To bring in more revenue, Arizona-based Summit Healthcare Regional Medical Center, last year, decided to build a computer-assisted clinical documentation improvement system from the ground up–and the effort paid off.
In the program’s first year, the 89-bed hospital increased its case mix index by about 20 percent. In addition, major complicating condition capture rose 37 percent, and the complicating condition capture rate increased by 22.8 percent, according to an article at HealthITAnalytics.com. Overall, Summit saw a positive financial impact of $558,187 in a few months.
Before implementing the CDI program, the hospital was “all over the place” with records, Mandy Rogers, a clinical documentation specialist and registered nurse at Summit, told HealthITAnalytics.com. Half, she said, were on paper, and half were electronic.
With support from Summit’s administration, the hospital set out to change that, finding a vendor partner and setting to work implementing the system. Rogers said that to make for a smooth implementation, doctors needed to be as informed and involved as possible, especially through asking them good queries.
By framing CDI as a financial issue instead of as something required by ICD-10, they were able to get busy clinicians on board.
Still, Rogers said, the program puts Summit in a good position for ICD-10 implementation.
Baptist Health South Florida took on a similar effort, dubbed “CDI: Miami.” When it started its program, the hospital set up a steering committee of physician leaders from each of its five hospitals. The organization reported adding nearly $14 million in additional reimbursement to its bottom line this year because of improved documentation in medical records, FierceHealthIT previously reported.
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