CDS competencies

Unknown

Good Morning everyone,

We are looking at developing annual CDS competencies. Does anyone have any ideas or samples that you are willing to share.

Thanks
Carla Heyn, RHIT, BS

dbutler

Interesting.......why annual?
Is there a specific local reason (I am not asking for any details), or do you see this as something that you would advocate programs across the country consider?
(presume you are discussing something different from assessing competency during / at completion of orientation).

I've not heard of anyone doing annual competency. My initial thought is I would rather not create an additional process or form to subject yourself to, but rather look at other methods or tools -- some of which I suggest below (hopefully existing, but poll results for some elements like auditing not everyone has in place).

As part of annual performance evaluation, I do incorporate measurable metrics / standards of performance that are specific to CDI role. These do vary slightly given the individual clinical context or other factors -- for example, query rate expectations are different for cardiac vs medical areas & some areas are net transferring out so case volume at discharge is anticipated to be lower, so focus more on % of cases discharged reviewed.

An active audit process (which aims both at compliance issues as well as at evaluation of the work done, missed opportunities, etc.) along with good data collection and analysis should give you a good picture of competence also.

Continuing education could also be used.

Key area to include is updating knowledge related to the annual IPPS Final rule changes and annual Coding Guidelines, as well as the quarterly coding clinics. The bump there is sourcing the education as well as validating the learning -- do you find an external source that you are satisfied with? or do you attempt to do it either internally or individually?

Don



Donald A. Butler, RN, BSN
Manager, Clinical Documentation
PCMH, Greenville NC
dbutler@pcmh.com


Never give in. Never, never, never, never--in nothing, great or small, large or petty--never give in, except to convictions of honor and good sense. Never yield to force. Never yield to the apparently overwhelming might of the enemy
Sir Winston Churchhill

sbeatty

The last survey we had for licensure to provide Medicare services (we
use HFAP instead of JCAHO)asked to see competency records for all
licensed staff regardless of their role in the organization. We didn't
have them for CDS. Now we do.

Sandy Beatty, RN, BSN, C-CDI
Clinical Quality Management
Columbus Regional Hospital
2400 E. 17th Street
Columbus, IN 47201
sbeatty@crh.org

dbutler

Were they looking for annual verification of competency? or a one time competency validation in association with annual performance evals or other such tool?

Don

robert.hodges2

Sandy,

Are you willing to share your competencies?

Robert

Robert S. Hodges, BSN, MSN, RN
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602

cbarnes

We do competency annually. We are required d/t our specific skill set as are the Med-Surg, Critical Care, Pediatric,OB,ED and Surgical Nurses.

sbeatty

I'm out on vacation tomorrow and can't get to it before, but I'll try to remember to share when I get back. If I forget, post a reminder, as we are having computer software upgrades and I have to have my inbox cleaned out before I go....

Sandy Beatty, RN, BSN, C-CDI
Clinical Quality Management
Columbus Regional Hospital
2400 E. 17th Street
Columbus, IN 47201
sbeatty@crh.org

Unknown

Hi Sandy,

Thanks I hope you can share when you get back. Thanks Carla

Cheyn@elliot-hs.org