Clinical Documentation Improvement: Tips to Identify Patient Safety Indicator Targets

ACDIS
 

Clinical Documentation Improvement: Tips to Identify Patient Safety Indicator Targets

Presented by:
Mark LeBlanc, RN, MBA, CCDS
Michelle McCormack, RN, BSN, CCDS, CRCR

Join this webinar on Tuesday, December 20 from 1:00–2:30 p.m. Eastern

Clinical documentation improvement (CDI) programs need to expand their focus beyond CC/MCC capture reviews. New reimbursement methods are punishing facilities that cannot prove they meet certain quality standards. That proof often lies within what is (or isn’t) documented in the medical record. CDI professionals must understand how traditional reviews can be expanded to include investigations into Patient Safety Indicators and how to work cohesively with their quality departments to improve the overall capture of these important statistics.

At the conclusion of this program, participants will be able to:

  • Identify ways CDI programs can support quality improvement initiatives
  • Employ tools to assist in quality reviews
  • Understand PSI-90 and its components
  • Incorporate physician education tips to help improve documentation related to PSI
  • Demonstrate the return on investment for facility wide quality initiatives related to CDI record reviews
  • Understand how to conduct effective record reviews related to quality improvement efforts
  • Describe how CDI programs can affect quality improvement efforts

Meet the Speakers

Mark LeBlanc, RN, MBA, CCDS, has more than 10 years of CDI experience and 35+ years of clinical nursing experience, including NBICU, pediatrics, homecare, and HIV/AIDS and mail order pharmacy operations. He has led two CDI teams in the successful conversion to a new electronic CDI system at two different facilities. He has been a leader in the area of documentation integrity focusing on SOI/ROM capture, which leads to appropriate revenue capture rather than revenue capture alone. He currently is a senior consultant in CDI supporting the implementation of a CDI-CAC electronic system.

LeBlanc has been an ACDIS member since 2008 and was the co-founder and chair of the Minnesota chapter until 2012. He currently serves on the ACDIS Advisory Board. He has been a presenter on CDI topics at the national ACDIS conference, the national AHIMA conference, HCPro webcasts, and ACDIS Radio.
 

Michelle McCormack, RN, BSN, CCDS, CRCR, has 10 years of CDI experience with a clinical nursing background in a variety of areas, including neurosurgery, ENT, med/surg, and OB/postpartum. She has led successful CDI departments in academic medical centers and in private and public institutions, including multihospital programs. She has expertise in transitioning CDI programs to electronic health records, advanced CDI initiatives, data management and reporting, and remote CDI program options. Her areas of interest are CDI data management and program monitoring, leveraging technology, growing CDI staff, and provider engagement.

McCormack has been an ACDIS member since 2008 and was the co-founder and chair of the Minnesota chapter until her move to California. She has been active in CDI through presentations at local, state, and national levels, including the national ACDIS conference.


              

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