Computer assisted coding and CDI

katysuegood@gmail.comkatysuegood@gmail.com
in CDI Talk Archive
We had a demo yesterday of the CDI portion of Dolbey's CAC program. We currently use CLARO/CDR2 for CDI and have been happy with there product. However, I have no experience with any other CDI product. The CAC program allows virtually all documents within the medical record to feed into the CAC program. Diagnosis are highlighted and coded automatically and then CDI would be able to add or "scratch out" dx. Queries can be generated automatically within the prodict and sent to the providers inbox. A problem list can be generated and fed back into Cerner.
I am curious if anyone has seen or used this product and if there have any feedback.

Thanks,
Katy

Comments

  • tiffany_susantiffany_susan
    edited April 2016
    We are scheduled to review this for our CDI program with 3M soon, however
    ... I am concerned as our coders are currently using this CAD software and
    I see were they are not reviewing the whole record, just looking at the
    highlighted areas. This in it self wouldn't be a problem except they are
    not looking at the highlighted word in the context of the sentence. For
    example:

    MD writes: ruled out sepsis ...... sepsis is the word highlighted there
    for it gets coded.

    I think it is like any tool, if it is used correctly it can be an asset.
    Thank You,
    Susan Tiffany RN, CCDS
    Supervisor Clinical Documentation Program
    Guthrie Healthcare System
    phone: 570-887-6094
    fax: 570-887-5152
    email: tiffany_susan@guthrie.org
    "Twenty years from now you will be more disappointed by the things you
    didn't do than by the ones you did do. So throw off the bowlines. Sail
    away from safe harbor.Catch the trade winds in your sails. Explore. Dream.
    Discover." Mark Twain





  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    Yes, our coding manager sat in on the demo and had the same concerns. Unfortunately, I have been left out of most of the discussion prior to this and I am still trying to work out where we are in this process. I am getting the feeling that the hospital really wants the CAC program, I am just not sure where that leaves the CDI team. We just renewed our contract with CLARO for an additional year and I am trying to weigh out if it will make sense to move forward with this program even though we have already committed to CLARO.

    Katy Good, RN, BSN
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Office: 928.214.3864
    Cell: 928.814.9404

  • Linda_RhodesLinda_Rhodes
    edited April 2016
    Hi Sheila,
    We use 3M and just implemented CAC 2 weeks ago. i would be glad to discuss with you offline.
    Thanks,
    Linda


    Linda Rhodes RN, BSN, CCDS
    Manager Clinical Documentation
    Improvement
    New Hanover Regional Medical Center
    Wilmington, North Carolina 28402
    Office # 910-815-5544
    Cell " 910-777-8344
    e-mail : linda.rhodes@nhrmc.org

    "I have a Code for that"
    Visit Capsuleslive for more information on ICD-10 implementation

  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited April 2016
    We also just implemented a few weeks ago. Please feel free to contact me.

    Don

    Donald A. Butler, RN, BSN
    Manager, Clinical Documentation Advisor Program
    Vidant Health, Greenville NC
    DButler@vidanthealth.com ( mailto:mDButler@vidanthealth.com )


    ===================
  • kmaritankmaritan
    edited April 2016
    3M's marketing amazes me for such a poor product. We have had their
    computer assisted program for a year and a half now. I have been a
    Clinical Documentation Specialist for 9 1/2 years now and much
    experience using the encoder for reviews as well as the DRG Expert.
    This product gives wrong codes all the time and, in general, has taken
    me so much more time. Totally decreases my productivity. There are a
    couple decent features but not enough IMHO to warrant purchase and use.
    ICD-10 now being on hold changes things but I have often wondered if CAC
    could function at all considering all the mistakes for ICD-9. Also we
    have frequent upgrades approx every 2-3 weeks where we can't do our
    reviews at all for about an hour to two hours. This is followed, prob
    90% of the time, by many glitches and CAC keeps going down rest of day.
    I would grade my overall experience with CAC as an F.


    Karen Maritano, RN
    Clinical Documentation Specialist
    Legacy Health
    Portland, OR
    503-413-7148
    Kmaritan@lhs.org





  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    I am using CAC, also. If you want the name of the vendor, it is not 3M, please call my cell. Overall, the CAC is 'not ready for live time" as multiple codes are incorrectly assigned. I am a very experienced coder and I know how to use coding software. CAC is great in theory, but dangerous if one does not vet the assigned codes. I think the execution of CAC needs at least a few more years and it is not worth the $$$.

    Paul




    Paul Evans, RHIA, CCS, CCS-P, CCDS
  • kmaritankmaritan
    edited April 2016
    Thanks Paul

    I did confirm with our CDI Manager that our CAC here is a 3M product. It makes sense that there are other vendors.

    Karen

    Karen Maritano, RN
    Clinical Documentation Specialist
    Legacy Health
    Portland, OR
    503-413-7148
    Kmaritan@lhs.org



  • draperjdraperj
    edited April 2016
    We have Cerner and will be going to 3M 360 product for CDI program , we currently use JATA I would also be interested in ideas and tips learned along the way. Thanks

    Julie Draper
    CDI Team Lead
    Mercy Medical Center North Iowa

  • Unknown
    edited April 2016
    We use both programs. I'd be glad to answer questions if you like.
    Linda Haynes, RHIT, CCDS
    Manager, CDI
    lhaynes@lhs.org

  • jolene.filejolene.file
    edited April 2016
    Our facility uses the 3M 360 product for CDI. I personally think it works very well. In the initial phase there were problems & downtime but very little now. We have a monthly update that takes an hour usually. We have been using the product for several years so that makes a difference. Our team is composed of nurses & myself, a HIM professional.

    With regard to the accuracy of the 3M coding, there are coding errors but nothing is 100%. I don't believe there is anyway that any vendor can automate all the coding guidelines and nuances in documentation to obtain 100%. To use the CAC, I believe it is beneficial to have at least a basic knowlege of the coding rules & guidelines. It can be confusing for someone who has not had experience with an encoder & is not familiar with coding guidelines. From a CDI professional with coding experience, I believe CAC is a timesaver.

    Jolene File,RHIT,CCS,CPC-H,CCDS
    Documentation Improvement Specialist-Coder
    Hays Medical Center
    jolene.file@haysmed.com

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