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Council member Q&A: Mortality reviews

ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question-asker. In order to share the information more broadly, Archibald will be compiling the answers to popular topics in Q&A-type articles to be published in editions of the CDI Leadership Insider.

This month’s question was submitted on November 27, 2023, and focuses on mortality reviews. Please note that questions and answers have been de-identified for the purposes of this article.

Q: What is the pathway for mortality cases at your organization? We review the mortality cases that have a risk of mortality (ROM) and severity of illness score of 4 or below, and to improve the observed to expected ratio (O:E). The workflow, however, is inefficient, and the CDI team complains about how time consuming it is to review mortality charts, respond to the emails regarding the mortality cases, and reconcile the code set for the mortality cases. Our current process is that we have one CDI specialist who receives all the mortality cases, fills a spreadsheet, and then directs the mortality case to the CDI specialist on the record for further review. Then the communication between the CDI specialist and coder starts

 

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