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Hi John,
I wanted to tell you about a new ACDIS program that I think can really benefit you and your team.
I have had a notecard on my desk for almost 20 years with a quote from Eric Hoffer. “In a time of drastic change it is the learners who inherit the future. The learned usually find themselves equipped to live in a world that no longer exists.”
We struggle every day trying to understand the changing environment of healthcare reimbursement. I think we can all agree that the one definite is that payment for outcomes and quality care is on the rise. The ACDIS White Paper “CDI and the Evolution to Quality” tells us that “CDI departments need to restructure to meet the challenges associated with value-based reimbursement as fee for service payments dwindle.” If your program focus is CMI and CC/MCC capture, you know the focus is changing. To “inherit the future,” in Hoffer’s words, we need to expand our CDI efforts.
Has your organization been penalized based on value-based measures? Your work in CDI can assist your organization in success related to outcome quality measures, such as the Hospital Readmission Reduction Program, the Hospital Acquired Condition Reduction Program, patient safety indicators, and mortality rates. The ACDIS White Paper highlights how damaging these penalties can be. With a seemingly insignificant 0.5% readmission rate reduction, an organization that receives $341 million in Medicare payments can sustain a $1.7 million penalty. Clearly, no organization can ignore the relationship between provider documentation and success in these quality measures. CDI efforts are key to this success.
I invite you to come join me in Atlanta on April 23. Our CDI & Quality Care Measures Boot Camp spends three days exploring the documentation issues related to CMS Quality Measures. We discuss how these measures affect reimbursement and how risk adjustment is applied to outcome measures. We approach the value-based reimbursement model with the eyes of clinical documentation improvement. I promise you will leave with tools and knowledge that will assist your organization in demonstrating the quality care you provide every day.
Below is more information on the event. I hope to see you in April!
Sincerely,
Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC
CDI Education Director, HCPro
From: ACDIS Resources
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