Health Information Management

Maxim Moment: Success measurements in CDI

CDI Strategies, February 3, 2011

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by Steven Robinson, MS, PA-O, RN, CPUR

What are the most important factors that measure success and demonstrate a successful CDI solution? Just as there are differences in applying CDI processes, there will also be differing opinions on what is most important for monitoring CDI success. There are two key types of metrics that all programs should measure:
  1. Physician communication effectiveness
  2. CDI process progression
Physician communication reports depend on the queries provided to the physician. This data is generated from the following:
  • The volume of records with queries (e.g., the number of records with physician positive responses)
  • Information from the medical record generating a question or query (e.g., clarity of information)
  • The severity of illness (SOI) score difference (e.g., between the pre-query and the post-query information)
CDI process progression reports come from data aggregately collected from DRG assignment. These primarily include case-mix index (CMI), CC/MCC, and SOI/risk of mortality (ROM).
 
Editor’s note: In the April 2010 edition of the CDI Journal, Maxim Health Information Services began a year-long series of sponsored articles to examine some of the top trouble spots of CDI implementation.
 
Read the complete article in the Helpful Resources section on the ACDIS website.



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