Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857
krushlau@hcpro.com
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857
krushlau@hcpro.com
Comments
Suzonne Bourque, RHIA, CCS, CCDS
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 9:10 AM
To: Bourque, Suzonne
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857
krushlau@hcpro.com
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I will be meeting with the new CDI educator for this unit and provide her with as much information as possible but I am sure there are some differences between inpatient and outpatient.
Our goal is to ensure we are as consistent as possible when we educate our physicians.
Excellent idea!!
Deborah A Dallen, BSN, RN, CCDS
Supervisor
Clinical Documentation Improvement
Einstein Medical Center
Health Information Management
Phila PA 19141
215-456-8902
dallend@einstein.edu
>>> CDI Talk 2/17/2016 10:56 AM >>>
I think it's a good idea as our facility is possibly looking at expanding CDI into the OP arena. It would be good to have a resource to help us expand to OP, what metrics to capture, what to watch for, education tips, etc.
Suzonne Bourque, RHIA, CCS, CCDS
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 9:10 AM
To: Bourque, Suzonne
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857
krushlau@hcpro.com
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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
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 8:12 AM
To: Vanessa Falkoff
Subject: RE: [cdi_talk] Outpatient CDI?
I am not involved in outpatient CDI but my facility has hired staff for Ambulatory CDI. I think it would be wonderful to have a resource those involved in CDI in the Outpatient area.
I will be meeting with the new CDI educator for this unit and provide her with as much information as possible but I am sure there are some differences between inpatient and outpatient.
Our goal is to ensure we are as consistent as possible when we educate our physicians.
Excellent idea!!
Deborah A Dallen, BSN, RN, CCDS
Supervisor
Clinical Documentation Improvement
Einstein Medical Center
Health Information Management
Phila PA 19141
215-456-8902
dallend@einstein.edu
>>> CDI Talk 2/17/2016 10:56 AM >>>
I think it's a good idea as our facility is possibly looking at expanding CDI into the OP arena. It would be good to have a resource to help us expand to OP, what metrics to capture, what to watch for, education tips, etc.
Suzonne Bourque, RHIA, CCS, CCDS
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 9:10 AM
To: Bourque, Suzonne
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857
krushlau@hcpro.com
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Copyright 2013
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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: Wednesday, February 17, 2016 7:56 AM
To: Evans, Paul
Subject: RE: [cdi_talk] Outpatient CDI?
I think it's a good idea as our facility is possibly looking at expanding CDI into the OP arena. It would be good to have a resource to help us expand to OP, what metrics to capture, what to watch for, education tips, etc.
Suzonne Bourque, RHIA, CCS, CCDS
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 9:10 AM
To: Bourque, Suzonne
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857 krushlau@hcpro.com
---
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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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
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 10:10 AM
To: Linda Rhodes
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857 krushlau@hcpro.com
---
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
I would welcome an outpatient CDI book! If possible, could you have it ready in a few weeks, lol. I have been working on developing a best practice outpatient model and gathering information from programs across the country is an hefty undertaking to say the least. Since there are so many pathways CDI can impact in the ambulatory setting, I am wondering how you would address the majority in the book and still provide a good resource for program implementation/improvement, metrics, staff training/education, facility buy-in and on-going monitoring. All the different pathways is also a major issue facing software vendors and developers in coming to market with an outpatient platform. I did have to limit my options and am targeting the physician practice setting with a focus on risk adjustment/HCC methodology. I would really like to see how others have implemented a program like this and how they are collaborating with traditional inpatient CDI programs to impact RAF scores.
David Reece, BSN, RN, CCDS
Manager, Quality Documentation Services
Premier, Inc.
Cell: 336-480-7541
David_Reece@PremierInc.com
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 10:10 AM
To: Reece, David
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857 krushlau@hcpro.com
---
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 11:56 AM
To: Valerie Miller
Subject: RE: [cdi_talk] Outpatient CDI?
Yes, I think it would be a great idea! At our facility we are considering adding an Outpt CDI program in the coming year and I would value any information on program structure, education, and metrics that could be provided. Also any additional words of wisdom from existing Outpt CDI programs.
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
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 10:10 AM
To: Linda Rhodes
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857 krushlau@hcpro.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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Thank you.
I think we need better guidance on a few things:
1. What are we calling OP: Obs, ED, OP surg, hospital clinics, etc? all of the above? One of the most difficult parts of considering an OP program is that OP encompasses a HUGE area. What are we really talking about?
2. What is the outcome benefit of OP CDI (lets get real, most hospitals aren’t going to hire additional staff unless there is ROI: Financial or in quality metrics)
3. Who is best positioned to do this work? Interestingly enough, IP CDI has moved to being in many facilities (including mine, unfortunately) relegated to RN's. When I have considered an OP program the first thing I realize is that I do not think it would be easy at all to extend current staff into this role. I honestly don’t think they have the knowledge. This doesn’t mean they couldn’t learn. But true OP CDI seems to be much more closely linked to billing and insurance than IP. I tend to think that an experienced coder with good OP knowledge of billing and insurance issues may be best to move into this role. I would be curious what facilities with programs in place are going.
4. How do we best identify areas of risk? In the past I have been told to look at OP denials. Still the case? Or are their standard areas that seem to be high risk.
5. Info on workflow, structure, FTE's, metrics, etc...
Thanks!
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: Wednesday, February 17, 2016 9:56 AM
To: Kathryn Good
Subject: RE: [cdi_talk] Outpatient CDI?
Yes, I think it would be a great idea! At our facility we are considering adding an Outpt CDI program in the coming year and I would value any information on program structure, education, and metrics that could be provided. Also any additional words of wisdom from existing Outpt CDI programs.
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
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 10:10 AM
To: Linda Rhodes
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857 krushlau@hcpro.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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Thank you,
David Reece, BSN, RN, CCDS
Manager, Quality Documentation Services
Premier, Inc.
Cell: 336-480-7541
David_Reece@PremierInc.com
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 12:03 PM
To: Reece, David
Subject: RE: [cdi_talk] Outpatient CDI?
We are also considering adding an Outpatient CDI program at our facility. A resource tool would be of great benefit in program development.
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 11:56 AM
To: Valerie Miller
Subject: RE: [cdi_talk] Outpatient CDI?
Yes, I think it would be a great idea! At our facility we are considering adding an Outpt CDI program in the coming year and I would value any information on program structure, education, and metrics that could be provided. Also any additional words of wisdom from existing Outpt CDI programs.
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
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, February 17, 2016 10:10 AM
To: Linda Rhodes
Subject: [cdi_talk] Outpatient CDI?
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857 krushlau@hcpro.com
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Copyright 2013
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Thank you.
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Margaret Utuk, RN, MJ, CCDS
On Feb 17, 2016, at 10:13 AM, CDI Talk wrote:
Hi CDI Talkers!
ACDIS is considering publishing a book on outpatient CDI and I need your feedback! Do you think the book is a good idea/why, and, if so, what are some topics etc. you'd like to see in an outpatient book?
Please feel free to comment here or contact me directly! I appreciate the help!
Katherine Rushlau | Editor
Association of Clinical Documentation Improvement Specialists
75 Sylvan Street, Suite A-101 | Danvers, MA 01923
(p) 978-223-1721 ext. 3270 | (f) 781-639-7857
krushlau@hcpro.com
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