Question: Hello- I would like some assistance with this case study from the book Case Studies in Health Information Management Case Study 5-21 Clinical Documentation Improvement
Hello- I would like some assistance with this case study from the book "Case Studies in Health Information Management"
Case Study 5-21
Clinical Documentation Improvement [CDI] Plan Evaluation
Rome hospital implemented a new CDI program six months ago. The Chief Financial Officer has requested an evaluation of the CDI to ensure that the facility received the desired results. The metrics identified in the evaluation will be used on an ongoing basis for compliance monitoring.
The CDI program reports to you, the HIM Director. You asked the supervisor of the CDI program to create a plan that you will use to evaluate the effectiveness of the program. In reviewing the metrics that the supervisor has proposed, you review the following list found in Table 5.9. Evaluate each metric to determine if it should be part of the ongoing monitoring. Justify your decision.
Table 5-9 is available on the student companion website for your use.
Table 5-9 CDI Metrics Evaluation
| CDI Metrics Evaluation | ||
| Metric | Included in Monitoring -Yes/No | Justification |
| Case mix index |
|
|
| Number of queries |
|
|
| Number of charts coded |
|
|
| Physician response rate to queries |
|
|
| Turnaround time to obtain physician response |
|
|
| Number of discharges |
|
|
| Days between discharge and final bill |
|
|
| Number of denials based on medical necessity |
|
|
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