Quality & Regulatory

by Vicki J. Galyean, RN, BSN, CCDS

Accurate reporting of quality measures is imperative for hospitals. This session will explore definitions of hospital-acquired conditions, patient safety indicators, and pediatric quality indicators (HACs, PSIs, and PDIs) and provide insight...

by Kristen Gonzalez, MHA, RHIA, Shelby Humphreys, RHIA, and Vaughn M. Matacale, MD, CCDS

Following on the heels of its kwashiorkor audits, the Office of Inspector General (OIG) tested the waters on severe malnutrition at Vidant Health, which had implemented a clinical initiative...

Join members of the ACDIS Advisory Board as they share a variety of quick-hit ideas in an entertaining “lightning round” panel session. Board members have eight minutes each to share a successful wrinkle in their CDI department, including mortality reviews, clinical validation processes,...

by Candace E. Blankenship, BSN, CCDS

Using the framework of risk of mortality scoring, this session will review aspects of the APR-DRG coding system, effective use of the 3M™ APR-DRG encoder, and APR-DRG tips and strategies for primary and secondary diagnoses.

by Faisal Hussain, MD, CCDS, CDIP, CCS, and Beth Ming, BSN, RN, CCDS

CDI can influence the observed to expected (O/E) mortality and risk-adjusted data through second-level reviews. These help maximize the patient’s severity of illness and risk of mortality before the bill is...

by Kyra W. Brown, RHIA, CCS, CCDS

CDI staff are always looking for the “what’s in it for me” factor to engage physicians. Understanding CMS 30-Day Risk-Standardized Mortality Measures, the factors involved in the star rating assignment, and the link to HCCs could be the new “...

by Krysten Brooks, RN, BSN, MBA

How can CDI staff identify sepsis query opportunities when there is so much confusion? What policies and processes should your organization have in place to aggressively manage sepsis denials? This presentation will provide a comprehensive overview...

by Jon Elion, MD, FACC

Based on review of the current literature, attendees will learn about a unique study based on actual data and risk adjustment factor (RAF) aggregated from a large number of institutions. To “bring the data to life,” participants will explore a scatter-plot...