Mortaliy rewiew question
I need help in understanding UHC mortality review methodology. Is there anyone who uses the UHC model for mortality reviews that I might be able to contact to ask a few questions? CDI has been asked to add these to our work flow. I am confused on information related to the APR-DRG SOI/ROM categories and the UNC variables in the UNC risk models. I want to understand the process.
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas
William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas
William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
Comments
You and I seem to be in the same boat. We just started mortality reviews too. I'm sorry I don't have the knowledge you are seeking, but will share if/when I do.
Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 10, 2016 3:36 PM
To: Vanessa Falkoff
Subject: [cdi_talk] Mortaliy rewiew question
I need help in understanding UHC mortality review methodology. Is there anyone who uses the UHC model for mortality reviews that I might be able to contact to ask a few questions? CDI has been asked to add these to our work flow. I am confused on information related to the APR-DRG SOI/ROM categories and the UNC variables in the UNC risk models. I want to understand the process.
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
---
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You are receiving this message as a member of CDI Talk as: vanessa.falkoff@umcsn.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12881172.0567913f3a65957e70b98241bedfe64e@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 7:57 AM
To: Evans, Paul
Subject: RE: [cdi_talk] Mortaliy rewiew question
Hi Debbie,
You and I seem to be in the same boat. We just started mortality reviews too. I'm sorry I don't have the knowledge you are seeking, but will share if/when I do.
Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 10, 2016 3:36 PM
To: Vanessa Falkoff
Subject: [cdi_talk] Mortaliy rewiew question
I need help in understanding UHC mortality review methodology. Is there anyone who uses the UHC model for mortality reviews that I might be able to contact to ask a few questions? CDI has been asked to add these to our work flow. I am confused on information related to the APR-DRG SOI/ROM categories and the UNC variables in the UNC risk models. I want to understand the process.
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: vanessa.falkoff@umcsn.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12881172.0567913f3a65957e70b98241bedfe64e@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: evanspx@sutterhealth.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12940161.4b24e9352adc7dfa247d8332246d4e2a@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 9:53 AM
To: Kathryn Good
Subject: RE: [cdi_talk] Mortaliy rewiew question
We use a Midas Data Vision+ model...do you want that information? May be similar?
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044 San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 7:57 AM
To: Evans, Paul
Subject: RE: [cdi_talk] Mortaliy rewiew question
Hi Debbie,
You and I seem to be in the same boat. We just started mortality reviews too. I'm sorry I don't have the knowledge you are seeking, but will share if/when I do.
Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 10, 2016 3:36 PM
To: Vanessa Falkoff
Subject: [cdi_talk] Mortaliy rewiew question
I need help in understanding UHC mortality review methodology. Is there anyone who uses the UHC model for mortality reviews that I might be able to contact to ask a few questions? CDI has been asked to add these to our work flow. I am confused on information related to the APR-DRG SOI/ROM categories and the UNC variables in the UNC risk models. I want to understand the process.
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: vanessa.falkoff@umcsn.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12881172.0567913f3a65957e70b98241bedfe64e@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: evanspx@sutterhealth.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12940161.4b24e9352adc7dfa247d8332246d4e2a@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923This message has been scanned and no issues were detected.
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Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 8:53 AM
To: Vanessa Falkoff
Subject: RE: [cdi_talk] Mortaliy rewiew question
I want your MIDAS info Paul!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 9:53 AM
To: Kathryn Good
Subject: RE: [cdi_talk] Mortaliy rewiew question
We use a Midas Data Vision+ model...do you want that information? May be similar?
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044 San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 7:57 AM
To: Evans, Paul
Subject: RE: [cdi_talk] Mortaliy rewiew question
Hi Debbie,
You and I seem to be in the same boat. We just started mortality reviews too. I'm sorry I don't have the knowledge you are seeking, but will share if/when I do.
Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 10, 2016 3:36 PM
To: Vanessa Falkoff
Subject: [cdi_talk] Mortaliy rewiew question
I need help in understanding UHC mortality review methodology. Is there anyone who uses the UHC model for mortality reviews that I might be able to contact to ask a few questions? CDI has been asked to add these to our work flow. I am confused on information related to the APR-DRG SOI/ROM categories and the UNC variables in the UNC risk models. I want to understand the process.
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: vanessa.falkoff@umcsn.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12881172.0567913f3a65957e70b98241bedfe64e@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: evanspx@sutterhealth.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12940161.4b24e9352adc7dfa247d8332246d4e2a@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: kathryn.good@nahealth.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12649561.a6bbaf3538c19e934e5136fbd051a6b1@hcprotalk.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923This message has been scanned and no issues were detected.
Do not trust links or attachments and do not divulge sensitive information upon email request.
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Key points:
All cases count, not just expired.
ROM assignment is key factor
Hospice cases excluded
5. ACA Mortality (Midas+ Encounter Risk Model) (1 measure)
Definition: Comparison of observed to expected mortality among acute care inpatient encounters as calculated by the Midas+ Encounter Risk Model for a specified clinical cluster.
Numerator: Count of observed encounters for the clinical cluster in which the patient died.
Denominator: Count of encounters with an expected discharge disposition of Death encounters as calculated by the Midas+ Encounter Risk Model for the specified clinical cluster.
Measurement Calculation: Numerator divided by denominator.
Data Source: MIDAS DataVision Hospital Report.
Benchmark Goal Source: Midas+ Encounter Risk Model.
Threshold: 0.9
Full Performance: 0.9
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 8:53 AM
To: Evans, Paul
Subject: RE: [cdi_talk] Mortaliy rewiew question
I want your MIDAS info Paul!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 9:53 AM
To: Kathryn Good
Subject: RE: [cdi_talk] Mortaliy rewiew question
We use a Midas Data Vision+ model...do you want that information? May be similar?
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044 San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, February 11, 2016 7:57 AM
To: Evans, Paul
Subject: RE: [cdi_talk] Mortaliy rewiew question
Hi Debbie,
You and I seem to be in the same boat. We just started mortality reviews too. I'm sorry I don't have the knowledge you are seeking, but will share if/when I do.
Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 10, 2016 3:36 PM
To: Vanessa Falkoff
Subject: [cdi_talk] Mortaliy rewiew question
I need help in understanding UHC mortality review methodology. Is there anyone who uses the UHC model for mortality reviews that I might be able to contact to ask a few questions? CDI has been asked to add these to our work flow. I am confused on information related to the APR-DRG SOI/ROM categories and the UNC variables in the UNC risk models. I want to understand the process.
If anyone who uses this model is available to help me with some questions I would be very appreciative. Please let me know how I might contact you.
Thank you,
Debbie Smith RN, CCDS, CCS
UT Southwestern Medical Center at Dallas William P Clements and Zale Lipshy University Hospitals
6201 Harry Hines Blvd.
Dallas, TX 75390
214-645-5217
deborahw.smith@utsouthwestern.edu
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: vanessa.falkoff@umcsn.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12881172.0567913f3a65957e70b98241bedfe64e@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: evanspx@sutterhealth.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12940161.4b24e9352adc7dfa247d8332246d4e2a@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: kathryn.good@nahealth.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12649561.a6bbaf3538c19e934e5136fbd051a6b1@hcprotalk.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923This message has been scanned and no issues were detected.
Do not trust links or attachments and do not divulge sensitive information upon email request.
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: evanspx@sutterhealth.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12940161.4b24e9352adc7dfa247d8332246d4e2a@hcprotalk.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
This forum is amazing! I learn something new everyday.
Debbie Smith, RN, CCDS, CCS
Sent from my iPad