Physician education and rounding

Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
Thanks in advanced for your help.

Stephanie Sandoval
CDIS, Team Lead
Children's Hospital Of Phila

Comments

  • Hi, Stephanie~

    Our staffing sounds similar to yours: We each cover 3-4 units and round with our teams anywhere between 3-5 days per week in areas other than general med/surg. Problem is our CDSs are unit-based and our general med/surg units are team-based, so we don't round with the general med/surg teams.

    The CDSs are not involved in any formal education for the physicians. All of our education occurs informally during rounds or during the clarification process (via phone or PingMD if the MD has questions). We are a newer program (just had our first "birthday") so I am hoping that we can develop more formal education as our program evolves.

    Sorry not too much help, but I am curious to see what other programs are doing.

    Jackie Touch, MSN, RN, CCM
    CHOC Children's
  • --94eb2c081dacff1138053217b5fb
    Content-Type: text/plain; charset=UTF-8

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI
    Specialist and the unit. We are unit based in our assignments. We do
    informal education in person during and after rounds. I also provide
    clinical research on topics they are interested in. I work with the
    Critical Care team and have developed formal education that is
    presented during division meetings. I also work with them on
    personalizing their Progress Note templates in the EMR so that their drop
    down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents
    suggest a formal CDI program be taught during residency, separate from
    direct patient care. I have a degree in Education as well as Nursing and
    would love such as opportunity. Perhaps the course could be called
    "Documenting in Diagnostic Language". One of the phrases we all use
    frequently is "turn your signs and symptoms into a formal diagnosis". Does
    anyone know of such a program or is anyone else interested in developing
    one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk <
    pediatric_cdi_talk@hcprotalk.com> wrote:

    > Hello fellow CDI's. Hope all is well. We are in the process of possibly
    > revising our rounding and physician education format.
    > At this point each CDI covers 3-4 units and round once a week with each
    > unit. We are totally electronic and we send out our clarifications via
    > while rounding or via email. We also calculate the working APR-DRG. We meet
    > our new residents when they reach each unit so we do a brief session with
    > them as well as yearly division mtgs with the attending's. Lastly, we do
    > one on ones with the attending's if we can't get to them during rounds.
    >
    > I was wondering of those of you with electronic medical records, how do
    > you incorporate your physician education.
    > Thanks in advanced for your help.
    >
    > Stephanie Sandoval
    > CDIS, Team Lead
    > Children's Hospital Of Phila
    > ---
    > 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 Pediatric CDI Talk as:
    > katallenrn@gmail.com
    > If you would like to be removed from Pediatric CDI Talk, please send a
    > blank email to
    >
    > leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
    > ---
    > Copyright 2013
    > HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
    >

    --94eb2c081dacff1138053217b5fb
    Content-Type: text/html; charset=UTF-8
    Content-Transfer-Encoding: quoted-printable

    Greetings from sunny Florida!
    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI=
    Specialist and the unit.=C2=A0 We are unit based in our assignments.=C2=A0=
    We do informal education in person during and after rounds.=C2=A0=C2=A0I a=
    lso=C2=A0provide clinical research on topics they are interested in. I work=
    with the Critical Care team and=C2=A0have developed formal education=C2=A0=
    that is presented=C2=A0during division meetings.=C2=A0=C2=A0 I also work wi=
    th=C2=A0them=C2=A0on personalizing their Progress Note templates in the EMR=
    so that their drop down choices are appropriate and specific to Pediatric =
    Critical Care.
    An interesting point is that I have=
    had the more experienced residents suggest a formal CDI=C2=A0program be ta=
    ught during residency, separate from direct patient care.=C2=A0 I have a de=
    gree in Education as well as Nursing and would love such as opportunity.=C2=
    =A0=C2=A0 Perhaps the course could be called "Documenting in Diagnosti=
    c Language".=C2=A0 One of the phrases we all use frequently is "t=
    urn your signs and symptoms into a formal diagnosis".=C2=A0 Does anyon=
    e know of such a program or is anyone else interested in developing one?
    Keep on truckin"
    Kath=
    y Wilson, BSN BAJohns Hopkins ACHSt Petersburg, FL727 676-2797





    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk <pediatric_cdi_talk@hcprotalk.com> wrote:
    Hello fellow CDI's. Hope all is well. We are =
    in the process of possibly revising our rounding and physician education fo=
    rmat.

    At this point each CDI covers 3-4 units and round once a week with each uni=
    t. We are totally electronic and we send out our clarifications via while r=
    ounding or via email. We also calculate the working APR-DRG. We meet our ne=
    w residents when they reach each unit so we do a brief session with them as=
    well as yearly division mtgs with the attending's. Lastly, we do one o=
    n ones with the attending's if we can't get to them during rounds.


    I was wondering of those of you with electronic medical records, how do you=
    incorporate your physician education.

    Thanks in advanced for your help.



    Stephanie Sandoval

    CDIS, Team Lead

    Children's Hospital Of Phila

    ---

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    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923




    --94eb2c081dacff1138053217b5fb--
  • Hi Jackie, yes we are similar, we are only 1.5 yrs old.
    I would love to compare notes with you. Can you forward me your email address.
    Thank you for your help.
    Stephanie

    Stephanie Hill Sandoval MSN Ed., BSN, RN
    Clinical Documentation Improvement Specialist Team Lead
    hillsandovals@email.chop.edu
    Phone 215 590 1844

    ________________________________________
    From: Pediatric CDI Talk [pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 5, 2016 12:00 AM
    To: Hill-Sandoval, Stephanie D
    Subject: re:[pediatric_cdi_talk] Physician education and rounding

    Hi, Stephanie~

    Our staffing sounds similar to yours: We each cover 3-4 units and round with our teams anywhere between 3-5 days per week in areas other than general med/surg. Problem is our CDSs are unit-based and our general med/surg units are team-based, so we don't round with the general med/surg teams.

    The CDSs are not involved in any formal education for the physicians. All of our education occurs informally during rounds or during the clarification process (via phone or PingMD if the MD has questions). We are a newer program (just had our first "birthday") so I am hoping that we can develop more formal education as our program evolves.

    Sorry not too much help, but I am curious to see what other programs are doing.

    Jackie Touch, MSN, RN, CCM
    CHOC Children's
    ---
    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 Pediatric CDI Talk as: hillsandovals@email.chop.edu
    If you would like to be removed from Pediatric CDI Talk, please send a blank email to
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    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
  • I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image001.png@01D1A6C6.AC14E140]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
    ---
    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 Pediatric CDI Talk as: katallenrn@gmail.com
    If you would like to be removed from Pediatric CDI Talk, please send a blank email to
    leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
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    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923




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  • Hi Kathy, thanks so much for the response. So it seems like we are on the same track. May I ask all of you who are reading this, if you are paper or electronic based. If you are electronic based do you work from home?

    Steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:14 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image001.png@01D1A6D0.BD450300]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
    ---
    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 Pediatric CDI Talk as: katallenrn@gmail.com
    If you would like to be removed from Pediatric CDI Talk, please send a blank email to
    leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@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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    ---

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  • I would like to join in an formal educational plan for the residents.
    Steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:14 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image001.png@01D1A6D1.51EDA700]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
    ---
    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 Pediatric CDI Talk as: katallenrn@gmail.com
    If you would like to be removed from Pediatric CDI Talk, please send a blank email to
    leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
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    Copyright 2013
    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923




    ---

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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.



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  • Good day to all.

    We are unit based .

    We collaborated with our pediatric house staff education department and established a CDI presentation (2 hours) with all first year residents as part of their pediatric 101. Then they come back for a refresher during their third year community pediatric residency. Each CDI does a service specific presentation on the top diagnoses they will encounter during their rotation and provide tips on clinical documentation.

    The future plan is to work with our local med school and do a presentation to senior medical students prior to the start of their residency.

    Thank you and have a blessed day.

    Raymond C Ramos
    Clinical Documentation Integrity
    Texas Children's Hospital
    832-824-3196
    rcramos@texaschildrens.org


    Connect With Texas Children's Hospital
    Website | Facebook | Twitter | YouTube | Blog


    [http://web.texaschildrens.org/multimedia/image/email/Email-TCH.gif]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:23 PM
    To: Ramos, Raymond Auremil C.
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Hi Kathy, thanks so much for the response. So it seems like we are on the same track. May I ask all of you who are reading this, if you are paper or electronic based. If you are electronic based do you work from home?

    Steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:14 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image003.png@01D1A6CA.3A55EF50]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
    ---
    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 Pediatric CDI Talk as: katallenrn@gmail.com
    If you would like to be removed from Pediatric CDI Talk, please send a blank email to
    leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
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    Copyright 2013
    HCPro, Inc., 75 Sylvan Street, Danvers MA 01923




    ---

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    You are receiving this message as a member of Pediatric CDI Talk as: dwilk@hmc.psu.edu

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  • Electronic. Staff were home based and are now back onsite. Was not effective remotely.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image001.png@01D1A6D7.A52D3D80]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 1:23 PM
    To: Wilk, Deanne
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Hi Kathy, thanks so much for the response. So it seems like we are on the same track. May I ask all of you who are reading this, if you are paper or electronic based. If you are electronic based do you work from home?

    Steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:14 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image001.png@01D1A6D7.A52D3D80]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
    ---
    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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  • Hi Raymond, that sounds great. I am going to forward this to my physician advisor. We currently do a 1hr orientation with our residents to the institution.

    Thanks, steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 1:53 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Good day to all.

    We are unit based .

    We collaborated with our pediatric house staff education department and established a CDI presentation (2 hours) with all first year residents as part of their pediatric 101. Then they come back for a refresher during their third year community pediatric residency. Each CDI does a service specific presentation on the top diagnoses they will encounter during their rotation and provide tips on clinical documentation.

    The future plan is to work with our local med school and do a presentation to senior medical students prior to the start of their residency.

    Thank you and have a blessed day.

    Raymond C Ramos
    Clinical Documentation Integrity
    Texas Children's Hospital
    832-824-3196
    rcramos@texaschildrens.org


    Connect With Texas Children's Hospital
    Website | Facebook | Twitter | YouTube | Blog


    [http://web.texaschildrens.org/multimedia/image/email/Email-TCH.gif]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:23 PM
    To: Ramos, Raymond Auremil C.
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Hi Kathy, thanks so much for the response. So it seems like we are on the same track. May I ask all of you who are reading this, if you are paper or electronic based. If you are electronic based do you work from home?

    Steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:14 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image002.png@01D1A6D8.D6B15E30]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
    ---
    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 Pediatric CDI Talk as: katallenrn@gmail.com
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  • Such great ideas in this thread...thanks, Stephanie for the original post!

    Majority of our records are EMR (only one service line is not up on the EMR) and we are all based on campus, no remote.

    Jackie
  • At Johns Hopkins ACH all service are on EMR. We have 3 CDI RNs & do not work remote at this time although we are hoping to have 1 day a week that we can remote in. At a different hospital where I previously worked we were allowed 1 remote day per week. The remote day was contingent upon meetings, unit-based census etc. It wasn't always the same day each week, but we tried to be consistent whenever possible.

    Kathy Wilson
    kawilso73@jhmi.edu
    John Hopkins ACH
    St Petersburg, FL



    On May 6, 2016, at 12:00 AM, Pediatric CDI Talk wrote:

    Such great ideas in this thread...thanks, Stephanie for the original post!

    Majority of our records are EMR (only one service line is not up on the EMR) and we are all based on campus, no remote.

    Jackie
    ---
    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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  • Hi Kathy, how many beds are in you institution?
    How often do you round, and what does your education to your medical staff look like?
    Thanks in advance.
    Steph

    -----Original Message-----
    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Monday, May 09, 2016 2:59 PM
    To: Hill-Sandoval, Stephanie D
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    At Johns Hopkins ACH all service are on EMR. We have 3 CDI RNs & do not work remote at this time although we are hoping to have 1 day a week that we can remote in. At a different hospital where I previously worked we were allowed 1 remote day per week. The remote day was contingent upon meetings, unit-based census etc. It wasn't always the same day each week, but we tried to be consistent whenever possible.

    Kathy Wilson
    kawilso73@jhmi.edu
    John Hopkins ACH
    St Petersburg, FL



    On May 6, 2016, at 12:00 AM, Pediatric CDI Talk wrote:

    Such great ideas in this thread...thanks, Stephanie for the original post!

    Majority of our records are EMR (only one service line is not up on the EMR) and we are all based on campus, no remote.

    Jackie
    ---
    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 Pediatric CDI Talk as: katallenrn@gmail.com If you would like to be removed from Pediatric CDI Talk, please send a blank email to leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
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  • --001a1148b588efb0a205326ebf36
    Content-Type: text/plain; charset=UTF-8

    Steph,

    We have 259 beds. I prefer to round daily, but the other CDI staff round
    2-3 x per week. Since we are unit based, education to medical staff is
    varied according to the CDI Specialist and their comfort level with
    knowledge and education. I know that does not give you any specific
    information, but our program is 2.5 years old and still not formalized. It
    has been functioning more like pre-coding than CDI. Since the addition of
    myself and another experienced RN we are slowly moving it forward. Our
    biggest hurdle is that our director, who is a wonderful HIM Director, has a
    difficult time understanding the clinical aspects of CDI. We are pushing
    forward as much as we can without causing conflict.
    I have been a CDI at other institutions where physician education was done
    in formal Power Point presentations at departmental meetings. I have also
    done informal teaching in a question and answer style during yearly all
    medical staff meetings.
    I hope this helps a little.

    Kathy


    On Mon, May 9, 2016 at 3:02 PM, Pediatric CDI Talk <
    pediatric_cdi_talk@hcprotalk.com> wrote:

    > Hi Kathy, how many beds are in you institution?
    > How often do you round, and what does your education to your medical staff
    > look like?
    > Thanks in advance.
    > Steph
    >
    > -----Original Message-----
    > From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    > Sent: Monday, May 09, 2016 2:59 PM
    > To: Hill-Sandoval, Stephanie D
    > Subject: Re: [pediatric_cdi_talk] Physician education and rounding
    >
    > At Johns Hopkins ACH all service are on EMR. We have 3 CDI RNs & do not
    > work remote at this time although we are hoping to have 1 day a week that
    > we can remote in. At a different hospital where I previously worked we
    > were allowed 1 remote day per week. The remote day was contingent upon
    > meetings, unit-based census etc. It wasn't always the same day each week,
    > but we tried to be consistent whenever possible.
    >
    > Kathy Wilson
    > kawilso73@jhmi.edu
    > John Hopkins ACH
    > St Petersburg, FL
    >
    >
    >
    > On May 6, 2016, at 12:00 AM, Pediatric CDI Talk <
    > pediatric_cdi_talk@hcprotalk.com> wrote:
    >
    > Such great ideas in this thread...thanks, Stephanie for the original post!
    >
    > Majority of our records are EMR (only one service line is not up on the
    > EMR) and we are all based on campus, no remote.
    >
    > Jackie
    > ---
    > 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 Pediatric CDI Talk as:
    > katallenrn@gmail.com If you would like to be removed from Pediatric CDI
    > Talk, please send a blank email to
    > leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@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 Pediatric CDI Talk as:
    > hillsandovals@email.chop.edu If you would like to be removed from
    > Pediatric CDI Talk, please send a blank email to
    > leave-pediatric_cdi_talk-20307913.232da67f2f645916bbadbb9906bdd6de@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 Pediatric CDI Talk as:
    > katallenrn@gmail.com
    > If you would like to be removed from Pediatric CDI Talk, please send a
    > blank email to
    >
    > leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
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    > HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
    >
    >

    --001a1148b588efb0a205326ebf36
    Content-Type: text/html; charset=UTF-8
    Content-Transfer-Encoding: quoted-printable

    Steph,
    We have 259 beds.=C2=
    =A0 I prefer to round daily, but the other CDI staff round 2-3 x per week.=
    =C2=A0Since we are unit based, education to medical staff is varied accordi=
    ng to the CDI Specialist and their comfort level with knowledge and educati=
    on.=C2=A0 I know that does not give you=C2=A0any specific information, but =
    our program is 2.5 years old and still=C2=A0not=C2=A0formalized.=C2=A0 It h=
    as been functioning more like pre-coding than CDI.=C2=A0 Since the addition=
    of myself and another experienced RN we are slowly moving it forward.=C2=
    =A0Our biggest hurdle is that our director, who is a wonderful HIM Director=
    , has a difficult time understanding the clinical aspects of CDI.=C2=A0 We =
    are pushing forward as much as we can without causing conflict.=C2=A0 I have been a=C2=A0CDI at other institutions where physician educatio=
    n was done in formal Power Point presentations at departmental meetings.=C2=
    =A0 I have also done informal=C2=A0teaching in a question and answer style =
    during yearly all medical staff meetings.=C2=A0 I hope this help=
    s a little.
    Kathy

    On Mon, May 9, 2016 at =
    3:02 PM, Pediatric CDI Talk <pediatric_cdi_talk@hcprotalk.c=
    om
    > wrote:
    Hi Kathy, how ma=
    ny beds are in you institution?

    How often do you round, and what does your education to your medical staff =
    look like?

    Thanks in advance.

    Steph



    -----Original Message-----

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]

    Sent: Monday, May 09, 2016 2:59 PM

    To: Hill-Sandoval, Stephanie D <hillsandovals@email.chop.edu>

    Subject: Re: [pediatric_cdi_talk] Physician education and roun=
    ding



    At Johns Hopkins ACH all service are on EMR.=C2=A0 We have 3 C=
    DI RNs & do not work remote at this time although we are hoping to have=
    1 day a week that we can remote in.=C2=A0 At a different hospital where I =
    previously worked we were allowed 1 remote day per week. The remote day was=
    contingent upon meetings, unit-based census etc.=C2=A0 It wasn't alway=
    s the same day each week, but we tried to be consistent whenever possible.


    Kathy Wilson

    kawilso73@jhmi.edu

    John Hopkins ACH

    St Petersburg, FL







    On May 6, 2016, at 12:00 AM, Pediatric CDI Talk <pediatric_cdi_talk@hcprotalk.com> wrote=
    :



    Such great ideas in this thread...thanks, Stephanie for the original post!


    Majority of our records are EMR (only one service line is not up on the EMR=
    ) and we are all based on campus, no remote.



    Jackie

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    ource.



    You are receiving this message as a member of Pediatric CDI Talk as: katallenrn@gmail.com If you would lik=
    e to be removed from Pediatric CDI Talk, please send a blank email to leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048=
    385fb0aeec4@hcprotalk.com


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    ---

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    ource.



    You are receiving this message as a member of Pediatric CDI Talk as:=
    hillsandovals@email.chop.e=
    du
    If you would like to be removed from Pediatric CDI Talk, please send=
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    3.232da67f2f645916bbadbb9906bdd6de@hcprotalk.com


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    --001a1148b588efb0a205326ebf36--
  • Hi Kathy, thanks for responding. My dept. is about 1.5yrs old as well, and the team seems like they are loosing their sense of worth. They too are feeling like they are only pre coders. I try to keep up the momentum with them and explain to them that this dept/program is a work ion progress. How have you kept up your momentum?
    Having a friend in Peds CDI is helpful, because we are so specialized and new to the game.
    Thanks again.

    Stephanie Hill Sandoval MSN Ed., BSN, RN
    Clinical Documentation Improvement Specialist Team Lead
    hillsandovals@email.chop.edu
    Phone 215 590 1844
    ________________________________
    From: Pediatric CDI Talk
    Sent: Monday, May 9, 2016 4:48 PM
    To: Hill-Sandoval, Stephanie D
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Steph,

    We have 259 beds. I prefer to round daily, but the other CDI staff round 2-3 x per week. Since we are unit based, education to medical staff is varied according to the CDI Specialist and their comfort level with knowledge and education. I know that does not give you any specific information, but our program is 2.5 years old and still not formalized. It has been functioning more like pre-coding than CDI. Since the addition of myself and another experienced RN we are slowly moving it forward. Our biggest hurdle is that our director, who is a wonderful HIM Director, has a difficult time understanding the clinical aspects of CDI. We are pushing forward as much as we can without causing conflict.
    I have been a CDI at other institutions where physician education was done in formal Power Point presentations at departmental meetings. I have also done informal teaching in a question and answer style during yearly all medical staff meetings.
    I hope this helps a little.

    Kathy


    On Mon, May 9, 2016 at 3:02 PM, Pediatric CDI Talk wrote:
    Hi Kathy, how many beds are in you institution?
    How often do you round, and what does your education to your medical staff look like?
    Thanks in advance.
    Steph

    -----Original Message-----
    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Monday, May 09, 2016 2:59 PM
    To: Hill-Sandoval, Stephanie D
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    At Johns Hopkins ACH all service are on EMR. We have 3 CDI RNs & do not work remote at this time although we are hoping to have 1 day a week that we can remote in. At a different hospital where I previously worked we were allowed 1 remote day per week. The remote day was contingent upon meetings, unit-based census etc. It wasn't always the same day each week, but we tried to be consistent whenever possible.

    Kathy Wilson
    kawilso73@jhmi.edu
    John Hopkins ACH
    St Petersburg, FL



    On May 6, 2016, at 12:00 AM, Pediatric CDI Talk wrote:

    Such great ideas in this thread...thanks, Stephanie for the original post!

    Majority of our records are EMR (only one service line is not up on the EMR) and we are all based on campus, no remote.

    Jackie
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  • We are service line based. 3 Peds nurses cover all specialties. We round with providers or meet one on one and education is informal as well as formal. We have two physician advisor as well as just brought on Physician Champions for each service line. Would like to be able to network on specific queries you are having to do at your facilities that relate specific to Peds.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image001.png@01D1AA9D.2D53F780]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Tuesday, May 10, 2016 9:09 AM
    To: Wilk, Deanne
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Hi Kathy, thanks for responding. My dept. is about 1.5yrs old as well, and the team seems like they are loosing their sense of worth. They too are feeling like they are only pre coders. I try to keep up the momentum with them and explain to them that this dept/program is a work ion progress. How have you kept up your momentum?
    Having a friend in Peds CDI is helpful, because we are so specialized and new to the game.
    Thanks again.
    Stephanie Hill Sandoval MSN Ed., BSN, RN
    Clinical Documentation Improvement Specialist Team Lead
    hillsandovals@email.chop.edu
    Phone 215 590 1844
    ________________________________
    From: Pediatric CDI Talk
    Sent: Monday, May 9, 2016 4:48 PM
    To: Hill-Sandoval, Stephanie D
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Steph,

    We have 259 beds. I prefer to round daily, but the other CDI staff round 2-3 x per week. Since we are unit based, education to medical staff is varied according to the CDI Specialist and their comfort level with knowledge and education. I know that does not give you any specific information, but our program is 2.5 years old and still not formalized. It has been functioning more like pre-coding than CDI. Since the addition of myself and another experienced RN we are slowly moving it forward. Our biggest hurdle is that our director, who is a wonderful HIM Director, has a difficult time understanding the clinical aspects of CDI. We are pushing forward as much as we can without causing conflict.
    I have been a CDI at other institutions where physician education was done in formal Power Point presentations at departmental meetings. I have also done informal teaching in a question and answer style during yearly all medical staff meetings.
    I hope this helps a little.

    Kathy


    On Mon, May 9, 2016 at 3:02 PM, Pediatric CDI Talk wrote:
    Hi Kathy, how many beds are in you institution?
    How often do you round, and what does your education to your medical staff look like?
    Thanks in advance.
    Steph

    -----Original Message-----
    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Monday, May 09, 2016 2:59 PM
    To: Hill-Sandoval, Stephanie D
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    At Johns Hopkins ACH all service are on EMR. We have 3 CDI RNs & do not work remote at this time although we are hoping to have 1 day a week that we can remote in. At a different hospital where I previously worked we were allowed 1 remote day per week. The remote day was contingent upon meetings, unit-based census etc. It wasn't always the same day each week, but we tried to be consistent whenever possible.

    Kathy Wilson
    kawilso73@jhmi.edu
    John Hopkins ACH
    St Petersburg, FL



    On May 6, 2016, at 12:00 AM, Pediatric CDI Talk wrote:

    Such great ideas in this thread...thanks, Stephanie for the original post!

    Majority of our records are EMR (only one service line is not up on the EMR) and we are all based on campus, no remote.

    Jackie
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  • Forgot to mention. This is done every two weeks all year to cover all first year residents.

    Thank you.

    Raymond C Ramos
    Clinical Documentation Integrity
    Texas Children's Hospital
    832-824-3196
    rcramos@texaschildrens.org
    [http://web.texaschildrens.org/multimedia/image/email/Email-TCH.gif]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 1:22 PM
    To: Ramos, Raymond Auremil C.
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Hi Raymond, that sounds great. I am going to forward this to my physician advisor. We currently do a 1hr orientation with our residents to the institution.

    Thanks, steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 1:53 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Good day to all.

    We are unit based .

    We collaborated with our pediatric house staff education department and established a CDI presentation (2 hours) with all first year residents as part of their pediatric 101. Then they come back for a refresher during their third year community pediatric residency. Each CDI does a service specific presentation on the top diagnoses they will encounter during their rotation and provide tips on clinical documentation.

    The future plan is to work with our local med school and do a presentation to senior medical students prior to the start of their residency.

    Thank you and have a blessed day.

    Raymond C Ramos
    Clinical Documentation Integrity
    Texas Children's Hospital
    832-824-3196
    rcramos@texaschildrens.org


    Connect With Texas Children's Hospital
    Website | Facebook | Twitter | YouTube | Blog


    [http://web.texaschildrens.org/multimedia/image/email/Email-TCH.gif]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:23 PM
    To: Ramos, Raymond Auremil C.
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    Hi Kathy, thanks so much for the response. So it seems like we are on the same track. May I ask all of you who are reading this, if you are paper or electronic based. If you are electronic based do you work from home?

    Steph

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 12:14 PM
    To: Hill-Sandoval, Stephanie D
    Subject: RE: [pediatric_cdi_talk] Physician education and rounding

    I have not heard of that but think that is an amazing idea. I would be glad to help with that as well.

    Deanne Wilk, BSN, RN, CCDS, CCS
    AHIMA-approved ICD-10-CM/PCS Trainer
    Manager, Clinical Documentation Improvement
    Penn State Health
    P.O. Box 850 Mail Code HU02
    Hershey, Pennsylvania 17033
    Office: (717) 531-7312
    Cell: (717) 580-1436
    E-mail: dwilk@hmc.psu.edu

    [cid:image002.png@01D1AAC6.96C95B00]

    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Thursday, May 05, 2016 11:19 AM
    To: Wilk, Deanne
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Greetings from sunny Florida!

    Our CDI staff rounds with physicians 3-5 days a week depending on the CDI Specialist and the unit. We are unit based in our assignments. We do informal education in person during and after rounds. I also provide clinical research on topics they are interested in. I work with the Critical Care team and have developed formal education that is presented during division meetings. I also work with them on personalizing their Progress Note templates in the EMR so that their drop down choices are appropriate and specific to Pediatric Critical Care.

    An interesting point is that I have had the more experienced residents suggest a formal CDI program be taught during residency, separate from direct patient care. I have a degree in Education as well as Nursing and would love such as opportunity. Perhaps the course could be called "Documenting in Diagnostic Language". One of the phrases we all use frequently is "turn your signs and symptoms into a formal diagnosis". Does anyone know of such a program or is anyone else interested in developing one?

    Keep on truckin"

    Kathy Wilson, BSN BA
    Johns Hopkins ACH
    St Petersburg, FL
    727 676-2797






    On Mon, May 2, 2016 at 12:53 PM, Pediatric CDI Talk wrote:
    Hello fellow CDI's. Hope all is well. We are in the process of possibly revising our rounding and physician education format.
    At this point each CDI covers 3-4 units and round once a week with each unit. We are totally electronic and we send out our clarifications via while rounding or via email. We also calculate the working APR-DRG. We meet our new residents when they reach each unit so we do a brief session with them as well as yearly division mtgs with the attending's. Lastly, we do one on ones with the attending's if we can't get to them during rounds.

    I was wondering of those of you with electronic medical records, how do you incorporate your physician education.
    Thanks in advanced for your help.

    Stephanie Sandoval
    CDIS, Team Lead
    Children's Hospital Of Phila
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  • --94eb2c081dacb0e69f0532aebde8
    Content-Type: text/plain; charset=UTF-8

    Steph and All,

    This is a great blog. I find it interesting that there is not one mention
    of Pediatric specific "coding". The issues discussed here are particular
    to CDI Specialists.
    I would like to keep this going so I propose we look at each topic
    separately and try to get more specific information to share.
    The issues that everyone seems to be interested in are:

    1. Joining Rounds
    2. In-house Physician Education
    3. CDI Staffing
    4. CDI Morale
    5. Resident/Med School Formal Education Program Development

    If anyone is interested in taking a topic, let me know and I will post more
    information on this blog.
    Please feel free to email or call me. My contact information is listed
    below.

    To all the CDI RNs Happy Nurse's Week!

    Kathy Wilson BSN,BA CDIS
    Johns Hopkins All Children's Hospital
    St Petersburg, FL
    kwilso73@jhmi.edu
    727 767-2797


    On Wed, May 11, 2016 at 12:00 AM, Pediatric CDI Talk <
    pediatric_cdi_talk@hcprotalk.com> wrote:

    > Hi Guys,
    > Our program is 4 years old but have only been doing "traditional CDI" for
    > about 1.5yrs, only added 2 more staff members 6 months ago. So, we are
    > still trying to gain momentum also. One of our goals is to do rounding but
    > not quite there yet. We are a freestanding children's and women's hospital
    > so we have one person that does our high risk OB and GYN Oncology pts/PICU,
    > another that does our Peds units and I will start doing our NICU. I've been
    > training the other two but will be starting NICU soon. I am hoping that we
    > can implement rounding by the fall. It wouldn't be an issue in our PICU but
    > will be a challenge on the GYN and Peds floors as we are a teaching
    > facility and there are multiple "teams" taking care of the patients. Would
    > love to hear anyone else's staffing model, query issues, etc... Peds CDI is
    > definitely a different world and we have to help each other!
    >
    > Thanks,
    > Jeff
    > jwmorris@health.southalabama.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 Pediatric CDI Talk as:
    > katallenrn@gmail.com
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    > blank email to
    >
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    > Copyright 2013
    > HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
    >

    --94eb2c081dacb0e69f0532aebde8
    Content-Type: text/html; charset=UTF-8
    Content-Transfer-Encoding: quoted-printable

    Steph and All,
    This is a great blog. I =
    find it interesting that there is not one mention of Pediatric specific &qu=
    ot;coding".=C2=A0 The issues discussed here are particular to CDI Spec=
    ialists.=C2=A0I would like to keep this going so I propose we lo=
    ok at each topic separately and try to get more specific information to sha=
    re.=C2=A0The issues that everyone seems to be interested in are:=
    =C2=A0
    1.=C2=A0 Joining Rounds2.=C2=A0 =
    In-house Physician Education
    3.=C2=A0 CDI Staffing=
    4.=C2=A0 CDI Morale5.=C2=A0 Resident/Med School Formal Education=
    Program Development
    If anyone is interested in ta=
    king a topic, let me know and I will post more information on this blog.Please feel free to email or call me.=C2=A0 My contact information =
    is listed below.
    To all the CDI RNs Happy Nurse&#3=
    9;s Week!=C2=A0
    Kathy Wilson BSN,BA CDISJohns Hopkins All Children's HospitalSt Petersburg, FLkwilso73@jhmi.edu=
    727 767-2797

    On Wed, May 11, 2016 at 12:00 AM, Pediatric CDI Talk =
    <pediatric_cdi_talk@hcprotalk.com> wrote:
    =
    Hi Guys,

    Our program is 4 years old but have only been doing "traditional CDI&q=
    uot; for about 1.5yrs, only added 2 more staff members 6 months ago. So, we=
    are still trying to gain momentum also. One of our goals is to do rounding=
    but not quite there yet. We are a freestanding children's and women&#3=
    9;s hospital so we have one person that does our high risk OB and GYN Oncol=
    ogy pts/PICU, another that does our Peds units and I will start doing our N=
    ICU. I've been training the other two but will be starting NICU soon. I=
    am hoping that we can implement rounding by the fall. It wouldn't be a=
    n issue in our PICU but will be a challenge on the GYN and Peds floors as w=
    e are a teaching facility and there are multiple "teams" taking c=
    are of the patients. Would love to hear anyone else's staffing model, q=
    uery issues, etc... Peds CDI is definitely a different world and we have to=
    help each other!



    Thanks,

    Jeff

    jwmorris@health.southal=
    abama.edu




    ---

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    ource.



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    --94eb2c081dacb0e69f0532aebde8--
  • Hi Kathy, yes it is great. As a new CDI program I enjoy hearing from other programs as well as sharing my experiences. I would also like to piggyback off what you ask to add to the joining rounds section, to request if each program is via paper or electronic, because that will affect your rounding rotation.

    All of the topics are great, I can’t decide which one I would like to join.
    I will take joining roudns and CDI Morale.

    Thanks so much.


    From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    Sent: Friday, May 13, 2016 12:00 AM
    To: Hill-Sandoval, Stephanie D
    Subject: Re: [pediatric_cdi_talk] Physician education and rounding

    Steph and All,

    This is a great blog. I find it interesting that there is not one mention of Pediatric specific "coding". The issues discussed here are particular to CDI Specialists.
    I would like to keep this going so I propose we look at each topic separately and try to get more specific information to share.
    The issues that everyone seems to be interested in are:

    1. Joining Rounds
    2. In-house Physician Education
    3. CDI Staffing
    4. CDI Morale
    5. Resident/Med School Formal Education Program Development

    If anyone is interested in taking a topic, let me know and I will post more information on this blog.
    Please feel free to email or call me. My contact information is listed below.

    To all the CDI RNs Happy Nurse's Week!

    Kathy Wilson BSN,BA CDIS
    Johns Hopkins All Children's Hospital
    St Petersburg, FL
    kwilso73@jhmi.edu
    727 767-2797


    On Wed, May 11, 2016 at 12:00 AM, Pediatric CDI Talk wrote:
    Hi Guys,
    Our program is 4 years old but have only been doing "traditional CDI" for about 1.5yrs, only added 2 more staff members 6 months ago. So, we are still trying to gain momentum also. One of our goals is to do rounding but not quite there yet. We are a freestanding children's and women's hospital so we have one person that does our high risk OB and GYN Oncology pts/PICU, another that does our Peds units and I will start doing our NICU. I've been training the other two but will be starting NICU soon. I am hoping that we can implement rounding by the fall. It wouldn't be an issue in our PICU but will be a challenge on the GYN and Peds floors as we are a teaching facility and there are multiple "teams" taking care of the patients. Would love to hear anyone else's staffing model, query issues, etc... Peds CDI is definitely a different world and we have to help each other!

    Thanks,
    Jeff
    jwmorris@health.southalabama.edu

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  • Thanks Steph. We'll see how this goes and I will get some organization to
    it..


    Kathy

    On Fri, May 13, 2016 at 9:45 AM, Pediatric CDI Talk <
    pediatric_cdi_talk@hcprotalk.com> wrote:

    > Hi Kathy, yes it is great. As a new CDI program I enjoy hearing from other
    > programs as well as sharing my experiences. I would also like to piggyback
    > off what you ask to add to the *joining rounds* section, to request if
    > each program is via paper or electronic, because that will affect your
    > rounding rotation.
    >
    >
    >
    > All of the topics are great, I can’t decide which one I would like to join.
    >
    > I will take joining roudns and CDI Morale.
    >
    >
    >
    > Thanks so much.
    >
    >
    >
    >
    >
    > *From:* Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
    > *Sent:* Friday, May 13, 2016 12:00 AM
    > *To:* Hill-Sandoval, Stephanie D
    > *Subject:* Re: [pediatric_cdi_talk] Physician education and rounding
    >
    >
    >
    > Steph and All,
    >
    >
    >
    > This is a great blog. I find it interesting that there is not one mention
    > of Pediatric specific "coding". The issues discussed here are particular
    > to CDI Specialists.
    >
    > I would like to keep this going so I propose we look at each topic
    > separately and try to get more specific information to share.
    >
    > The issues that everyone seems to be interested in are:
    >
    >
    >
    > 1. Joining Rounds
    >
    > 2. In-house Physician Education
    >
    > 3. CDI Staffing
    >
    > 4. CDI Morale
    >
    > 5. Resident/Med School Formal Education Program Development
    >
    >
    >
    > If anyone is interested in taking a topic, let me know and I will post
    > more information on this blog.
    >
    > Please feel free to email or call me. My contact information is listed
    > below.
    >
    >
    >
    > To all the CDI RNs Happy Nurse's Week!
    >
    >
    >
    > Kathy Wilson BSN,BA CDIS
    >
    > Johns Hopkins All Children's Hospital
    >
    > St Petersburg, FL
    >
    > kwilso73@jhmi.edu
    >
    > 727 767-2797
    >
    >
    >
    >
    >
    > On Wed, May 11, 2016 at 12:00 AM, Pediatric CDI Talk <
    > pediatric_cdi_talk@hcprotalk.com> wrote:
    >
    > Hi Guys,
    > Our program is 4 years old but have only been doing "traditional CDI" for
    > about 1.5yrs, only added 2 more staff members 6 months ago. So, we are
    > still trying to gain momentum also. One of our goals is to do rounding but
    > not quite there yet. We are a freestanding children's and women's hospital
    > so we have one person that does our high risk OB and GYN Oncology pts/PICU,
    > another that does our Peds units and I will start doing our NICU. I've been
    > training the other two but will be starting NICU soon. I am hoping that we
    > can implement rounding by the fall. It wouldn't be an issue in our PICU but
    > will be a challenge on the GYN and Peds floors as we are a teaching
    > facility and there are multiple "teams" taking care of the patients. Would
    > love to hear anyone else's staffing model, query issues, etc... Peds CDI is
    > definitely a different world and we have to help each other!
    >
    > Thanks,
    > Jeff
    > jwmorris@health.southalabama.edu
    >
    >
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    > ---
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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.
    >
    >
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    > 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 Pediatric CDI Talk as: katallenrn@gmail.com
    > If you would like to be removed from Pediatric CDI Talk, please send a blank email to leave-pediatric_cdi_talk-20296935.6ebaf8e5448b361091048385fb0aeec4@hcprotalk.com
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