CDI Committee/Sub-commitee?
In considering whether I should formulate a committee/sub-committee policy statement, I would like to pose a couple of questions to other members whether they have such a committee or sub-committee in place at their facility.
I believe that a sub-committee is probably adequate. For those who have such a thing, what is the reporting structure of your sub-committee? Is it HIM? What about Quality/PI? Under the ICD-10 committee? (ICD-10 where I am thinking of suggesting the CDI sub-committee report to). Who are the members? (HIM director/assistant dir; Physician advisor; Coding Manager; Hospitalist group leader; case management director; Quality/PI director; VPMA; anyone else?)
Can anyone send me any sample policies or committee statements for suggestions or review?
Thanks so much!
Mark
Mark N. Dominesey, RN, BSN, MBA, CCDS
Sr. Clinical Documentation Improvement Specialist
Sibley Memorial Hospital
5255 Loughboro Rd NW
Washington DC, 20016-2695
W: 202.660.6782
mdominesey@sibley.org
I believe that a sub-committee is probably adequate. For those who have such a thing, what is the reporting structure of your sub-committee? Is it HIM? What about Quality/PI? Under the ICD-10 committee? (ICD-10 where I am thinking of suggesting the CDI sub-committee report to). Who are the members? (HIM director/assistant dir; Physician advisor; Coding Manager; Hospitalist group leader; case management director; Quality/PI director; VPMA; anyone else?)
Can anyone send me any sample policies or committee statements for suggestions or review?
Thanks so much!
Mark
Mark N. Dominesey, RN, BSN, MBA, CCDS
Sr. Clinical Documentation Improvement Specialist
Sibley Memorial Hospital
5255 Loughboro Rd NW
Washington DC, 20016-2695
W: 202.660.6782
mdominesey@sibley.org
Comments
Hadn't seen any responses, so I guess I am going to have to ask what I am afraid are several 'stupid' questions!
I'm not sure what you are asking about in regards to committee --
Are you referring to an oversight or steering committee for your CDI program (attention directed at the CDI program, not outward toward the rest of the organization)?
or are you envisioning more of a link where CDI has a formal avenue to interconnect with other aspects of the organization (through the medical staff committee structure, the quality structure, ...)?
I am having difficulty envisioning what it is this committee's function, role, direction, etc. will be. Could you elaborate?
Maybe I'm just being dense.....or maybe I've just never been exposed to aspects of my own system? (now you have me getting really curious, as well as paranoid).
Don
Donald A. Butler, RN, BSN
Manager, Clinical Documentation
PCMH, Greenville NC
dbutler@pcmh.com
I was thinking about forming a committee even before I received Russo's (2010) book. But the book does an excellent job elaborating on what a CDI committee should entail.
There are two types of CDI committees according to Russo (pp. 49-51): an oversight committee that assists in the establishment of a CDI program and to provide continued administrative support; and an operations committee which is more concerned with the nuts and bolts of an established program. The oversight committee should meet bi-weekly or monthly in the early stages, then quarterly later on to assist with vision and strategy. The oversight committee has all the major players: CEO, CFO, CMO, HIM dir, etc, while the operations committee contains the folks that are helpful in directing the day-to-day work and facilitating communications with physicians and LIPs. This committee would contain your Him folks, case management folks, coders, all CDI staff, physician advisor etc.
With a facility my size (200-300 beds) I am thinking of chartering an oversight committee and an operations committee for the first year, then merging the two for mainly an advisory role (oversight) with the operations piece discussed when needed but mostly performed by CDI staff.
Any ideas?
Thanks so much for your input!
Mark
Reference: Russo, R. (2010). Clinical documentation improvement: Achieving excellence. Chicago: AHIMA.
Mark N. Dominesey, RN, BSN, MBA, CCDS
Sr. Clinical Documentation Improvement Specialist
Sibley Memorial Hospital
W: 202.660.6782
mdominesey@sibley.org