Is anybody having to work major holidays? We have been told we will be working Christmas, Thanksgiving, and New Years. Are any other CDI people working?
Why is it you cannot come in on Monday and just review those patients that discharged over the weekend along with your new admits? When we come in on Mondays, we have a CDI who reviews and completes all the reviews for the discharged pts from the weekend? I can almost guarantee they would not be coded by then!
What was the rationale? (if you got one and don’t mind my asking?)
Juli Juli Bovard RN CCDS Certified Clinical Documentation Specialist Clinical Effectiveness/Clinical Quality Rapid City Regional Hospital 755-8426 (work) 786-2677 (cell) "No Limit to Better......"
Greta Goodman, CCDS, CCS Clinical Documentation Improvement Specialist Health Information Management Virginia Hospital Center 1701 North George Mason Drive Arlington, VA 22205 703-558-5336 ggoodman@virginiahospitalcenter.com
We do not work the 3 Major Holidays of Thanksgiving, Christmas & New Years Day. We do provide a minimum of 50% coverage on the day before and after the holiday. The other minor holidays during the year- at least 1 person does work. Sometimes staff prefer to work the actual holiday to avoid traffic or because spouse is available to care for the kids
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
Our group of 5 CDI's do the same as Renee. No holidays, no weekends and still get a high review rate. The small percentage of records we miss will be reviewed by our coders anyways and if they see an opportunity, they have a CDI review it and ask a question post-discharge. The rest of our queries are done concurrently. As far as I am concerned, not working weekends or holidays is one of the perks of getting a CDI position. We require at least 5 years of critical care experience and our least senior person has 15 years in.
Yep...No weekends or holidays here! And, I am now flying solo. Our CDI program initially began with 2, when my partner left, the position was not filled(and, will not be filled). The coders are excellent! And will bring anything to me that was not "seen" - with any questions or queries needed.
Lona McNamara, RN, BSN, CCM Clinical Documentation Specialist Cortland Regional Medical Center lmcnamara@cortlandregional.org
This is true for us too Karen. It always seems that census is lower around the holiday (though we experience a rush on elective joints as people try to get them in before the end of the year ;-) ). We are under quality and the entire dept is closed on the 6 major holidays. We also try to give people other days off during the holidays as much as possible. Our team is generally happy to cover other team members so that everyone can have a couple extra days off. Our review rate is 98-100% and this doesn't change over the holidays.
Honestly, I think for the hospital, it's about money more than anything. Paying holiday pay doesn't make sense when those patients could just be reviewed the following day.
Katy Good, RN, BSN, CCDS, CCS Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com Cell: 928.814.9404
Comments
Why is it you cannot come in on Monday and just review those patients that discharged over the weekend along with your new admits? When we come in on Mondays, we have a CDI who reviews and completes all the reviews for the discharged pts from the weekend? I can almost guarantee they would not be coded by then!
What was the rationale? (if you got one and don’t mind my asking?)
Juli
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
We don’t work weekends or major holidays. We catch all those charts regardless. Queries can wait one day. No biggie.
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
Anna
Greta Goodman, CCDS, CCS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
We don't work weekends or any of the 7 holidays our hospital observe. We don't review discharged patients and have a review rate of > 90%
Hope you can get it worked out with your management.
Renee Meyer, RN CCDS
The other minor holidays during the year- at least 1 person does work. Sometimes staff prefer to work the actual holiday to avoid traffic or because spouse is available to care for the kids
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
LeeAnn Conaway, RN III, CCRN, CCDS
CDS Coordinator
UPMC Altoona
Quality Management
814–889–3313 office
814–502-6772 cell
Lona McNamara, RN, BSN, CCM
Clinical Documentation Specialist
Cortland Regional Medical Center
lmcnamara@cortlandregional.org
Sharon Cooper, RN-BC, CCS, CCDS, CDIP, CHTS-CP
AHIMA-Approved ICD-10-CM/PCS Trainer/Ambassador
Manager Clinical Documentation/Appeals
Owensboro Health Regional Hospital
PO Box 20007
Owensboro, KY 42304-0007
Office: (270) 417-4612
Cell: (270) 316-9088
Fax: (270) 417-4609
Honestly, I think for the hospital, it's about money more than anything. Paying holiday pay doesn't make sense when those patients could just be reviewed the following day.
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
Paul
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