[BULK] RE: re:Use of software/ report worklist to prioritize reviews
I am only familiar with 3M CDIS and we currently supplement with Iodine for prioritization. So within 3M -- as you have stated you place your working DRG codes and then it gives you potential other query opportunities if you run the Analyze button. Within 3M CDIS product it does not prioritize our list for us, 3M 360 may do that I'm not sure.
The theory behind the prioritization software (which we use an additional product) is that it will lead you to records with potentially more opportunity for queries versus another record. It is based on set parameters for lab, radiology, vital signs and some scanned documentation. Thought process of the company is that it will allow CDI to cover more payers because they will be focused on records with more potential for queries and will increase CDI productivity.
I agree that seasoned CDI look for much more and consider many angles when reviewing a record, and it would certainly depend on what your hospital goals are for your program as to whether this software is useful or not.
Sincerely,
Cara Belnap MS, RN, CCDS
Lead Clinical Documentation Specialist | Health Information Management
St. Luke's Health System | 190 E Bannock St. | Boise, ID 83712
Phone: (208) 381-9302| Fax: 208-381-7186 | E-mail: belnapc@slhs.org
"We cannot become what we need to be by remaining what we are” – Max DePree
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 29, 2014 11:43 AM
To: Belnap, Cara
Subject: [BULK] RE: re:[cdi_talk] Use of software/ report worklist to prioritize reviews
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
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 29, 2014 10:27 AM
To: Carlena Forsha
Subject: re:[cdi_talk] Use of software/ report worklist to prioritize reviews
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
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
"This message is intended for the use of the person or entity to which it is addressed and may contain information that is confidential or privileged, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this information is strictly prohibited. If you have received this message by error, please notify us immediately and destroy the related message."
The theory behind the prioritization software (which we use an additional product) is that it will lead you to records with potentially more opportunity for queries versus another record. It is based on set parameters for lab, radiology, vital signs and some scanned documentation. Thought process of the company is that it will allow CDI to cover more payers because they will be focused on records with more potential for queries and will increase CDI productivity.
I agree that seasoned CDI look for much more and consider many angles when reviewing a record, and it would certainly depend on what your hospital goals are for your program as to whether this software is useful or not.
Sincerely,
Cara Belnap MS, RN, CCDS
Lead Clinical Documentation Specialist | Health Information Management
St. Luke's Health System | 190 E Bannock St. | Boise, ID 83712
Phone: (208) 381-9302| Fax: 208-381-7186 | E-mail: belnapc@slhs.org
"We cannot become what we need to be by remaining what we are” – Max DePree
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 29, 2014 11:43 AM
To: Belnap, Cara
Subject: [BULK] RE: re:[cdi_talk] Use of software/ report worklist to prioritize reviews
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
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 29, 2014 10:27 AM
To: Carlena Forsha
Subject: re:[cdi_talk] Use of software/ report worklist to prioritize reviews
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
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: carlena.forsha@jcl.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-20296348.696122c5345b111cec752bcfcc62f0d9@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: belnapc@slhs.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-20296936.f7f1fdd5c00c3f8b2a25ac185bb94f13@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
"This message is intended for the use of the person or entity to which it is addressed and may contain information that is confidential or privileged, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this information is strictly prohibited. If you have received this message by error, please notify us immediately and destroy the related message."
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Julie