This CDI program survey form for adminstration and physicians was developed by Dr. James S.Kennedy of FTI Consulting and Ron Tapnio of Presence Health.

This CDI program survey form for adminstration and physicians was developed by Dr. James S. Kennedy of FTI Consulting and Ron Tapnio of Presence Health.

Michele D. Johnson RN, BSN, and her team at Wellspan Health in York, PA, created this tool to help them identify and track pertinent medial issues as it affects the patients' working length of stay against the typical length of stay assigned to a given DRG....

Ronna Mahlen composed this simple, five-question, CDI specialist query audit that your team can use to conduct regular peer reviews or self audits. She originally shared her tool on CDI Talk.

The attached Unanswered query and query conflict escalation policy is a sample policy for handling unanswered physician queries and/or CDI/coding conflicts that require resolution. The policy is courtesy of Lynne Spryszak, RN, CCDS, CPC-A, CDI education director for HCPro, Inc.

This sample flow chart illustrates the physician query process from initial query submission through to resolution. Lynne Spryszak, RN, CCDS, CPC-A, CDI education director at HCPro, Inc., in Danvers, MA, included this chart in her 2010 audio conference presentation...

The attached sample chart review worksheet, provided by Lynne Spryszak, RN, CCDS, CPC-A, is intended to provide a helpful example of a form that can be used to record notations and findings during daily chart review duties.

Sandra Beatty, RN, BSN, C-CDI, CCDS, earned the 2010 CDI Professional of the Year Award from her peers at ACDIS. Since then she's kept on providing innovative tools for the CDI program at her faciltiy Columbus Regional Hospital, in Indiana.

She created this spreadsheet as a to cross-train...

A sound CDI program can’t be built on the needs of a single staff member, regardless of his or her qualifications, you have to build the business case for a flexible schedule based on the program’s overarching needs and the benefit of that role to the facility.

Melanie Halpern, RN...

 

 

 

Robert S. Hodges, BSN, MSN, RN, Clinical Documentation Improvement Specialist at Aleda E. Lutz VAMC in Saginaw, MI, offers the following sample standard operating procedure (SOP) for physician queries. It outlines basic definations of reportable conditions,...

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