3M's CDIS
In my previous concerns about CDIS, one of them was that we no longer have access to patient disposition field as opposed to DocMS. 3M tells me the reason for this is the assumption that we are only performing concurrent reviews on living patients. We are not just performing reviews on living patients. We also do mortality reviews. As it turns out, not only are we hampered with regard to disposition in AMI, but also Respiratory Arrest is not an MCC if the patient expires. It is a CC in expired patients. In CDIS we cannot designate that the patient expired via a code. Therefore, we have the incorrect DRG.
Does anyone know how to correct for this in CDIS?
Donna
Does anyone know how to correct for this in CDIS?
Donna
Comments
With regard to your doing mortality review and not being able to put in a disposition code using CDIS, I would suggest that you use a stand alone encoder for the review.
I also do mortality reviews and enter them into CDIS. Your post got me to thinking of how I could improve my processes.
This sounds like an enhancement to the CDIS system that we need to request. We may also want to request a report and possibly a worklist for mortality reviews.
CDI is always evolving and we need to work with our vendors to keep them current.
I will put this in as an enhancement request for an updated software release. I suggest you do the same and if there are others using CDIS that would be great for them to do also.
Shelia Bullock, RN, BSN, MBA, CCM, CCDS
Director, Clinical Documentation Improvement
University of Mississippi Health Care
2500 North State Street
Room H139
Jackson, MS 39216
T: 601-815-3079 P: 601-815-3079 F: 601-815-9505
sabullock@umc.edu
umhc.com
enhancement about three times. It would be helpful for you to do the
same. Thank you, 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