OP HCC Process and Reporting

abby.belcher@sih.netabby.belcher@sih.net
in CDI Expansion

Hello. Can anyone share, if they have EPIC, their HCC process for PCP office visits? We have an HCC CDIS tee up the provider in the system but are having trouble with follow up if the suggested HCC was documented on by the provider. It's been a clunky cumbersome process for both the providers and the CDI staff. Looking for a streamline process to keep providers from getting frustrated. Also, what kind of reports are being used to show progress in the HCC CDI program.

Thank you,

Abby Belcher, MS, RHIA

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Comments

  • slaconis@bch.orgslaconis@bch.org

    Hi Abby,

    How do you get the suggested HCC findings in front of the provider during the visit?

    We just started using Optum Clinivations which works in Epic to put an HCC Smartform in front of the provider when they open the chart for the visit. Unfortunately, I only can add conditions to the problem list. I really wish I could add them to the HCC Smartform.

    We have improved in terms of HCC capture since starting with Clinivations and they keep track of our progress.

    Maybe this would work for you?

    Thanks,

    Sarah Laconis, RN, CPC

  • barbikantnerbarbikantner

    We recently implemented the ambulatory CDI functionality in Epic for our PCPs, and will soon go live for specialists. It works within the HCC OPA, where our team can add comments/recommendations to already existing HCC OPAs, or we can trigger an OPA for a dx that was never captured before. The OPAs are then visible for the providers when the patient visit is started. If you have access to Galaxy, there are a lot of resources for this functionality along with build needs.

    After the visit occurs, we are able to see how the provider interacted with the OPA. We then use the sidebar query for any further clarifications

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