Most of us, myself included, just simply can’t remember everything. We might think we can, but in reality, things inevitably slip our busy, overactive minds. Most of the healthcare “basics” are the same; the how, the when, and the why. Problem is that the “where” and the “who” always seem to be changing. We are constantly being asked to adjust to change. Government regulations are continually evolving. System upgrades, user turnover, system migrations continue. The only constant is change and there are no signs of it stopping.
Hayes' Healthcare Blog
When you think of implementations, transitions, adoptions, or conversions, it's normal to think in terms of preparation, planning, and go-live. But what about post go-live? There is a massive transition that occurs between go-live and system optimization, often leaving you feeling like you’re mid-swing on a trapeze hand-off. Many projects are implemented successfully but the closure and transition of the project to operations and long-term support team are not always as successful. But here’s the thing, project closure is equally as important and should be planned for in the beginning by including the process in the project charter and project management plan. So how do you ensure your project transitions from go-live to optimization successfully? Here are four tips to consider.
Implementing a clinical documentation improvement (CDI) initiative for outpatient settings is a crucial element of ensuring your coding is accurate and your claims are billable. CDI drives what can be coded and billed; it ensures descriptions of patient encounters, assessments, treatment planning and dates of service in the clinical note are correct.
Traditionally, when we discuss clinical documentation improvement efforts and resources; the focus has been primarily allocated for inpatient services. However, the Accountable Care Act (ACA) and the Institute for Healthcare Improvement (IHI) are encouraging medical communities to broaden the scope of reach to include outpatient settings. The quality of patient care and value of services rendered is determined by the comprehensiveness of the clinical encounter note and treatment outcomes.
In a recent survey, more than 270 hospitals were asked if they had an active clinical documentation improvement (CDI) program; 66% said yes, while 34% were in the discussion and assessment phase of determining where to begin, cost and value of establishing a formal CDI program. Statistics indicate that significant increases in reimbursements and revenue gains as a direct result of implementing a CDI platform.
So how do you fast track your organization to CDI excellence?