2022 Stronger - P154 - Avoiding PSI and HACRP Penalties is a Team Sport - On Demand

In the federal fiscal year (FFY) 2019 Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program (HACRP), three of six Sanford prospective payment system hospitals incurred a penalty. A system quality staff member reviewed patient safety indicators (PSIs) and identified opportunities to improve documentation and coding. Plan-Do-Study-Act cycles led to a standardized process involving hospital quality teams, clinical documentation improvement (CDI), coding and health information management staff. At least 70 erroneous PSIs were avoided in 27 months. Two hospitals made enough significant improvements in the PSI-90 composite to avoid penalties in two or three of the FFY 2020, 2021 and 2022 program years, saving at least $1 million.

Target Audience

  • Healthcare Quality Professionals
  • Nurses
  • Other Healthcare Professionals

Learning Objectives

Develop a system-level PSI review process using an interprofessional team for accurate documentation and coding of inclusion/exclusion criteria.

Identify exclusion criteria specific to individual PSI.

Describe strategies to improve PSI measures and mitigate penalties.

Additional Information

AttachmentSize
PDF icon P154.pdf1.91 MB
Course summary
Available credit: 
  • 0.50 ANCC
  • 0.50 CPHQ – Certified Professional Healthcare Quality
  • 0.50 General CEU – Attendance
Course opens: 
09/14/2022
Course expires: 
09/21/2023

Faculty

Jeremy Morgan, MS, Senior Quality Strategist, Sanford Health, Sioux Falls, SD

Rachel Leyk, BSN, RN, CMSRN, Quality Improvement Advisor, Sanford Health, Fargo, ND

Disclosure

As an accredited provider of continuing education, Vizient, Inc. is dedicated to ensuring this activity presents learners with only accurate, balanced, scientifically justified recommendations, and is free from promotion, marketing, and commercial bias. In accordance with The Standards for Integrity and Independence in Accredited Continuing Education, all planners, faculty, and others in control of the educational content have disclosed the absence or existence of all financial relationships (of any dollar amount) with ineligible companies within the past 24 months.
 
Ineligible companies – those companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
 
It is Vizient’s policy that owners and employees of ineligible companies, and any individuals who refuse to disclose the absence or existence of financial relationships with any ineligible companies are disqualified from participating as planners or faculty.
 
FDA Off-Label Use
 
Faculty presenters are also expected to disclose any discussion of (1) off-label or investigational uses of FDA approved commercial products or devices or (2) products or devices not yet approved in the United States.
Disclosure Statements
 
Absence of Relevant Financial Relationships
 
None of the planners, faculty, or others in a position to control content for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Accreditation Statement

In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
 
 

Credit Types

Nurses (CNE)

Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.

Healthcare Quality Professionals (CPHQ)

This activity is approved by NAHQ® for 0.50 CPHQ CE credits.

Other Healthcare Professionals (General CE Credit)

Vizient, Inc. will award a maximum of 0.50 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.

Many state licensing boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.

 

Available Credit

  • 0.50 ANCC
  • 0.50 CPHQ – Certified Professional Healthcare Quality
  • 0.50 General CEU – Attendance
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