Preparing for the Evolving Role of CDI: A Guide for Healthcare Professionals

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Preparing for the Evolving Role of CDI A Guide
for Healthcare Professionals
https//www.ezdi.com/
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• A recent survey by marketing research firm Black
  Book, revealed that an impressive 88 of
  hospitals confirmed quality improvements and
  increase in case mix index within six months of
  CDI implementation. Clinical documentation has
  long been at the heart of any regimen of patient
  care. The clipboard at the end of beds is long
  gone.
• Now replaced by multiplatform access to
  electronic health records (EHRs), physicians and
  other care providers have access to immediate and
  complete patient information.

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• The Current State of Clinical Documentation
• Clinical documentation serves several purposes
  such as quality reporting, public health data,
  and disease tracking and trending.
• But its major focus boils down to effective
  patient care. The failure to properly document
  can have severe consequences like

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• Incorrect treatment decisions
• Painful, expensive, and unnecessary diagnostic
  studies
• A lack of communication between referring
  physicians and consultants, resulting in a lack
  of follow-up with evaluation and treatment plans

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• Theres no single factor that leads to inadequate
  documentation.
• Many CDI experts cite the lack of understanding
  of the specific information that needs to be
  included.
• Physicians tend to document a lot of information
  however, due to lack of awareness, they dont use
  the appropriate words that could provide the
  highest level of specificity.

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• Time is another factor that works against
  providers. The number of patients that a
  physician or provider is required to examine in a
  day often leads to a tug of war. For most, the
  first feeling is their obligation toward the
  patient, making documentation the secondary
  priority.
• EHRs facilitate better documentation but deliver
  mixed results at best. The US HITECH Act of 2009
  tried enforcing better documentation through a
  wider adoption of EHRs but making physicians
  change their process of gathering clinical
  information is more than just providing an
  electronic format that could perpetuate unwanted
  habits.

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• While EHRs have resolved several legibility
  concerns and helped improve communication among
  providers, it has also become the cause of major
  concerns.
• Copying and pasting has become so rampant that
  almost every inpatient record in most hospitals
  is bloated with the same assessment and plan
  reiterated across time, impairing original
  thinking.

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• The Shift from Volume to Value-based Care
• Compliance concerns are always at the forefront
  of health care organizations strategies.
• Value-based purchasing and other reimbursement
  issues such as patient safety indicators, audits,
  and hospital-acquired complications (HAC) are
  dependent on reliable documentation.

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• This is why the Centers for Medicare and Medicaid
  Services (CMS) has implemented pay for
  performance, a value-based approach wherein the
  quality of care affects reimbursement.
• Pay for performance refers to an umbrella term
  for initiatives aimed at improving the quality,
  efficiency, and overall value of healthcare.
• That being said, while most CDI experts are aware
  of pay for performance, many are still unaware
  of how CMS implements it.

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• The role of CDI in Improving Processes
• CDI specialists who use a traditional review
  process can easily identify HACs as they are
  limited in number and within the scope of a CDI
  review (i.e., theyre classified as CCs/MCCs).
• However, each of the measure types has different
  inclusion and exclusion criteria, cohorts, and
  risk adjustment data and methodology.

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• Clinical documentation in a value-based care
  requires organizational investment.
• Incorporating a value-based approach calls for a
  paradigm shift in CDI approach, including
  workflow, staffing, and performance metrics.
• CDI departments need to modify their review
  processes to consider the impact of risk
  adjustment or introduce a new review format that
  solely focuses on the performance of the quality
  measure.

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• Making a Difference with ezDI
• The growth of the global market for CDI can
  largely be attributed to its growing solutions
  segment.
• Often these solutions implement encoder systems,
  voice-text-speech recognition, and transcription
  systems.
• As a result, CDI solutions accounted for the
  largest share of the market in 2017.

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• Unlike traditional software solutions that
  require users to switch among windows for
  multiple functions, our solution has all the
  tools in one place.
• Each and every element of the platform is
  intuitive, designed to ensure maximum access to
  the resources (such as health record, clinical
  indicators, clinical evidence pertaining to
  coding, grouping, reimbursement, etc.) through
  minimal mouse clicks.
• To know more, subscribe to our blog/newsletter
  and to request a live demo, contact our experts.

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Contact us Visit Our Website-
https//www.ezdi.com/ Phone no- 8866408081
Address- 12806 Townepark Way, Louisville,
Kentucky 40243