Metrics

The other day someone on this blog requested whether CDIS as a profession could come up with a distinct set of metrics to be used in tracking the effectiveness and value of our efforts at clinical documentation improvement. While we can all agree that calculation and monitoring of case mix as well as CC/MCC capture rate is pervasive and ingrained in the minds of CFOs and other hospital administrators, it is incumbent upon us to develop, implement and "sell" others that reimbursement and financial gain are in reality only part of the equation.



The value of clinical documentation beyond reimbursement alone comes to light when you consider the role of specific, accurate, and detailed documentation to measures of efficiency, quality, costs and risk adjusted outcomes, all the fundamental basis for healthcare reimbursement processes such as accountable care organizations, bundled payments, shared savings and gain sharing initiatives, and physician and hospital value based purchasing initiatives slated to begin in 2012. Consider the need for more robust clinical documentation under the Medicare Acute Episode Demonstration Project where cardiologist and orthopedist have a financial incentive to practice efficient, quality oriented medical care, predicated upon the practice of good clinical medicine that reflects adherence to recognized standards of care, and most importantly the accurate reporting of this said practice of medicine.



While the indisputable value of clinical documentation goes without saying, what we presently can do today to incorporate the value of our efforts at affecting positive change in physician behavior patterns of documentation is to engage the physician's interest in improving their own clinical documentation for their own business of the practice of medicine. How so? Well, the quality of clinical documentation encompasses the realm of completeness, accuracy and detailedness of the physician's amount of work performed and medical necessity for performance of this work. This completeness of documentation is tangible to the extent the documentation is reflective and supportive of the physician's thought processes, clinical judgment, and medical decision making inherent to patient care. Ever look at a History and Physical and say wow, now that is great documentation, know what the physician is really clinically thinking, can see why each test was ordered, and can almost read the physician's mind like a roadmap. This degree of clinical documentation constitutes a minute portion of what we see in our daily practice of clinical documentation improvement.



There are specific elements of clinical documentation in the ER dictation, H & P, and progress notes that we can focus upon in expanding the profession of clinical documentation improvement. Stay tuned for the next episode of the CDI Talk edition where I outline key provisions to consider when reviewing the record and identifying clinical documentation improvement opportunities. CC/MCC queries and capture rate are eventually going to be assuming less importance as payment reimbursment and healthcare delivery system transformations take hold.



Now a word from our sponsor, ACDIS- Be sure to listen in to the Quarterly Conference Call next Thursday the 18th between 1 and 2 PM EST. Take an hour from your regular routine!

Comments

  • edited May 2016
    Speaking of Conference Calls, has the call in information been sent out yet?



    Robert



    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov


    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens
  • edited May 2016
    Who sent that post regarding Metrics?

    - Norma
  • edited May 2016
    Not sure who sent the post. what are your thoughts on it Norma? Makes sense to me
  • edited May 2016
    I agree with the post. Looking at the website it looks like Glenn started this. It is something that should be explored and clarified since while we do have to keep the fiscal people happy, we need to remember that it's the patient who can have the ultimate benefit from our efforts.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov
     
    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens
  • edited May 2016
    The consultants and CFO put a great emphasis on CMI and CC/MCC capture, I personally find a great deal more job satisfaction in lowering our ROM rates. I try to educate the physicians that it isn't just about the $$$. If they chart urosepsis and the pt dies, do they really want that person listed as an expired UTI? Another person said it well when they mentioned that if the documentation is correct the money will follow. Also, what are the current FTE to discharge ratio at (anyone) your hospital. Right now it's just me and our Medicare dc rate is about 350-500 a month.

    Thanks,

    Heidi Koenig, RN
    Clinical Document Specialist
    Ocala Regional Medical Center
    Heidi.koenig@hcahealthcare.com
    352-401-1686
  • edited May 2016
    WOW ... 350 -500 per month?! Our FTE is based on discharges: 1FTE/ 1900
    annual discharges .................

    Thank You,

    Susan Tiffany RN, CCDS
    Supervisor Clinical Documentation Program
    Guthrie Healthcare System
    phone: 570-882-6094, pager #465
    fax: 570-882-6768
    email: tiffany_susan@guthrie.org
    "Twenty years from now you will be more disappointed by the things you
    didn't do than by the ones you did do. So throw off the bowlines. Sail
    away from safe harbor.Catch the trade winds in your sails. Explore. Dream.
    Discover." Mark Twain
  • edited May 2016
    I know! And I wonder why I am always behind. It went from 2 people to just me, myself and I. I guess it's job security :). And what's funny is that the consultant group just gave our one year review and our ROM is down, CMI is up and $$ are way up from last year when we didn't have this program. But they are still telling us that we "are leaving money on the table". I figured we should have 2-3 people doing the job.

    Thanks,
    Heidi Koenig, RN
    Clinical Document Specialist
    Ocala Regional Medical Center
    Heidi.koenig@hcahealthcare.com
    352-401-1686
  • edited May 2016
    Heidi, I would think it would be in the best interest of the consulting company to advocate for adequate staffing since the success of the project directly impacts the success of the consulting company and their ability to justify an "add-on" to the life of their contract.
  • edited May 2016
    Heidi,

    I feel your pain. Our consultants have presented "opportunities" to administration which the facility has for capturing certain diagnoses (and $), however many of these "opportunities" consist of things I would not query for.

    i.e. it was suggested that a query opportunity existed for:

    acute renal failure for a patient whose creat on admission was 2.4 and his baseline is 2.1 with an unchanged GFR (they took the chart at face value, I have access to previous lab results)

    malnutrition on a patient whom weight loss in the past was mentioned in the H&P, the dietician had seen, the albumin was 2.2 and there was no prealbumin.

    When our program was fairly new I was very concerned about all these opportunities.

    I understand now that the consultants search every nook and cranny for any little thing which could possible change the SOI, ROM or financial impact. We must look at the context and decide if an opportunity really existed for that record.

    I now use these yearly reviews as an educational opportunity for little tidbits.


    Charlene Thiry RN, BSN, CPC, CCDS
    Clinical Documentation Specialist
    Quality Resources
    Menorah Medical Center
    5721 W. 119th Street | Overland Park, Kansas 66209
    Charlene.Thiry@hcamidwest.com
    Mobile: 913-498-6388
    www.menorahmedicalcenter.com
  • edited May 2016
    Charlene,
    I agree that the consultants have 20/20 hindsight vision and nitpick to remain relevant. I also do not query for problems that have not changed from previous admissions. I believe that is why my physician agree rate is high. Looking at what the coders retroactively query for, I don't always agree with their decisions. But that's what keeps things interesting. I still consider myself new at this and look for opportunities to improve, but I also query for documentation improvement not benchmarks.

    Thanks,
    Heidi Koenig, RN
    Clinical Document Specialist
    Ocala Regional Medical Center
    Heidi.koenig@hcahealthcare.com
    352-401-1686
  • edited May 2016
    You are right on Heidi. When I first started, the consultants were encouraging us to "look for the missing MCC/CC".

    ACDIS had started with their marvelous web site and CDI talk. I read everything that was posted and we chose to go for documentation specificity instead of MCC/CC capture.

    The first year we did not reach the set financial goal but the CMI and SOI/ROM really improved and have continued to improve. Our coders all have a better understanding of the role of the Clinical Documentation Specialist and we work well together which helps a great deal.



    Charlene Thiry RN, BSN, CPC, CCDS
    Clinical Documentation Specialist
    Quality Resources
    Menorah Medical Center
    5721 W. 119th Street | Overland Park, Kansas 66209
    Charlene.Thiry@hcamidwest.com
    Mobile: 913-498-6388
    www.menorahmedicalcenter.com
  • edited May 2016
    Amen Charlene. I always have and will focus on specificity, accuracy
    and completeness of the record. That is where the real value is, in my
    opinion of course.

    Robert


    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov



    "The difference between the right word and the almost right word is the
    difference between lightning and the lightning bug." Samuel "Mark Twain"
    Clemens
  • edited May 2016
    Would you share who your consultant is? You can send directly to me. The
    reason I ask is they sound VERY much like our consultant.

    Thank You,

    Susan Tiffany RN, CCDS
    Supervisor Clinical Documentation Program
    Guthrie Healthcare System
    phone: 570-882-6094, pager #465
    fax: 570-882-6768
    email: tiffany_susan@guthrie.org
    "Twenty years from now you will be more disappointed by the things you
    didn't do than by the ones you did do. So throw off the bowlines. Sail
    away from safe harbor.Catch the trade winds in your sails. Explore. Dream.
    Discover." Mark Twain
  • edited May 2016
    As far as I recall, there is one primary consultant who uses an FTE of
    1900 discharges and is as aggressive as described. Do believe they are
    headquartered out of that big red clay state in the SE.
    Feel they did a very good job in getting us off the ground, teaching
    and getting rolling.
    Have found other consultants and sources of information to be very
    important for our growth and goals as time has progressed.

    **********

    It is quite impressive to me the level of response to this
    topic....seems to really have some interest and resonance!!

    Appreciate the OP for starting!!

    Agree completely about the ways healthcare are moving and how that is a
    call for our profession to rise to the challenge and really focus on
    what is most important -- accurate and complete documentation that
    allows clean & accurate data to be captured and utilized.

    The value is more difficult to capture and measure, but that is one of
    the aspects of our professional challenge. For those that have access
    to mortality profiling, that is clearly one resource but not everyone
    does (the recent poll about the APR DRG grouper suggests as many as
    half).

    Also a real part of our professional challenge is education and
    development of professional standards and expectations. Seems to me
    that there have been important strides in this direction.

    PARTLY Rhetorical question -- what can each of us do to grapple with
    these challenges?

    Don
  • I still haven't received the call in information, has anyone else?
  • I have not either. Didn't know if it was because I am due to renew next month and I know last year I was dropped off the list even though I did renew.

    Cindy Goewey RN, BSN
    Clinical Documentation Specialist
    Coding Operations
    Dartmouth-Hitchcock Medical Center
  • edited May 2016
    Some people did get it. I have always had to email Brian and ask, so I don't know what the issue is.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov
     
    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens
  • Thanks, I will email him to get the information.
  • edited May 2016
    I think I missed something.. Call in information for what?

    Patsy Fowler RN, MSN, CCDS
    Certified Clinical Documentation Specialist
    Marion Regional Hospital
    PO Box 1150
    Marion, SC 29571
    Office 843-431-2044
    Cell 843-431-2863
    Fax 843-431-2432
  • edited May 2016
    quarterly membership call this Thursday 1 to 2 PM
  • I received it from Brian on October 28th.
  • The quarterly conference call on Thursday.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • edited May 2016
    Eastern, central or standard time

    DAWN M. VITALONE, RN
    Clinical Documentation Improvement Specialist
    Community Hospital
    Munster, IN 46321
    (219) 513-2611
  • edited May 2016
    Eastern time
  • edited May 2016
    Oh ok. I got that information. Thanks

    Patsy Fowler RN, MSN, CCDS
    Certified Clinical Documentation Specialist
    Marion Regional Hospital
    PO Box 1150
    Marion, SC 29571
    Office 843-431-2044
    Cell 843-431-2863
    Fax 843-431-2432
  • the information came across today on CDI talk as an attachment.
  • edited May 2016
    I haven't either


    Sincerely,

    Karen A. Johnson

    DRG Assurance ext. 43559
  • Hello Mary,
    We have a combination of 30 reviews each day. However on Mondays, when we seem to have significantly mostly new reviews, the number is 23-28.
    Hope that helps.
    Lisa Romanello, RN,BSN,CCDS
    CJW Medical Center
    804-228-6527
  • edited May 2016
    Our productivity came from 3M
    CDI, RNs are to see 7 new and 7-8 follow ups per day also-this is including all the other duties such as physician education, making unit rounds, ICD-10 training, entertaining DRG mismatches and asst physician with query responses
    CDI, Coders are to see 5 new and 7-8 follow ups per day with the about duties plus query audits, query deficiency reports
    All new cases should be reviewed within 2 days of admission, all re reviews should been seen every 2 days except if there is a query then that case should be reviewed q day until query answered.
    We had EHR and CDIS as our CDI program.
  • edited May 2016
    Thanks so much. We use JATA software. Who do you use if you don't mind
    me asking?

    Is that 30 reviews per CDS?



    Mary A Hosler MSN, RN
    Clinical Documentation Specialist
    Alumnus CCRN
    McLaren Bay Region
    1900 Columbus Ave.
    Bay City, Michigan 48708
    (989) 891-8072
    mary.hosler@mclaren.org
  • Yes it is 30 per CDS.
    We were using CDIS which we loved, recently the hospital converted us to MIDAS +.
    We use McKesson for our electronic queries.
  • edited May 2016
    Mary,

    CDS productivity should be determined by the focus of your program (reviewing for DRG assignment and CC capture vs. reviewing for complete and accurate documentation to impact quality outcomes, maturity of program/CDS and overall CDS responsibilities. For instance:

    Facility with 1-2 CDS responsible for all aspects of the program (education, monitoring, reporting, etc.)
    *DRG assignment/CC capture focus: 25-30 charts per day
    *Complete and accurate documentation: 20 charts per day

    Large facility with full program management support and reviewers are responsible for reviews and query reconciliation only:
    *DRG assignment/CC capture focus: 30-40 charts per day
    *Complete and accurate documentation: 20-25 charts per day

    Hope this helps!

    Wendy

    Wendy Clesi, RN, CCDS
    Huff DRG Review
    wendy.clesi@drgreview.com
  • edited May 2016
    I many questions. 30 charts a shift. I hope I get 15 done. We are only partial electronic. The progress notes are still hand written.
    We are to query for everything.
    We look at all payers.
    I have many conversations with MD for response ,which takes up time.
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