CDIs and LOS information
Do the CDI staff at your facilities provide LOS information on the working DRGs to the case managers, UM or staff responsible for working with the LOS and physicians to try and discharge as close as possible to the GLOS? IF so please provide the process. Do your CDIs participate in the case management meetings on each patient in order to provide up-to-date LOS info on each pt and identify gaps in the documentation?
Comments
Sharon Cooper, RN-BC, CCS, CDIP, CCDS, CHTS-CP
AHIMA-Approved ICD-10-CM/PCS Trainer/Ambassador
Manager Clinical Documentation/Appeals
Owensboro Health Regional Hospital
P.O. Box 20007
Owensboro, KY 42304-0007
Office: 270-417-4612
Cell: 270-316-9088
Fax: 1-270-417-4609
Thanks,
Linda
Linda Rhodes RN, BSN, CCDS
Manager Clinical Documentation
Improvement
New Hanover Regional Medical Center
Wilmington, North Carolina 28402
Office # 910-815-5544
Cell " 910-777-8344
e-mail : linda.rhodes@nhrmc.org
Judy
Judy Riley, RHIT, CCS, CPC
Coding/CDI Manager
LRGHealthcare
Lakes x 3315
Thanks for the information on this topic...can you send a blank rounding report so I can see what info is included?
Suzonne Bourque, RHIA, CCS, CCDS
sbourque@wkhs.com
by discharge unit for each nursing unit.
Kay Blue
CHS
Marty
Temple Health
Marty
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
The process is very clunky as we are EMR-challenged. I have to go into my HIS system's abstracting application to code and group each case. I then enter my preliminary DRGs in column M. When I enter the DRG in this column, the data in the yellow highlighted columns Q R and S instantly updates- I love my finance friends! After entering all DRGs I refresh the pivot table on first tab to update it. The pivot table is what the providers print and actually look at.
We have 2 facilities which explains column A and the way the pivot table appears.
The 3rd tab is the current CMS DRG table with weights and LOS data.
What the CDS's do: To update DRGs as they do their reviews, the CDS's have to go into our HIS system, enter the new diagnoses and/or procedures in abstracting, and regroup the case to obtain a new DRG. They often call on the coders for help here. Any changes they make flow to HIS census report which I import every day so that the document is constantly updated.
I hope I've explained it clearly, it's time consuming especially on a Monday morning, but it's the best tool we could devise with our limited software to help us get a handle on LOS and it has proven useful for other things as well.
Judy Riley, RHIT, CCS, AHIMA-Approved ICD-10 Trainer
CDI/Coding Manager
LRGHealthcare
jriley@lrgh.org
Judy Riley, RHIT, CCS, AHIMA-Approved ICD-10 Trainer
CDI/Coding Manager
LRGHealthcare
jriley@lrgh.org
Suzonne
I will ask if custom or canned.
Marty
Diane M Clement RN MS CCDS
Team Leader Clinical Documentation Management Program