2.50
Hdl Handle:
http://hdl.handle.net/10755/622511
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Pilot/Exploratory Study
Title:
The Impact of Clinical Documentation Improvement Specialists in the Critical Care Unit
Author(s):
Lattanzio, Rachael
Additional Author Information:
Rachael Lattanzio, BSN, RN; rlattanzio@capellauniversity.edu
Advisors:
Barry, Maria-Elena; D'Antonio, Jocelyn; Akif, Joseph
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

Abstract

Across the nation, hospitals are searching for a way to increase their case mix index (CMI), return on investment, and revenue from insurance companies. One of the most successful ways to enhance all three is by employing a clinical documentation improvement specialist (CDIS). Yet there are many factors that influence the success of a CDIS. This paper will follow the implementation and deduction of an eight-week CDI-program initiated in a critical care unit. The PICOT question posed is how does the implementation of a clinical documentation improvement specialist improve physician documentation and increase reimbursement in the critical care unit over an eight-week period? Through the methodical utilization of an access file to track and monitor queries, documentation inconsistencies, and trends, the CDI Specialist will be able to concurrently and positively impact the organization. CONCLUSION: Over an eight-week period the CDIS was able to ensure $107,542.35 of which would not have been recuperated had the CDIS not been reviewing documentation for missing, inconsistent, or conflicting clinical documentation. Yet over this two-month time frame, the CMI was virtually unchanged. There are many things that inhibited the overall success of an increase in CMI, including administrative support, the participation of physicians with education and documentation, the International Classification of Diseases- 10th edition (ICD-10) coding guidelines, as well as the coders assigned to the organization, and time. The implementation of a CDI –program proved to benefit not only the organization financially, but improved quality improvement and physician documentation.

            Key words: Clinical documentation improvement specialist, case mix index, physician documentation, and ICD-10.

 

Keywords:
documentation; case mix index
CINAHL Headings:
Documentation; Specialization; Nursing Role; Critical Care Nursing; Health Information Management Personnel; Case Mix
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-08-08T21:18:42Z
Date of Publication:
2017-08-08

Full metadata record

DC FieldValue Language
dc.contributor.advisorBarry, Maria-Elenaen
dc.contributor.advisorD'Antonio, Jocelynen
dc.contributor.advisorAkif, Josephen
dc.contributor.authorLattanzio, Rachaelen
dc.date.accessioned2017-08-08T21:18:42Z-
dc.date.available2017-08-08T21:18:42Z-
dc.date.issued2017-08-08-
dc.identifier.urihttp://hdl.handle.net/10755/622511-
dc.description.abstract<p class="SectionTitle">Abstract</p> <p>Across the nation, hospitals are searching for a way to increase their case mix index (CMI), return on investment, and revenue from insurance companies. One of the most successful ways to enhance all three is by employing a clinical documentation improvement specialist (CDIS). Yet there are many factors that influence the success of a CDIS. This paper will follow the implementation and deduction of an eight-week CDI-program initiated in a critical care unit. The PICOT question posed is how does the implementation of a clinical documentation improvement specialist improve physician documentation and increase reimbursement in the critical care unit over an eight-week period? Through the methodical utilization of an access file to track and monitor queries, documentation inconsistencies, and trends, the CDI Specialist will be able to concurrently and positively impact the organization.<em> </em><em>CONCLUSION:</em> Over an eight-week period the CDIS was able to ensure $107,542.35 of which would not have been recuperated had the CDIS not been reviewing documentation for missing, inconsistent, or conflicting clinical documentation. Yet over this two-month time frame, the CMI was virtually unchanged. There are many things that inhibited the overall success of an increase in CMI, including administrative support, the participation of physicians with education and documentation, the <em>International Classification of Diseases- 10<sup>th</sup> edition (ICD-10)</em> coding guidelines, as well as the coders assigned to the organization, and time. The implementation of a CDI –program proved to benefit not only the organization financially, but improved quality improvement and physician documentation.</p> <p>            <em>Key words</em>: Clinical documentation improvement specialist, case mix index, physician documentation, and ICD-10.</p> <p class="APAHeadingCenter" align="left"><strong> </strong></p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/*
dc.subjectdocumentationen
dc.subjectcase mix indexen
dc.titleThe Impact of Clinical Documentation Improvement Specialists in the Critical Care Uniten_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsRachael Lattanzio, BSN, RN; rlattanzio@capellauniversity.eduen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachPilot/Exploratory Studyen
dc.subject.cinahlDocumentationen
dc.subject.cinahlSpecializationen
dc.subject.cinahlNursing Roleen
dc.subject.cinahlCritical Care Nursingen
dc.subject.cinahlHealth Information Management Personnelen
dc.subject.cinahlCase Mixen
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