Capturing SOI and ROM

stacy.vaughnstacy.vaughn
in CDI Talk Archive
Hello everyone,
We currently capture for data purposes the DRG-CC/MCC data. We want to start collecting data on how we improved the SOI/ROM. Does anyone have a process in place to share?

Stacy

Comments

  • Unknown
    edited May 2016
    Are you in an AP DRG state?

    --Juan

  • stacy.vaughnstacy.vaughn
    edited May 2016
    nope

    Stacy Vaughn, RHIT, CCS
    Data Support Specialist/DRG Assurance
    Aurora Baycare Medical Center
    2845 Greenbrier Rd
    Green Bay, WI 54311
    Phone: (920) 288-8655
    Fax: (920) 288-3052




  • dsmith12h@aol.comdsmith12h@aol.com
    edited May 2016
    We have access to the 3m encoder. It will compute the DRG and also show the APR DRG and level of SOI and ROM. Many times we query our physicians even if we already have a cc/mcc because of the impact on SOI/ROM.






  • stacy.vaughnstacy.vaughn
    edited May 2016

    We also have the 3M. We will also query for SOI/ROM. How do you track if
    you made a difference over time?

    Stacy Vaughn, RHIT, CCS
    Data Support Specialist/DRG Assurance
    Aurora Baycare Medical Center
    2845 Greenbrier Rd
    Green Bay, WI 54311
    Phone: (920) 288-8655
    Fax: (920) 288-3052




  • dsmith12h@aol.comdsmith12h@aol.com
    edited May 2016
    We don't track this for financial impact realtive to reimbursement. We look at total number of queries monthly and determine the number of queries that moved the DRG and the number of queries that increased SOI/ROM. We also look at the CMI report for each month and compare it to the same month of the previous year to see if there has been any change. We have never been asked to track this, we just like to keep up with our accomplishments and have the data available.

    Debbie Smith RN, CDIS-CM





  • epraczepracz
    edited May 2016
    We do the same thing. We do this manually and we are in the process looking if our hospital generates a report with the SOI/ROM information by provider/service. We are working on getting this done electronically instead of manually counting every 3 month.
    Eileen Pracz, RN CDIS


  • tkreilingtkreiling
    I am curious on how this can be done manually? We do not currently have the software to figure SOI and ROM.
  • epraczepracz
    edited May 2016
    You still need the 3m encoder. Sorry, I mean putting are report together with all the information. Also, it would be nice to have a report that shows how the service/team is doing quarterly with this data that has been coded with SOI/ROM. This would be helpful to show that your teaching was effective.


  • dogdog
    I have the 3M encoder but do not see a function for AP DRG (I presume it must be purchased additionally). I have looked through all the corporate reports available to me to see if we have any statistics on SOI/ROM but no luck.

    Add me to the list of people who'd love to know how to compute this manually. Thx.

    Renee

    Linda Renee Brown, RN, CCRN, CCDS
    Clinical Documentation Specialist
    Arizona Heart Hospital
  • dsmith12h@aol.comdsmith12h@aol.com
    edited May 2016
    We use soft med. In the "documentation review" section it can be tailored for entering the data (IT can add field) and then a report can be created to pull the information you would like to include in the report (ie; SOI, ROM capture by physician or service group). I don't know if I'm helping or not. The data will have to still be entered manually into the program but with a stroke of a key a report can be generated.

  • Unknown
    edited May 2016
    Renee,

    On you 3M grouper, once you've computed the DRG, try right clicking on
    the DRG number. You get a drop down box, if you select "display
    secondary grouper data" you get AP DRG. Took my awhile to find on my
    system. Don't know if it's an extra or not, but worth a shot to look
    for.


  • dogdog
    Laura,

    Thanks for the tip, but it's whited out, so it must be a purchased add-on. I was getting really excited there for a minute. :)

    Renee

    Linda Renee Brown, RN, CCRN, CCDS
    Clinical Documentation Specialist
    Arizona Heart Hospital
  • epraczepracz
    edited May 2016
    Thank you!!! We have soft med this is great. We started entering our queries/responses in soft med this should help with getting a report together faster.


  • Unknown
    edited May 2016
    If you can put me on the list for manual computing of the SOI/ROM, I would appreciate it as well.


    Carla A. Heyn, RHIT, BS
    Clinical Documentation Specialist
    Elliot Hospital
    One Elliot Way
    Manchester, NH 03103
    603-663-3452
    cheyn@Elliot-HS.org




  • ddraizeddraize
    edited May 2016
    I would appreciate as well
    diane.draize@ministryhealth.org


  • laura.jansenlaura.jansen
    edited May 2016
    If possible I would also.

    Laura

    Laura Jansen, RN
    Clinical Documentation Specialist
    St. Joseph's Hospital
    9515 Holy Cross Lane
    Breese, IL. 62219
    618-526-5638
    ljansen@sjb.hshs.org



  • robert.hodges2robert.hodges2
    I think most of us would unless Brian wants to add it to the forms and tools library on the website.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • stacy.vaughnstacy.vaughn
    edited May 2016
    Yes, add me also. I am looking for a process on this.

    Stacy Vaughn, RHIT, CCS
    Data Support Specialist/DRG Assurance
    Aurora Baycare Medical Center
    2845 Greenbrier Rd
    Green Bay, WI 54311
    Phone: (920) 288-8655
    Fax: (920) 288-3052




  • Unknown
    edited May 2016
    Me too....please. Thanks.



    Gina Spatafore, RN

    Clinical Documentation Integrity Specialist

    Waterbury Hospital

    203 573 7647




  • nbrunson84nbrunson84
    I think this would be a great idea located on the Tools Site of ACDIS - I would like to be included for SOI/ROM as well.

    We keep a separate Excel Spreadsheet w/Queries where the CDS - only - has impacted the account for reimbursement. We have those who like to see the $$$ monthly.

    We use Quadramed and this does not have a Severity Level option - that I know of - unless it is an add-on. If someone else has Quadramed w/SOI/ROM I would love to hear from them.
  • dbutlerdbutler
    edited May 2016
    Took me a while to actually put my finger on it (kept having that, I know I read and interesting article quite relevant to this question....but WHERE is it?!?), but there was an interesting article in the January 2009 CDI Journal starting on page 11 from Dr. Gold that suggests some way to take a look at severity without the 3M grouper. Worth a look.

    Quoting part of the first page:
    "The remainder of this article details a simple method to audit the effectiveness of your CDI program by explaining how to record and graph some measure of severity of illness without using expensive software."

    Don

    Donald A. Butler, RN, BSN
    Manager, Clinical Documentation
    PCMH, Greenville NC
    dbutler@pcmh.com



  • epraczepracz
    edited May 2016
    Sorry but there no manual computing to figure out the SOI/ROM. We are just trying to show if the SOI increase d/t our querying and how to report it. Our reports show the number of queries and responses and if the query increase the SOI and this is done by looking at the coded case and using the encoder.



  • cstukenbergcstukenberg
    edited May 2016
    I would think that would be great. I would love to see it.

    Colleen Stukenberg MSN, RN, CMSRN, CCDS
    815-599-6820

  • nursronnamnursronnam
    Renee~ you may want to talk to the PFS at your facility. I beleive they can capture the SOI/ROM at the backend without having to purchase the AP-DRG portion of the 3M encoder. Worth a try. I have gotten it from our PFS to identify the SOI/ROM for deceased patients for MD education.

    Ronna

    Ronna Mahlen
    Manager of Clinical Documentation
    Overlake Hospital Medical Center
    ronna.mahlen@overlakehospital.org
  • stacy.vaughnstacy.vaughn
    edited May 2016
    dumb question- PFS?

    Stacy Vaughn, RHIT, CCS
    Data Support Specialist/DRG Assurance
    Aurora Baycare Medical Center
    2845 Greenbrier Rd
    Green Bay, WI 54311
    Phone: (920) 288-8655
    Fax: (920) 288-3052




  • dogdog
    I just went digging through our corporate reports and found a goldmine of APR severity numbers. I crunched them and shaped them and pulled up lists of SOI 1-4 by APR DRG, then sorted by FY for the past 3 years, drilling down 1st and 2nd quarter of this year. But what do I do with these numbers to figure out the CDS effect on SOI?

    Thanks in advance,

    Renee

    Linda Renee Brown, RN, CCRN, CCDS
    Clinical Documentation Specialist
    Arizona Heart Hospital
  • sbeattysbeatty
    edited May 2016
    I would think you need to compare data from before your program to
    what's happening now. Can you get the numbers for a year before you
    started CDI? Put that year on a graph and then each subsequent year to
    see a trend toward higher SOI. If all other things are considered equal
    (no special cause variance other than CDI) the improvement should show
    and be attributed to your efforts.

    Is there anything else I can do for you?
    Clinical Quality Management would like your feedback on our ability to
    meet your needs. Please complete a satisfaction survey for our
    department.

    Sandy Beatty, RN, BSN, C-CDI
    Clinical Documentation Specialist
    Columbus Regional Hospital
    Columbus, IN
    (812) 376-5652
    sbeatty@crh.org

    "Obstacles are those frightful things you see when you take your eyes
    off the goal." Hannah More

  • sbeattysbeatty
    edited May 2016
    My guess was patient financial services. That's what it stands for here.



    Is there anything else I can do for you?

    Clinical Quality Management would like your feedback on our ability to
    meet your needs. Please complete a satisfaction survey for our
    department.



    Sandy Beatty, RN, BSN, C-CDI

    Clinical Documentation Specialist

    Columbus Regional Hospital

    Columbus, IN

    (812) 376-5652

    sbeatty@crh.org



    "Obstacles are those frightful things you see when you take your eyes
    off the goal." Hannah More


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