Orientation/Training for Documentation Specialist
I would like to know what type of training program and/or orientation you received as a Documentation Specialist?
I am curious to find out if we are ALL on the same page as far as training goes.. If you have an orientation packet to share that would be appreciated too.
Thank You
Regina McCroskey, BSN
Munroe Regional Medical Center
Ocala, Fl.
I am curious to find out if we are ALL on the same page as far as training goes.. If you have an orientation packet to share that would be appreciated too.
Thank You
Regina McCroskey, BSN
Munroe Regional Medical Center
Ocala, Fl.
Comments
Tracy M Peyton RN, CCDS
Case Management
Bradford Regional Medical Center
Upper Allegany Health Systems
116 Interstate Parkway
Bradford, PA 16701
814-558-0406
Both the other CDI and I went to the HCPro bootcamp. Other than that, it was mainly a lot of research on my part. When I applied for the job, I had never even heard of an DRG (i was approached and asked to apply by a former co-worder who was mangaging the department we are under) and had no clue what I was getting into. I read the CDI handbook and probably everything on the ACDIS website. I did not start actually preforming reviews for over a month. I was new to the hospital as well so it was impartant that I "get a lay of the land" as well.
The second CDS was hired 4 months after me. She went to the HCPro bootcamp as well and I trained her myself. There were a few orientation materials posted under "forms and tools" and I used that as a guide.
For anyone who is thinking about sending new CDS' to the bootcamp,I recommend wating a few weeks to go. The bootcamp moves quickly and it is helpful to know a few basics and the theory behind CDI prior to attending.
useful.
Other than that, my B.S. as an RHIA and coding experience has been
tremendously helpful and directly relevant.
I find this blog and the articles and references available on this
website (and AHIMA) also very pertinent and helpful.
I would also like to mention that 2nd quarter, Coding Clinic, 1990, is
probably the 'single most' relevant Coding Clinic one can read for
topics relevant to documentation and coding, such as selection (and
defense) of principal diagnosis, reporting of qualifying secondary
conditions, etc.
Paul Evans, RHIA, CCS, CCS-P
Supervisor, Clinical Documentation Integrity, Quality Department
California Pacific Medical Center
2351 Clay #243
San Francisco, CA 94115
Cell: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
That being said, I believe that a properly constructed training plan can be produced in-house, and this is exactly what I plan to do. I will use elements of the CCDS study guide (purchasing one for each new member's use) as well as the AHIMA briefs about Queries and CDI programs. Additionally, I will be sure to include coding guidelines, orientation to coding clinics as well as how to use the DRG Assurance manual and the encoder/grouper.
The purchase of a CDI management application generally includes some training and that is probably the best course of action for new programs and inexperienced staff.
Mark
Mark N. Dominesey, RN, BSN, MBA, CCDS
Sr. Clinical Documentation Improvement Specialist
Sibley Memorial Hospital
W: 202.660.6782
http://www.sibley.org
Colleen Stukenberg
How exciting about writing a book. Has it been published? Where can I get a copy?
Regina McCroskey
My e-mail is ginpin@bellsouth.net
Thank You so much for the information.