Establishing criteria for Respiratory Failure

Snook@fmchealth.orgSnook@fmchealth.org
in CDI Talk Archive
I have a question for my CDI associates out there. In a week and a half I am going to meet with our organizations' Pulmonologists. I have already sent them a rough draft for acute Respiratory Failure criteria with SOI and intensity of service using Milliman criteria and the criteria from the CDI Pocket Guide book for 2014. I want to establish our organization's criteria for Acute Respiratory Failure as our ACDIS associates suggested at the 2014 conference and I have seen it discussed in this blog. Do any physicians or other CDI professional have any suggestions or other resource to offer? Points for persuasion during our meeting? I have a lot of critical care experience and CM experience doing UR so I have some depth for this task. Help!

Mary L Snook RN-BC
Clinical Documentation Improvement Specialist
Fairfield Medical Center-Lancaster, Ohio 43130
740-689-4443
snook@fmchealth.org


-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, December 02, 2014 3:17 PM
To: Mary Snook
Subject: [cdi_talk] Doc asking for info on reimbursement

While posting a query the doc wants me to include the potential reimbursement with it. Do you not provide it & tell him its inappropriate for me to do so? Consult my director? other suggestions?

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Comments

  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited April 2016
    I've attached a copy of a monthly documentation tip that I produce on respiratory status. Additionally, Paul Evans had previously shared the second attachment via CDI Talk on respiratory also -- a most excellent resource!

    Don

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


  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    Thanks, Don


    My material may be a bit dated as I wrote this a 'long time ago'....just a heads-up on this complicated topic.


    I actually really found the discussion Dr. Pinson provided @ ACDIS regarding the P/F ratio to be very useful. The tool can be very useful when no RA ABG is available or of the pulse ox readings seem unclear. Suggest this as resource, too.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
  • karenmpukarenmpu
    I agree with Paul, in that the P/F ratio can be a powerful tool to use in cases of acute respiratory failure. The information on the P/F ratio in the 2014 CDI Pocket Guide is very informative.

    Karen Newhouser, RN, BSN, CCDS, CCS, CCM
    Director of CDI Education
    MedPartners CDI
    karenmpu@medpartnershim.com
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