CDI PRODUCTIVITY STANDARDS
Hello,
I am a new CDI Leader, and my organization is evaluating the impact of our program. We are an Academic Medical Center and Level 1 Trauma Center. Our strategic goals have shifted to be more quality-focused, emphasizing Continued Stay reviews. However, we also aim to expand our review coverage throughout the organization.
While reading the ACDIS White Paper on Productivity, I understand there is no "one size fits all" approach to CDI Program Metrics and Productivity Standards. Nevertheless, I am unsure where to start when comparing our metrics to those of other organizations. Would anyone be willing to share their CDI metrics for Initial, Continued Stay, and Retrospective reviews, as well as team query benchmarks and review coverage expectations?
Comments
Hi - I am a newer leader as well and have be pondering about changing up our productivity metric, but unsure about the right way to approach.
Currently are model is as follows as the minimum daily expectation. We do have many who out perform this number regularly.
Initial - 10/day
Concurrent & Retro - 6/day
Query Rate Target - 35-40%
Coverage Rate Goal - 70%
Good Luck.
Janae Schumacher
Janae are your CDIs hourly or exempt? Also, do you review for both reimbursement and quality?
Hi - Our CDI are exempt employees. We review mainly at this time for reimbursement, but we are moving into the quality reviews.
I have 2 reviewers that review all mortalities; 2 reviewers that help in the DRG downgrade (denial space) along with the stated productivity in my previous post. All other reviewers do standard reviews and pay attention to Elixhauser scores and other PSI and HACs that show up on accounts.
Our department is under the Quality Umbrella. Our staff are exempt.
The Goals for the CDIS are as follows:
Initial Case Reviews Per Day min 10 Stretch:
Concurrent reviews: min 13 Stretch: >14
Overall Query rate: min 20 Stretch 33% or greater
overall coverage rate goal is 80% of the charts
Over our 16 hospitals we have 1 pediatric hospital with one reviewer.
We have 54 adult CDI reviewers.
Our mortalities that have not been reviewed concurrently are reviewed by a team member who works doing mortality.
Hi all, first time posting here so I hope this is the right platform. My team's metrics are currently to review an average of 28 charts/day. They are responsible for HCC capture/query submission, problem list management, reconciling outside diagnoses from claims, as well as satisfying any health maintenance topics that appear to be out of date. I have some who struggle to meet the metric, but they all do for the most part. As we shift gears and expand to other regions/divisions, take on new technology, and pivot to other projects as requested by our org. I am rethinking this number of reviews. Can anyone share insight into what a full chart review looks like for their team, and the productivity expectation?
Appreciate all feedback!