Computerized DRG Documentation Utilizing Midas

Unknown
in CDI Talk Archive
Good Morning-
I am a new subscriber to CDI talk. Our facility is considering implementing computerized DRG documentation using the Midas system. I reviewed the previous posts and was wondering if anyone had any updated information. We would like to gather the following information:
-is it user friendly?
-is the workflow cumbersome?
-is there a DRG Expert book loaded in Midas or do you need the book to locate codes to enter?

Any help would be greatly appreciated.

Thank you,
Katie Stummer,RN
St. Joseph's Hospital Health Center
Syracuse, NY

Comments

  • dvitalone1dvitalone1
    edited May 2016
    We use MIDAS. I feel it is user friendly but MIDAS does not automatically give you the DRG when you enter in to codes (at least the version we have doesn’t). We do not have a DRG Expert loaded into our MIDAS system but that doesn’t mean it can't be. All type of reports can be ran from MIDAS and our case managers document in MIDAS as well.
  • Linda_RhodesLinda_Rhodes
    edited May 2016
    Our facility has been using the Midas CDI module for about 2 years now. It is pretty user friendly with some customizable fields. We do have the DRG and ICD-9 dictionaries loaded into our fields for easy lookup. Our staff still need to use the DRG expert to determine DRG assignment. The reports are also customizable and we have been pretty happy with those. Our main obstacle has been that Coding does not use Midas, therefore the coders have to log into Midas to see the CDI work. We are moving to 3MCDIS software in January so that Coding and CDI is in the same software.
    Thanks,
    Linda

    Linda Rhodes RN, BSN, CCDS
    Manager Clinical Documentation Improvement
    New Hanover Regional Medical Center
    Wilmington, North Carolina
    Office # 910-815-5544
    Cell " 910-777-8344
    e-mail : linda.rhodes@nhrmc.org
  • Unknown
    edited May 2016
    Linda, 3M's CDIS DOES NOT provide customizable reports. You will need to
    manually track and calculate financial and quality variance just to name
    two. While CMI is an important benchmark, it is not the only concern.
    Call me if you want to discuss. Donna

    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • Unknown
    edited May 2016
    I think it may depend on the program purchased. We get reports quarterly from 3m. We can also run our own reports
  • Unknown
    edited May 2016
    Yes for a price in the initial contract you get what is called
    "Monitoring Reports". Those provide some use up to a point. However,
    there is some much more robust detail that is also useful and not just
    financially based.
    Financial Variance - i.e. if CDI intervened, what was the result
    comparing before and after.

    SOI/ROM Variance - if CDI intervened what was the result comparing
    before and after.

    Query Type Summation correlated with MDs - as of now you can only run a
    specific type query report that only gives you #Response, #Agrees, #NR.
    It does not tell you which docs answered which way. The only way you
    can get that is to run a separate reports indicating MD code and then it
    is not specific to query. You have to do your own correlation.

    Re: AMI. If patient Pdx is AMI and they expire, you can only get the
    discharged alive option DRG 280 instead of 283.

    Coding Missed Documentation- if there is documentation already in the
    record, coding misses it and you notify them, there is no report to
    indicate that CDI impact and coding does not keep a record of that here
    at least.

    In general 3M's concentration is on productivity i.e. # charts reviewed,
    # queries placed.

    Unless they have changed their available reports from 2 WEEKS ago, you
    will not get the above. But then it also depends on what your
    leadership is looking for.


    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • Unknown
    edited May 2016
    Ellen, we do not have CAC and have had CDIS since fall 2009.

    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • mdomineseymdominesey
    edited May 2016
    AFAIK, CDIS is separate from CAC. New installs of CAC require 360 Encompass which includes Computer Assisted Physician Documentation. Earlier contracts could just buy CAC. I installed 3M CAC at my previous hospital and absolutely loved it! (I was a networking/applications/tech person for 13 years before becoming a nurse so I was tasked with the Coding and CDI Applications).
    As to the customizable reports for CDIS, it is incorrect to say that you cannot get them. If you buy their report writing class they will teach you how to write reports that can extract so much more from the HDM or ClinTrac database than what is out of the box. They will even write specific reports for you (for a price, of course).
    HTH,
    Mark
    Mark N. Dominesey, RN, BSN, MBA, CCDS
    Sr. Clinical Documentation Improvement Specialist
    Sibley Memorial Hospital
    W: 202.660.6782
    http://www.sibley.org
  • Unknown
    edited May 2016
    You're oh so correct. Including the "...for a price..." statement which
    is not clear when they do the initial pitch. So I would say buyer
    beware and ask every single question you can think of with as much
    detail and specificity as possible. As you would when you purchase a
    high ticket item for personal use. Make sure it will meet your needs.

    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • ssalinasssalinas
    We used 3M's HDM prior to moving to Meditech, I loved HDM and the
    Report Writer. I was able to extract any data that was in the system in
    any design requested. On occasion I did request help from 3M but was
    never charged specifically for that service. When we converted to MT,
    we had to pay thousands of dollars to outside vendors to reproduce the
    same reports. LOVE 3M's Report Writer!!!
    Sharon
  • Unknown
    edited May 2016
    Out of curiosity, why did you make the move?
    Donna

    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • sbeattysbeatty
    I thought I'd weigh in this morning on the CDIS conversation. We had DocMS for years and went with CDIS 18 mos ago. It has the 3M encoder inside of the product so you can see in real time the exact level of detail the coders will need to accurately code the record. As for reports, 3M has always had a variety of canned reports that support the revenue cycle impact and staff productivity issues that administrators tend to focus on. However, the data in the reports can be displayed as excel worksheets, so just copy the table of data into Excel and then you can massauge your numbers any way you want. If you have data analysts in your organization (who doesn't these days), they can likely help with this or even build templates for you. That's basically what you would be paying 3M to do, instruct you on how to build the reports within CDIS as excel worksheets, minus all the full function of Excel. With ICD-10 approaching, the CDI buttons in CDIS that provide real time education about the diagnosis and potential clarification issues to consider will be invaluable. Just my two cents worth. Contct me if you have further questions. We have MIDAS in our organization as well, but elected to go with CDIS as our software to provide that real time education and to facilitate the work with HI since we report to Quality. HI coders have CDIS as well and use it collaboratively with us.
  • Unknown
    edited May 2016
    How do you compare DocMS to CDIS? Is CDIS a user friendly, easy to use product? Have you seen downsides to it?
    We have DocMS currently with a stand alone encoder. There has been consideration other options but no plans to change yet.


    Charlene
  • Unknown
    edited May 2016
    Could who ever sent this email contact me so I could benefit from your
    knowledge. I have not received that kind of support from 3M. Seeing as
    you do seem to have a certain level of proficiency, I would love to
    learn from it. Thanks, Donna

    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • Linda_RhodesLinda_Rhodes
    edited May 2016
    I would love the contact information also Donna, as we will be rolling out 3MCDIS in January.
    Thanks,
    Linda

    Linda Rhodes RN, BSN, CCDS
    Manager Clinical Documentation Improvement
    New Hanover Regional Medical Center
    Wilmington, North Carolina
    Office # 910-815-5544
    Cell " 910-777-8344
    e-mail : linda.rhodes@nhrmc.org
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