Under Medicare's value-based care program, the government is tracking and publicly reporting data for use in judging hospitals and physicians based on quality of care. The value-based care system tracks mortality observed to expected (O/E). Challenges facing organizations include optimization of reporting mortality O/E and patient safety indicator (PSI) exclusions. Unnecessarily reported PSIs and hospital-acquired conditions (HACs) can have an adverse financial impact and can lead to a negative public perception of your facility.
Clinical documentation integrity (CDI) and coding staff have an obligation to support hospital and physician goals of accurate reporting of the high quality of care provided to the community through effective clinical documentation education. This education includes understanding how the documentation tracks to the metrics and how this will impact their hospital's publicly reported quality metrics.
During this webcast, Dr. Timothy Brundage will give an overview of PSIs with documentation opportunities to identify coding and exclusions. Along with providing important tips to ensure accurate reporting of PSIs and HACs, Dr. Brundage will explain how CDI relates to quality tracking opportunities that capture expected mortality.
Why This is Relevant:
Medicare oversight of a hospital's quality of care is ever-increasing through its value-based care program. Accurate reporting of PSIs/HACs impacts a hospital's financial performance and public perception.
Take this quick quiz and see if you and your team, like so many others, struggle with exclusion codes:
- What are common exclusions to PSI 9?
- What are common exclusions to PSI 11?
- Understand the exclusion opportunities and inclusions of PSI 9 post-op hemorrhage/hematoma and PSI 11 post-op respiratory failure
- Learn the coding rules for Present on Admission (POA) indicators as well as opportunities to optimize queries to physicians when POA status is unclear
- Understand the common exclusions for PSIs as well as potential query opportunities to capture exclusions when clinically appropriate
- Learn how documentation supports expected mortality to optimize quality tracking.
Who Should Attend:
Physicians, physician advisors, CDI nurses, quality nurses and coders.
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