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.
- Healthcare Executives
- Healthcare Quality Professionals
- Other Healthcare Professionals
- 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.
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
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.
Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.
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.
- 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)