2022 Stronger - PH334 - Clinical Documentation Integrity: Improving Capture of Risk Variables - On Demand

Join us for a panel discussion and hear how two health care organizations leveraged technology to accurately capture conditions present on admission and integrate them into the electronic medical record (EMR).

M Health Fairview built an information technology solution that leverages discrete EMR data to identify and fully automate documentation of conditions present on admission in provider history and physical and progress notes. The organization will share how this favorably impacted both capture and mortality rates.

NYU Langone leaders will explain how they created a powerful template to streamline documentation and a tableau dashboard to track utilization and drive feedback. They will also share how they employ an artificial intelligence learning tool and a 5C’s rubric they created to grade medical documentation: complete, concise, contingency planning, correct and clinical assessment.

Target Audience

  • Healthcare Quality Professionals
  • Nurses
  • Physicians
  • Other Healthcare Professionals

Learning Objectives

Identify opportunities for improvement in documentation and coding, specific to mortality.

Identify a collaborative and highly reliable solution to improve capture of conditions present on admission.

Describe five key components of quality in medical documentation.

Discuss the power of machine learning in driving change around improved clinical documentation.

Additional Information

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Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC
  • 1.00 CPHQ – Certified Professional Healthcare Quality
  • 1.00 General CE – Attendance
Course opens: 
09/14/2022
Course expires: 
09/21/2023

Faculty

Nissa Perry, MA, LSSBB, Senior Improvement Advisor, M Health Fairview, St. Paul, MN

Melissa Haala, RHIA, CCS, Manager, Inpatient Coding, M Health Fairview, Minneapolis, MN

Bradley Burns, DO, MBA, FACOEP, Director of Physician Informatics for Emergency Medicine, M Health Fairview, Minneapolis, MN

Katherine A. Hochman, MD, Director, Division of Hospital Medicine and Associate Chair for Quality (Medicine), NYU Langone Health, New York, NY

Adam J. Goodman, MD, Director of Quality, Medicine, NYU Langone Brooklyn, Brooklyn, NY

Ulka Kothari, MD, Pediatric Physician Informaticist and Director for Ambulatory Quality, Children's Services, NYU Hospital Long Island, NYU Langone Hospital, New York, NY

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 1.00 ANCC contacts hours.

Physicians (CME)

Vizient, Inc. designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Healthcare Quality Professionals (CPHQ)

This activity is approved by NAHQ® for 1.00 CPHQ CE credits.

Other Healthcare Professionals (General CE Credit)

Vizient, Inc. will award a maximum of 1.00 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

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC
  • 1.00 CPHQ – Certified Professional Healthcare Quality
  • 1.00 General CE – Attendance
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