query escalation policies and physician escalation process

Colleagues,

Our program is trying to define a formal and standardized process for both frequency and escalation of unresolved queries, and to define our process for handling non-responsive physicians.

I am specifically inquiring about defined policies (rather than coaching, teaching or physician engagement strategies).

If your organization has defined processes for these situations, I am interested in understanding the following information:

1. How many times do your CDI's query before considering the query unresolved or escalating the query? Perhaps at your organization this is defined either by the number of times a query goes out or by the number of days the query remains "open". If queries are "escalated" - what does this look like at your organization?

2. Does your organization have a formal escalation process for non-responsive physicians? If so, could you describe your process and what repercussions (if any) physicians might face for not responding to queries?

Many thanks in advance...

Tricia

Tricia McGinn, MBA, BSN, RN
Director, Documentation Integrity
NorthShore University HealthSystem
4901 Searle Parkway, Suite 330
Skokie, IL 60077
Phone: 847-982-4212
Fax: 847-982-4273
tmcginn@northshore.org


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