Clinical documentation integrity solutions

Schrubb & Murchland � CDI Worklist Prioritization by Service Line � Described Video (DEBBIE SCHRUBB) We wanted to make sure that our staff was working smarter and not harder, and getting opportunities to improve our physician documentation. (DESCRIBED VIDEO) 3M Science Applied to Life logo appears on screen with title text that reads, "CDI work list prioritization by service line." Debbie Schrubb begins speaking and title text appears on screen over video. Debbie Schrubb, director of HIM and documentation excellence, Kettering Health Network. (DEBBIE SCHRUBB) 3M helped us identify an opportunity with neurosurgery to really make a difference in our CC/MCC capture rate. Those surgeons tend to not document very well quickly, and just focus on the problem that they're maybe doing the surgery for the patient, and not the other diagnoses that may exist for the patients. (KATHLEEN MURCHLAND) Prioritization work list allowed them to sort their workflow by the number one thing that we were working on for an improvement process, which became the neurosurgery DRGs. (DESCRIBED VIDEO) Kathleen Murchland begins speaking, and title text appears on screen over video, Kathleen Murchland, manager of documentation excellence, Kettering Health Network. (KATHLEEN MURCHLAND) We had a CC/MCC capture rate that was very low against our peers, our 3M peers, plus the state of Ohio data. And it was a window of opportunity for us to speak one on one with those providers because they were engaging and gave us the opportunity to come to their service line meetings and teach documentation excellence, and then prioritize our work list. So, we started there. (DEBBIE SCHRUBB) So implementing the prioritization, we actually saw a positive increase in our CC/MCC capture rate in as little as three months. And we've continued that. It's probably been about nine months in total, and it's done nothing but get better. Over that time. (KATHLEEN MURCHLAND) Post-prioritization work list we submitted, after three months, it was about 266 cases that showed a case mix index increase of 0.419, which equated to about $800,000. Had we applied that formula to the previous 12 months prior it, equaled about $2.4 million increase that we would've obtained had we used it prior. (DEBBIE SCHRUBB) Actually, 3M, first of all, identified this opportunity for us, and then helped us work together to make sure that we had our data accurate and to show that the changes that we made made a statistical difference for us. They also helped us get everything all set up, and made sure that we knew how we were going to train our staff. So actually, 3M has been a great partner through this process. The next big hurdle is continuing this process and identifying where our next opportunity is. (KATHLEEN MURCHLAND) We're trying to get the phone to stop ringing. Lots of service lines are calling because they've heard about it. Our executives have celebrated our neurosurgery wins. There's been lots of shout-out announcements at the executive level. So other service lines are knock knocking on the door. (DESCRIBED VIDEO) 3M Science Applied to Life logo appears on screen and fades away.