and now to 3m 360. From my experience, JATA provided decision trees based on diagnoses entered by the CDS just as 3m CDIS provides the reference buttons under the diagnosis in the codefinder.

In 3m360, the query edits are drawn from documentation from the medical record. When the CDS uses the codefinder, the query edits appear. The query edits lists the query opportunity along with the standard reference information. What is different in 360 is that it provides evidence to support the query by listing the documents and documentation from the medical record

Feel free to contact me directly if you have more questions.
Thank you for responding, Julie

deanne_wilk

We use 360. I like it.

carlena.forsha

Thank you for your input. Please contact me if you can provide any insight to the positives/negatives of both JATA and 3M 360.

Has anyone experienced issues with query suggestions coming only from PMH, such as history of sepsis or gas gangrene, when that is not part of the current stay? How was it resolved? Also, any suggestions for what reports work best to capture CDI impact and review rates? I have lots of questions on this.

Thanks in advance for any assistance!

sbaine

I was a JATA baby-trained when I started as a CDI. I have sinced moved on and used 3M CDIS and now using 3M 360.

I love the functionality of the 360. The reports are very robust. It is microsoft based so point/click is far advanced over CDIS typing of clinical data.

It was easy to adapt to the plastform. We are a bata test site for HMS(now Medhost)-3M 360 conversion for CHS.We worked out the kinks and are fully functional. The coders find it harder to use the color coded diagnosis/procedures within the body of the record and one has turned her off. I particulary like the feature as it helps me read the notes quicker. Diagnosis POP out at you. We have several worklist to choose from on our worklist-ready, scheduled for today, queries pending, scheduled for later and discharged & pending.

We also have a feature where we can get quick access to our own stats for each type on the worklist .

I did like the JATA plastform but found the reports not very helpful.


Hope this helps.