Polling Question #1. Why You Need an Educator. Do you have a CDI educator? Yes No

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1 1 Why You Need an Educator Melissa Maguire, BSN, RN Educator, Clinical Documentation Improvement Penn State Hershey Medical Center Hershey, PA 2 Polling Question #1 Do you have a CDI educator? Yes No 3 1

2 4 Penn State Health Milton S. Hershey Medical Center 551 bed academic/ quaternary care medical center 28,654 hospital admissions 1,034,663 outpatient clinic visits 10,000+ employees 1,100 provider medical group 2,200 nurses 1,700 trainees 423 adult beds 128 pediatric beds 63 specialty practices at 24 sites Clinical Documentation Improvement (CDI) Milton S. Hershey Medical Center Clinical documentation improvement 12 CDI specialists Two physician advisors Manager Review all inpatient service lines Adult Pediatric Obstetric Review all payers Report to the director of quality programs & academy 5 Learning Objectives At the completion of this educational activity, the learner will be able to: Describe the role of the CDI educator Provide practical examples of the work of a CDI educator Identify why a CDI program should have a dedicated educator 6 2

3 7 Role of the Educator Education Researcher/Data Analyst Mentor/Coach Education 8 New CDI Specialists Pre hire assessment tool Obtain baseline information on knowledge of CDI and quality programs Aid with development of training program 9 3

4 10 New CDI Specialists Training program Orientation plan Weekly plan individualized to new staff and organization Boot camp Chart review Readiness assessments New CDI Specialists Weekly Orientation Plan 11 CDI Specialists Weekly Education Tips Coding Guideline Review Quality Initiative Review CCDS Exam Prep Communication Best Practices 12 4

5 13 CDI Specialists Monthly staff education Dedicated time each month to provide in depth education Education provided by Physicians Advanced practice clinicians Clinical specialists Education topics include Disease pathophysiology and treatment Quality measures Coders Monthly CDI/coding roundtable meeting Meeting facilitator Develop agenda Hot topics CDI/coder presentations Share clinical knowledge 14 Coders Roundtable Meeting Exit Ticket 15 5

6 16 Provider Physician Champion Physician CDI champion for each service line Training program Develop materials Background and goals of CDI program Documentation fundamentals Documentation best practices Role of physician champion Present materials Group or individual Provider Attending Physicians, Residents, and Advance Practice Clinicians (APC) What do we teach? CDI program goals Role of the CDI specialist Data Top DRGs for the service line Case mix index for the service line Length of stay for the service line Quality metrics Query data Documentation best practices Clinical indicators 17 Provider Attending Physicians, Residents, and Advance Practice Clinicians (APC) Education venues Division meetings Individual meetings with the physician champion Resident education meetings Rounds New attending providers Monthly APC orientation APC council meetings Tip cards 18 6

7 19 Provider Tip Card Service line tip card Data Query data Top DRG data CDI specialist for the service line Includes Documentation best practices Risk of mortality Clinical indicators tip card Determined by clinical indicators committee Educator is a member of the committee Documentation basics tip card Provider Tip Card 20 Other Departments Identify quality initiatives or work that involves CDI staff Coordinate efforts to educate the staff on other s initiatives Focus review 21 7

8 22 Other Departments Congestive Heart Failure (CHF) Focus Review CHF as the principal diagnosis Follow up appointment scheduled within seven days Readmissions Researcher/Data Analyst 23 Research and Analysis Research Evidence based literature review ACDIS site and other CDI venues Coding guidelines Analyze Top DRGs CMI Quality data Education staff provide Review and analysis does not detract from CDI productivity 24 8

9 25 Applying the Research and Analysis Determines what to educate Weekly/monthly CDI staff education Provider education Tip cards Clinical indicators for query template committee Research and Analysis Education and Communication the CDI Specialist Provides Tool describing the weekly education provided Developed to capture education provided by CDI specialists to providers Identify areas of opportunity Share with our physician advisors 26 Applying the Research and Analysis Education Provided by CDI Specialist 27 9

10 28 Applying the Research and Analysis Weekly Education and Query Template Committee Applying the Research and Analysis Standard Education Material and Content Standard template and content for monthly education Top DRG CMI Query data Response rate Top queries Standard template for handout information provided by CDI specialist Standard content for documentation tips 29 Applying the Research and Analysis Standard Education Material and Content Template 30 10

11 31 Coach/Mentor Coach/Mentor Review all education material provided Standard format and content Attend initial meetings/rounds with providers Guide Not leading Evaluate 32 Communication and Education Assessment Tool Developed a tool to evaluate staff presentation of education material Tool completed by educator and peers Includes feedback from providers 33 11

12 34 Communication and Education Assessment Tool Skills of a Good Educator 35 Skills of an Educator Leadership Coach Inspire Communication Sharing and receiving information Clarity Organizational Planning Coordinating resources 36 12

13 37 The Influence of a CDI Educator Standard Education Templates New CDI Training Program Physician Champion Training Tip Cards CCDS Exam Prep Coders Monthly Staff Education Educator Quality Outcomes Advance Practice Clinicians Healthcare Team Mentor Evaluation and Assessment CDI Specialist Research and Analysis Leader Thank you. Questions? mmaguire@pennstatehealth.psu.edu In order to receive your continuing education certificate(s) for this program, you must complete the online evaluation. The link can be found in the continuing education section at the front of the program guide