CDIS Bench mark

We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
Number of new cases a day
Number of follow up cases a day
Number of all queries:

a) Responded queries total

b) Agreed queries total

c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
How you evaluate CDIS?

We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
Thank you,

Anna Rozhkovskaya, RHIT, CCS, CCS-P
Manager, Clinical Documentation Improvement
Memorial Healthcare System
Health Information Management Department
2990 Executive Way, Miramar, Fl 33025
(954)276-9957 Office
(954)265-6974 Mobile
(954)441-9459 Fax



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Comments

  • We also converted from JATA to 360 and have not been able to reproduce the
    same reporting metrics we had within the new system.



    Respectfully,



    Angela Clayberg, BA, RN
    Clinical Documentation Improvement Manager
    1201B Sam Perry Blvd., Suite 210
    Fredericksburg, Virginia 22401
    angela.clayberg@MWHC.com
    540-741-4093




  • There are numerous reports you can utilize for those statistics in 360. We run financials as well as CDI metrics each month. Your DRG reconciliation can be done two ways. One in the chart itself and the other under DRG reporting. My recommendation when starting up is to tour the 3m website for the webinars on reportings. They also hold reporting webinar and monthly education meetings. I would also contact your sales rep and ask specifically for a run through of the reporting until you understand where everything is.


    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA approved ICD-10-CM/PCS Trainer

    Clinical Documentation Improvement and Inpatient Coding Manager
    HIMS Department
    Good Samaritan Health System
    4th & Walnut Sts
    Lebanon, PA 17042
    dwilk@gshleb.org

    Phone: 717-270-7582
    Cell: 717-580-1436



    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Tuesday, September 01, 2015 3:26 PM
    To: Wilk, Deanne L.
    Subject: Re: [cdi_talk] CDIS Bench mark

    We also converted from JATA to 360 and have not been able to reproduce the same reporting metrics we had within the new system.



    Respectfully,



    Angela Clayberg, BA, RN
    Clinical Documentation Improvement Manager
    1201B Sam Perry Blvd., Suite 210
    Fredericksburg, Virginia 22401
    angela.clayberg@MWHC.com
    540-741-4093




    From: CDI Talk
    To: angela.clayberg@mwhc.com,
    Date: 09/01/2015 01:50 PM
    Subject: [cdi_talk] CDIS Bench mark
    ________________________________



    We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
    Number of new cases a day
    Number of follow up cases a day
    Number of all queries:
    a) Responded queries total
    b) Agreed queries total
    c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
    Does anyone have some use for number of matching DRG with final coders’ DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
    How you evaluate CDIS?

    We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
    Thank you,

    Anna Rozhkovskaya, RHIT, CCS, CCS-P
    Manager, Clinical Documentation Improvement
    Memorial Healthcare System
    Health Information Management Department
    2990 Executive Way, Miramar, Fl 33025
    (954)276-9957 Office
    (954)265-6974 Mobile
    (954)441-9459 Fax




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  • Total productivity cases reviewed per day expected for 20-25 new cases.
    New cases 8-10, Follow up cases 12-15 per day.
    Query response rate >/= 90%
    Agreement rate >/= 90%
    3M does not separate out Financial impact queries from SOI/ROM queries. Total query benchmark 35-45%
    We no longer track mismatch rate between CDI & coding. JATA dropped this from their reported metrics as well.

    Performance evaluation is a combination of quality work and productivity. We perform audits of staff reviews, identify opportunities for improvement.
    Queries are reviewed for compliance with our facility guidelines.
    We share this information with the staff member individually on a quarterly basis during one on one sessions.
    Also, we request 2 peer evaluations from other team members ( 1 selected by the staff member, 1 chosen by the manager).
    Each staff member identifies 2 individual goals that they are held accountable for during the year. ( 1 personal goal, 1 professional goal).
    Other factors: attendance, participation in meetings/presentations, teamwork, etc.

    Kay Blue, RN BSN ACM
    Director/Consultant
    Clinical Documentation Improvement Program
    Carolinas Healthcare System
    Office: 704-355-7869
    Mobile: 704-293-9732
    E-mail: Kay.blue@carolinashealthcare.org
    [cid:image018.jpg@01CE1367.4847D730]

    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Tuesday, September 01, 2015 1:50 PM
    To: Blue, Kay
    Subject: [cdi_talk] CDIS Bench mark

    We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
    Number of new cases a day
    Number of follow up cases a day
    Number of all queries:

    a) Responded queries total

    b) Agreed queries total

    c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
    Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
    How you evaluate CDIS?

    We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
    Thank you,

    Anna Rozhkovskaya, RHIT, CCS, CCS-P
    Manager, Clinical Documentation Improvement
    Memorial Healthcare System
    Health Information Management Department
    2990 Executive Way, Miramar, Fl 33025
    (954)276-9957 Office
    (954)265-6974 Mobile
    (954)441-9459 Fax



    CONFIDENTIALITY NOTICE: DO NOT FORWARD THIS MESSAGE TO OTHERS WITHOUT PERMISSION OF THE SENDER.

    This e-mail, including any attachments, may contain confidential or privileged material that is exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, dissemination, copying, or taking any action in reliance on its contents is prohibited. If you have any reason to believe this e-mail was not intended for you, please delete the e-mail and any attachments, and notify the sender immediately.



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    You are receiving this message as a member of CDI Talk as: Kay.blue@carolinashealthcare.org

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    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923

    ________________________________

    This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.
  • Very nice Kay.


    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA approved ICD-10-CM/PCS Trainer

    Clinical Documentation Improvement and Inpatient Coding Manager
    HIMS Department
    Good Samaritan Health System
    4th & Walnut Sts
    Lebanon, PA 17042
    dwilk@gshleb.org

    Phone: 717-270-7582
    Cell: 717-580-1436



    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Tuesday, September 01, 2015 4:15 PM
    To: Wilk, Deanne L.
    Subject: RE:[cdi_talk] CDIS Bench mark

    Total productivity cases reviewed per day expected for 20-25 new cases.
    New cases 8-10, Follow up cases 12-15 per day.
    Query response rate >/= 90%
    Agreement rate >/= 90%
    3M does not separate out Financial impact queries from SOI/ROM queries. Total query benchmark 35-45%
    We no longer track mismatch rate between CDI & coding. JATA dropped this from their reported metrics as well.

    Performance evaluation is a combination of quality work and productivity. We perform audits of staff reviews, identify opportunities for improvement.
    Queries are reviewed for compliance with our facility guidelines.
    We share this information with the staff member individually on a quarterly basis during one on one sessions.
    Also, we request 2 peer evaluations from other team members ( 1 selected by the staff member, 1 chosen by the manager).
    Each staff member identifies 2 individual goals that they are held accountable for during the year. ( 1 personal goal, 1 professional goal).
    Other factors: attendance, participation in meetings/presentations, teamwork, etc.

    Kay Blue, RN BSN ACM
    Director/Consultant
    Clinical Documentation Improvement Program
    Carolinas Healthcare System
    Office: 704-355-7869
    Mobile: 704-293-9732
    E-mail: Kay.blue@carolinashealthcare.org
    [cid:image018.jpg@01CE1367.4847D730]

    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Tuesday, September 01, 2015 1:50 PM
    To: Blue, Kay
    Subject: [cdi_talk] CDIS Bench mark

    We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
    Number of new cases a day
    Number of follow up cases a day
    Number of all queries:

    a) Responded queries total

    b) Agreed queries total

    c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
    Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
    How you evaluate CDIS?

    We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
    Thank you,

    Anna Rozhkovskaya, RHIT, CCS, CCS-P
    Manager, Clinical Documentation Improvement
    Memorial Healthcare System
    Health Information Management Department
    2990 Executive Way, Miramar, Fl 33025
    (954)276-9957 Office
    (954)265-6974 Mobile
    (954)441-9459 Fax



    CONFIDENTIALITY NOTICE: DO NOT FORWARD THIS MESSAGE TO OTHERS WITHOUT PERMISSION OF THE SENDER.

    This e-mail, including any attachments, may contain confidential or privileged material that is exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, dissemination, copying, or taking any action in reliance on its contents is prohibited. If you have any reason to believe this e-mail was not intended for you, please delete the e-mail and any attachments, and notify the sender immediately.



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    You are receiving this message as a member of CDI Talk as: Kay.blue@carolinashealthcare.org

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    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923

    ________________________________

    This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.



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    This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you.
  • Thank you, Ellen. I know and do use those reports, but I just was wondering do you have "quotas" so to speak how many cases avg CDIS have to do daily, what query rate is bench mark (if any), and how you evaluate (if you're manager) or being evaluated on (if you are CDIS).
    Thanks again,
    Anna

    Sent from my iPhone

    On Sep 1, 2015, at 3:57 PM, CDI Talk wrote:

    Anna,

    We use 3M CDIS . The benchmark I have is all facility based and what you want out of your program. There is a report for everything you mentioned below. If you don
  • edited April 2016


    Thanks so much, Kay, it is very helpful! We also have same avg statistics e=
    xpect query rate. Our is lower, but we have CDI program for 10 years, so I =
    think this is why. I like your approach for evaluation a lot and will bring=
    it to my directors 's attention.
    Thanks again!
    Anna

    Sent from my iPhone

    On Sep 1, 2015, at 4:17 PM, CDI Talk wrote:

    Very nice Kay.


    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA approved ICD-10-CM/PCS Trainer

    Clinical Documentation Improvement and Inpatient Coding Manager
    HIMS Department
    Good Samaritan Health System
    4th & Walnut Sts
    Lebanon, PA 17042
    dwilk@gshleb.org

    Phone: 717-270-7582
    Cell: 717-580-1436



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