Clinical Documentation Opportunities in the Emergency Room

sherri.shockey

Is anyone staffing their Emergency Department with clinical documentation specialist to help with documentation for those patients that are being admitted? If so, how are you staffing? 24/7?
Thank you,

Sherri Shockey, RHIT, CCS, CHC
Director, Coding Integrity & Quality Review Services
Health Information Management
5201 Harry Hines Blvd
Dallas, Texas 75235
sherri.shockey@phhs.org
(214)590-1917
www.parklandhospital.com
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tiffany_susan

I am also interested with staffing and what exactly they are doing in the
ED?
Thank You,
Susan Tiffany RN, CCDS
Supervisor Clinical Documentation Program
Guthrie Healthcare System
phone: 570-882-6094, pager #465
fax: 570-882-6768
email: tiffany_susan@guthrie.org
"Twenty years from now you will be more disappointed by the things you
didn't do than by the ones you did do. So throw off the bowlines. Sail
away from safe harbor.Catch the trade winds in your sails. Explore. Dream.
Discover." Mark Twain

kmckaig

We actually have an RN coder who codes in the ED. Days M-F.

catladyrn

I would be interested in knowing what the RN role in the ER would be. I find it's hard enough getting documentation information with the H/P on board; is there enough data in the ER to work with? OTOH, if it's a viable concept, it might be very useful in a large hospital like mine in heading off problems at the pass.

Renee


Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center

tiffany_susan

This is a multipart message in MIME format.


The concept I have seen/would like, is more a quality role. The CDS would
be based in the ED, responsible for assisting with all of the following:
POA
HAC
Medical Necessity
Core Measures
Pressure ulcers
Cauti
The CDS would have the ability to documenting the record because they
would NOT be creating a DRG, they would initiate a worksheet with all
pertinent data, but not assign DRG's, therefore not have a conflict of
interest.

Thank You,
Susan Tiffany RN, CCDS
Supervisor Clinical Documentation Program
Guthrie Healthcare System
phone: 570-882-6094, pager #465
fax: 570-882-6768
email: tiffany_susan@guthrie.org
"Twenty years from now you will be more disappointed by the things you
didn't do than by the ones you did do. So throw off the bowlines. Sail
away from safe harbor.Catch the trade winds in your sails. Explore. Dream.
Discover." Mark Twain

catladyrn

Thanks, Susan. We have been very busy lately gearing up to add HACs/PSIs/POA, etc. to our bailiwick, and I am looking for ways to keep myself busy and interested, so I might work this up for our bosses. Appreciate the ideas.

Renee


Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center

Eshlemanb

sherri.shockey said:

Is anyone staffing their Emergency Department with clinical documentation specialist to help with documentation for those patients that are being admitted? If so, how are you staffing? 24/7? Thank you, Sherri Shockey, RHIT, CCS, CHC Director, Coding Integrity & Quality Review Services Health Information Management 5201 Harry Hines Blvd Dallas, Texas 75235 sherri.shockey@phhs.org (214)590-1917 www.parklandhospital.com [thumbnail]

Eshlemanb

Eshlemanb said:

sherri.shockey said:

Is anyone staffing their Emergency Department with clinical documentation specialist to help with documentation for those patients that are being admitted? If so, how are you staffing? 24/7? Thank you, Sherri Shockey, RHIT, CCS, CHC Director, Coding Integrity & Quality Review Services Health Information Management 5201 Harry Hines Blvd Dallas, Texas 75235 sherri.shockey@phhs.org (214)590-1917 www.parklandhospital.com [thumbnail]

bmurphy@hcpro.com

We recently had a nice presentation at the 2017 ACDIS conference on this topic. You can check out the .ppt slides here: https://acdis.org/resources/2017-conference-day-1-track-5-five-pillars-building-successful-cdi-program-emergency