I use the list from CMS regarding the 10 Hospital Acquired conditions. I also print off 2 frames from 3M. I use principle dx sepsis, secondary stage 3 decubitus and procedure excisional debridement. I run it through with the decubitus as POA and then POA. I review the HACs and how their documentation is supportive for the physician. I show them the DRG, weight, LOS, reimbursement with and without POA. I think it helps them to have a broader knowledge of our reimbursement system and how it works. Many of them I found didn't have any idea. I also make some true false questions with documentation, POA and I throw in observation status-I explain if a HAC occurs during an observation stay that it is POA when patient becomes an inpatient. I use that when they appear restless or I save it for the quiz knowing I will need to review it. They really appreciate the inservice.
Kathy Shumpert, RN, BSN
Clinical Documentation Improvement Specialist Howard Regional Health System Office 765-864-8754 Pager 765-604-0424 Fax 765-453-8152
When something can be read without effort, great effort has gone into its writing. ~Enrique Jardiel Poncela
Nothing yet, but I'm working on a CEU program on nursing documentation in general with a few of the other nursing staff here. Focus is on bad charting habits, abbreviation use, etc.
Robert
Robert S. Hodges, BSN, MSN, RN Clinical Documentation Improvement Specialist Aleda E. Lutz VAMC Mail Code 136 1500 Weiss Street Saginaw MI 48602
"The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens
Comments
Kathy Shumpert, RN, BSN
Clinical Documentation Improvement Specialist
Howard Regional Health System
Office 765-864-8754
Pager 765-604-0424
Fax 765-453-8152
When something can be read without effort, great effort has gone into its
writing. ~Enrique Jardiel Poncela
Robert
Robert S. Hodges, BSN, MSN, RN
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens