The CDI and Quality Care Measures Boot Camp is an intensive three-day course designed for CDI departments/programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues.

This class covers publically reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing Program. Students will learn the why and how of reviewing complex cases involving Patient Safety Indicators (PSI) and hospital-acquired infections (HAI), and leave with measurable strategies for improving their hospital profiles and positively influencing their facility’s value-based incentive payments.

At this two-day course you will learn how to:
 

• Define payment methodologies beyond Medicare’s inpatient prospective payment system (IPPS), including the Hierarchical Condition Categories (HCC) system
• Describe the potential advantages and documentation opportunities of expanding CDI beyond MS-DRG review/optimization and CC/MCC capture   
• Explain the impact of principal diagnosis assignment (i.e., diagnosis sequencing) on indirect revenue, including that affected by quality metrics and medical necessity denials
• Define the CDI specialist’s role in supporting medical necessity and working collaboratively with utilization review/case management
• Develop documentation strategies to enhance a hospital’s quality metrics without compromising data integrity congruent with official coding guidelines
• Describe how additional CDI responsibilities impact individual metrics, including staffing, productivity, and workflow
• Discuss how physician documentation impacts various quality metrics through coded data, compared to abstracted data and surveillance data
• Conduct reviews and/or develop appropriate review processes to ensure accurate reporting of Patient Safety Indicator (PSI) 90
• Develop strategies to leverage collaboration within the revenue cycle, including CDI, coding, infection control, quality, and case management (utilization review) to promote consistency in the reporting of metrics associated with Hospital Value-Based Purchasing (HVBP) and other quality indicators

Need to train a group?

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MAGNET(TM), MAGNET RECOGNITION PROGRAM(R), and ANCC MAGNET RECOGNITION(R) are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). HCPro is not affiliated in any way with the Institute for Healthcare Improvement (IHI).