PHYSICIAN QUERIES

dvitalone1dvitalone1
in CDI Talk Archive
Just recently started the CDI program at my facility. Is there any harm in having too many types of queries? I know the goal is to get the physicians to document in the progress notes, but since this is all new to them it is difficult. Our queries are a permanent part of the record. A small handful of physicians that I have educated are doing well, but there are many in which are not. My co worker wants to have a query for every thing ie: resp failure, surg debridement, renal failure, eetc. if this is the case then we could have a chart with 3-4 queries. i would love to know anyone's thoughts.
Thanks
Sheryl, boston, ma

Comments

  • kshumpertkshumpert
    edited May 2016
    When I have more than one query, I use a general query sheet. I limit the number of queries on the sheet as well. I have had much better response by limiting my query sheet to 1 or 2 questions. I am careful when I have multiple questions-asking myself if it is going to affect the DRG, affect SOI/ROM, or an audit risk. If it doesn't fall into one of those categories, then I usually don't ask. If there are that many issues on the chart, it might be in your best interest to have a one on one with the physician.


    Kathy
    Kathy Shumpert, RN, BSN

    Clinical Documentation Improvement Specialist
    Howard Regional Health System
    Office 765-864-8754
    Pager 765-604-0424
    Fax 765-453-8152

    A good novel tells us the truth about its hero; but a bad novel tells us the truth about its author. ~G.K. Chesterton

  • robert.hodges2robert.hodges2
    edited May 2016
    I have sent multiple queries to providers depending on the situation. If I can I consolidate them, but if they go written, I will send a different sheet for each query, that way I can log the response to each issue. Sometimes I'll get one addressed and the other ignored and this gives me an accurate response rate.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
     
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov
     
    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens

  • NormaBNormaB
    edited May 2016
    We have around 20-something standard queries. We can customize them for our specific needs. If I have more than one I combine them to a single sheet as best I can.

    At the "Dear Dr." I draw their attention to the fact there is more than one query. I then state in parentheses how many (2) and number them on the sheet.

    When one is answered I check it off, initial and date it and leave it for them to see that I am still waiting for an answer for the other one.

    Sometimes I get a better response when they see that I am reviewing and making note of the documentation.

    Our queries are not a permanent part odf the chart.

  • dallend@einstein.edudallend@einstein.edu
    edited May 2016

    We have many different query forms. The question is how many queries do you ask at one time. You do not want to bombard them with too many questions - they won't answer any of them. You need to prioritize your queries as to their importance to that specific chart. I try not to leave more than 2, once in a while 3, at a time. It depends on what I am asking.

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