CDIS and EPIC

fentona@bronsonhg.orgfentona@bronsonhg.org
in CDI Talk Archive
I am looking for anyone willing to talk r/t EPIC and CDIS. We have been using EPIC for three years now and will be transitioning from 3MDOCMS to CDIS this spring. We have had demos and multiple discussion r/t this transition. We do all of our abstracting in EPIC and only use 3mDOCMS to house data. That has been our plan for CDIS. Today we were told for you to be able to enter a working DRG in CDIS you must have a real time visit and use the encoder w/in CDIS for each working DRG and final. That you cannot manually enter a DRG in CDIS. Help please?
Thanks,
Amy

Amy Fenton, R.N.
Clinical Documentation Specialist
Bronson Hospital
Quality and Safety
601 John Street
Box 59
Kalamazoo, MI 49007
Phone 269-341-8442
Fax 269-341-8330
E mail fentona@bronsonhg.org

Comments

  • david.reecerndavid.reecern
    edited April 2016
    Unfortunately that's true. You have to use the encoder to develop a baseline and viable DRG (those are terms associated with 3M CDIS). We have EPIC and CDIS and continue to have issues with the two communicating since our EPIC go-live a year ago. We have also had multiple issues with the 3M financial impact calculations in CDIS since 2012. 3M has a reimbursement methodology , that in my opinion, is heavily flawed. We only use EPIC for chart reviews as we found the CDI module to be too basic. Hopefully the latest EPIC upgrade we will receive in the 2nd quarter will offer something better and we can transition to just one system.

    David Reece, BSN, RN
    Manager, Clinical Documentation Improvement
    Clinical Improvement
    Novant Health
    cell: 336-480-7541
    office: 336-277-1935
    fax: 336-277-8045
    dreece@novanthealth.org

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    Same here - but, we use Optum CAC for our coding and grouping work, and then we have to manually abstract our coding/DRG data into EPIC. There is no coding function in the version of EPIC we use and it serves only as a repository w/ very little to no reporting capabilities, either.

    More advanced versions may be available for purchase? Lots of duplicate efforts.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.412.9421

    evanspx@sutterhealth.org



  • Unknown
    edited April 2016
    I agree with the statements by David. I will say that we are quite lucky to have someone in our corporation that has extensive knowledge of 3M reporting as we found the canned reports were giving us questionable data. She has been able to tweak these reports, including the financial one, so that they are more accurate. My CDI Auditor uses the financial report to educate staff when there are discrepancies on our end about the impact of a query, etc.

    CDIS is our data analysis tool so it's only as good as the data we enter, but it forces you into the encoder to do your work. We also have CAC, so the encoder also brings in progress notes, H&P, OP notes, etc. into 3M and then highlights words and automatically codes some things. We have to tell the computer if we accept those codes and one has to be quite careful as the computer will code the weirdest things. We've been using Epic and CDIS/CAC since 2012.

    Linda

    Linda Haynes, RHIT, CCDS | Manager, Clinical Documentation Improvement | Legacy Health
    19300 SW 65th Ave. | Tualatin, Oregon 97062 | 503-692-8862 | lhaynes@lhs.org


  • clemed12clemed12
    edited April 2016
    Hi Megan, we generate our work list for review through the ADT feed into our CDIS 3M application. We also have a list generated in Epic WQ 250 for us which we compare to our work list in 3M. The WQ list in Epic seems to be more up to date than the our 3M app as the list from 3M is generated once daily and I think Epic is real time.

  • clemed12clemed12
    edited April 2016
    Our work list is compiled by payer only in EPIC. It populates our DRG payers which for us are medicare,medicaid and other government payers such as tricare. It can be sorted by hospital unit such as ICUs and floors. Call me and I can answer more specifically 207-662-3128.
    Diane M Clement RN MS CCDS
    Team Leader Clinical Documentation Management Program

  • martin.conroymartin.conroy
    edited April 2016
    Our work list is by unit. We review all payers. We do not review our BMT, Psych, Rehab, OB, & Nur units.

    We review based on admission date and re-review based on need. CDI nurses are assigned by units.

    Marty
    Temple Health

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