2022 Stronger - PH412 - Quality, Documentation and Coding Collaborate to Reduce Patient Safety Indicators - On Demand

Our organization successfully reduced Centers for Medicare & Medicaid Services (CMS) penalty in four patient safety indicators (PSI) as a result of collaboration between quality improvement, coding and documentation integrity, and the coding quality teams. This multidisciplinary group relied on captured performance data to identify PSI of greatest penalty risk. Through a pre-bill review process initiated by quality improvement, a reduction of greater than 25% was realized in each of four PSIs (03, 11, 12 and 15). We will present the reduced CMS penalty realized through this process.

Target Audience

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

Learning Objectives

  • Describe a multidisciplinary approach to solve clinical documentation and coding integrity gaps within a complex health system.
  • Explain how to use a database to identify areas of improvement in CMS penalty programs.
  • List the necessary participants to make significant process changes toward improvement in documentation and pre-bill coding integrity to accurately represent patient status, interventions and clinical outcomes.

Additional Information

AttachmentSize
PDF icon PH412.pdf1.78 MB
Course summary
Available credit: 
  • 0.50 ACHE
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 ANCC
  • 0.50 CPHQ – Certified Professional Healthcare Quality
  • 0.50 General CE - Attendance
  • 0.50 Interprofessional Continuing Education (IPCE)
Course opens: 
09/14/2022
Course expires: 
09/21/2023

Faculty

Roberta L. Moore, MBA, RHIT, Lead Improvement Specialist, Spectrum Health, Grand Rapids, MI

Sandra K. Zuiderveen, BSN, RN, CPHQ , Senior Improvement Specialist, Spectrum Health, Grand Rapids, MI

Amanda J. Pett, RHIT, Senior Inpatient Coding Quality Analyst, Spectrum Health, Grand Rapids, MI

Adrien M. Ross, MSN, RN, CPHQ, Lead Improvement Specialist, Spectrum Health, Grand Rapids, MI

 

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

Interprofessional Continuing Education (IPCE)

This activity was planned by, and for, the healthcare team, and learners will receive 0.5 Interprofessional Continuing Education (IPCE) credits for learning and change.

 

Nurses (CNE)

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

Physicians (CME)

Vizient, Inc. designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Healthcare Executives (ACHE)

By attending the 2022 Connections Summit offered by Vizient, Inc. participants may earn up to 0.50 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

Participants in this program who wish to have it considered for ACHE Qualified Education hours should list their attendance when they apply to the American College of Healthcare Executives for advancement or recertification. Participants are responsible for maintaining a record of their ACHE Qualified Education hours. To self-report, participants should log into their MyACHE account and select ACHE Qualified Education Credit.

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 ACHE
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 ANCC
  • 0.50 CPHQ – Certified Professional Healthcare Quality
  • 0.50 General CE - Attendance
  • 0.50 Interprofessional Continuing Education (IPCE)
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