Core measures and IPPS rule need urgent help

rmhosler1rmhosler1
edited May 2016 in CDI Talk Archive
Everyone:

I need emergent help. We have just been told that we need to
incorporate core measures into our work flow and the meeting is in 45
minutes!

We currently are an all CDS team and we recently starting reviewing for
medicare certification and now will start reviewing for core measures.


Does anyone have any documents they use in the daily review of these
items that you are utilizing and wouldn't mind sharing?

Thanks in advance!1



Mary A Hosler MSN, RN
Clinical Documentation Specialist
Alumnus CCRN
McLaren Bay Region
1900 Columbus Ave.
Bay City, Michigan 48708
(989) 891-8072
mary.hosler@mclaren.org

Comments

  • vleadbetter@cmcvtx.orgvleadbetter@cmcvtx.org
    edited May 2016
    Mary,
    I just sent you an e-mail with some attachments, hope they help.
    Thanks,
    Vickie Leadbetter, BS, HIM
    CDI Coordinator
    vleadbetter@cmcvtx.org
    Citizens Medical Center
    2701 Hospital Drive
    Victoria, Texas 77901
    361-572-5103 x5307
  • teresa.russoteresa.russo
    edited May 2016
    Vicky,

    I would love to have the information also. Our CDI department will be
    involved in Core Measures. Not sure how it will all work. I would
    appreciate any information you could spare.

    Thank You,

    Teresa

    Teresa Russo RN,CCM,CCDS
    Documentation Improvement Coordinator
    University Health System
    4502 Medical Drive
    San Antonio, Texas 78229
    ph:210-358-8608 fax: 210-358-4632
    teresa.russo@uhs-sa.com
  • dholowczakdholowczak
    edited May 2016
    At our hospital there are two of us and we look at the vaccine screens for the new admissions, CHF, MI, and PNA core measures. We make sure there is an echo ordered and if indicated an ACE or ARB has been ordered unless a reason is written. IF there is no reason for an ACE or ARB not being prescribed we email the unit director and send a notice to the physician to include this documentation. The unit director is then responsible for making sure the documentation is in the chart. The same for the MI patients. It is a little harder with the PNA patients because most of them are seen in the emergency room. So that really needs to be assessed in real time by the charge nurses in the emergency room. The surgical patients (SCIP core measures) are followed by a different team including an OR nurse, surgical nursing directors, and anesthesia. The SCIP core measure needs to be done in real time and followed everyday till discharge and we sometimes don't follow up with patients for three days.

    We were able to increase our compliance in CHF and MI to 100% for the past year and PNA to 90%.

    Hope this helps
    Deanna Holowczak, RN, BSN, CCDS
    Clinical Documentation Specialist
    St. John's Riverside Hospital
    Yonkers, NY 10701
    914-964-4580
  • lindenbm@bellsouth.netlindenbm@bellsouth.net
    edited May 2016
    Vicky,
    I would love to have the attachments as well.
    Thank you.
    Mary Lindenboom, RN, BSN, CCDS
    Clinical Documentation Manager
    Flagler Hospital
    400 Health Park Blvd.
    St. Augustine, FL 32086
    (904) 819-4254
    mary.lindenboom@flaglerhospital.org
  • rmhosler1rmhosler1
    edited May 2016
    Thank you everyone!!

    Mary A Hosler MSN, RN
    Clinical Documentation Specialist
    Alumnus CCRN
    McLaren Bay Region
    1900 Columbus Ave.
    Bay City, Michigan 48708
    (989) 891-8072
    mary.hosler@mclaren.org
  • debra.stewart@halifaxregional.comdebra.stewart@halifaxregional.com
    edited May 2016
    As CDS we were helping with core measures on PNA, CHF, MI's and some surgical. It was almost too
    Debra Stewart RN, BSN
    Clinical Documentation Specialist
    Sentara/Halifax Regional Hospital
    South boston, va. 24592
    (434)-517-3317 Work
    (434)-222-9884 Cell

    much for us to keep up with. It was finally taken off of us to follow core measure!
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