Simple and complex pneumonias

This question is for Dr. Gold. We have a wonderful group of talented Pulmonologists who would like to know why they just cannot document HCAP/Complex pneumonia and why they need to document what bacteria they 'suspect' or is 'probable' related to the ATBs they are administering to their patients. There is some frustration on their part. My coworker and I have explained it as best we can. The coding 'rules' can be frustrating for all of us that work in this field. We have used a lot of information and research from this blog as we have developed our CDI program. It is a great resource. Please note that out organization is just a little over three years into a more formal CDI program. So we are relatively new at this yet. Do you have an answer that I can forward on to them? Thank you very much!

Mary L. Snook RN-BC
Clinical Documentation Improvement Specialist
Fairfleld Medical Center
401 N. Ewing St.
Lancaster, Ohio 43130
snook@fmchealth.org
 740-497-4443

Comments

  • Thank you sir. I really appreciate your straight forward and honest answer. I will forward this on to our pulmonologists and we will not go any farther with this type of query for information. I hope I might run into you at the conference. Take care.

    Mary L. Snook RN-BC
    Clinical Documentation Improvement Specialist
    Fairfleld Medical Center
    401 N. Ewing St.
    Lancaster, Ohio 43130
    snook@fmchealth.org
     740-497-4443

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