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| By Laurie Prescott, RN- MSN, CCDS, CDIP I am often asked by CDI managers and directors about how can they hire and retain a successful CDI specialist. These comments identify two issues: one, finding a person with the right skills, and, two, keeping them in this highly competitive environment. If you visit the ACDIS Job Posting page, LinkedIn, or other professional networking sites, you are likely aware that you could probably find a new position by the close of the work day today if you wished. The demand for CDI skills and years of experience is high. This has created a very competitive environment with high turnover for many organizations. I usually have one specific piece of advice when asked this question, that I believe touches both the issues of who to hire and how to retain staff. |
| ACDIS Picks by Richard D. Pinson, MD, FACP, CCS The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), as published on February 23 in the Journal of the American Medical Association, represents a radical departure from the prior sepsis definitions in 1991 (identified as Sepsis-1) and 2001 (identified as Sepsis-2) and subsequent Surviving Sepsis Campaign (SSC) guidelines through 2015.  Members of the ACDIS Advisory Board will conduct a one-hour “CDI Ethics” panel discussion at the ACDIS national conference in May 2016. This session will include a review of the newly-revised association Code of Ethics and commentary on ethically questionable scenarios CDI specialists, CDI managers, and physician advisors confront on the job. One of the biggest concerns regarding electronic health record implementation has been the proliferation of physicians simply copying and pasting information from the previous days’ record forward. Now, there’s new guidelines on effective use of this tool from the Partnership for Health IT Patient Safety, a collaborative organized by the ECRI Institute, which released a Health IT Safe Practices: Toolkit for the Safe Use of Copy and Paste, in February. Section 603 of the Bipartisan Budget Act of 2015 declared that any off-campus hospital outpatient departments that started billing after passage of the bill November 2, 2015, would not be paid under the OPPS, but other Part B payment systems, such as the Medicare Physician Fee Schedule (MPFS) or Ambulatory Surgical Center (ASC) Fee Schedule. Q: We are having trouble determining how to assign a code for a pressure ulcer that begins as a Stage I concern that is present on admission (POA) but advances during the patient’s stay to a Stage II or a Stage III. Coding Clinic, Fourth Quarter 2008, p. 194, tells us that even if the ulcer advances it would still be coded as POA, but would even an advanced stage still be considered POA?
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