Measures for CDI Performance

Unknown

I would like to know what programs in existence over two years are using for data to show the need for the CDI progam. If you are using CMI, are you using the MS-DRG CMI or the APRDRG CMI?


Linda Haynes, RHIT
CDI/CDS Liaison
503-692-7498
lhaynes@lhs.org

tpeyton

ours are both because our insurances all are ms-drg cmi except for our medicaid which is using apr-drg

Tracy M Peyton RN, CCDS
Case Management
Bradford Regional Medical Center
Upper Allegany Health Systems
116 Interstate Parkway
Bradford, PA 16701
814-558-0406

robert.hodges2

I don't use case mix because for my facility I find it to be inaccurate. My current metrics as I start year 3 of the program here are provider response rates, whether the provider response impacted coding (CC, MCC, more precise code applied) as well as abandoned query rates and query response times. I also track the type of query sent so I can focus education on those areas. To make the bean counters happy, I also track a unique VA metric for VERA impact, which is how we receive most of our funding since we are not allowed by law to bill Medicare or Medicaid.

Hope this helps.

Robert

Robert S. Hodges, BSN, MSN, RN, CCDS
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602

evanspx@sutterhealth.org

Use the CMI, although I feel the CMI alone is a 'crude' metric when
applied to CDI efforts. We also track the Observed/Expected Mortality
- so, indirectly, this is tracking APR-DRGs.

Ideally, I feel we should track APR-DRG more closely as Medicaid will
use APR-DRG for our reimbursement.


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