IDEAS AND INSPIRATION TO HELP YOU THRIVE
It’s Time to Revitalize Your CDI Program—The Why and How of BPCI
It’s Time to Revitalize Your CDI Program—The Why and How of BPCI Clinical Documentation Improvement (CDI) programs have experienced significant transformation over the last decade. Under the new MS-DRG (Medicare Severity-Diagnosis Related Group) system—a major driver for many hospitals and health systems to invest in CDI programs—capturing CC/MCCs (complication or comorbidity and major complication or comorbidity) became the focus. Many organizations that have implemented an MS-DRG focused review program have seen success, experiencing benefits in improved provider documentation and true Case Mix Index (CMI) capture. The introduction of APR-DRG’s (All Patient Refined-Diagnosis Related Group) changed this landscape even further. Capturing…
Diversity in Healthcare Leadership—Advancing Health Equity and Quality of Care for Diverse Populations
Diversity in Healthcare Leadership—Advancing Health Equity and Quality of Care for Diverse Populations The struggle to make high-quality healthcare affordable for every American continues. Health inequities persist in underserved communities where access to care is limited and social determinants impact health outcomes. Disparities exist in the quality of healthcare received by minority populations. According to the Health Professionals for Diversity Coalition, the average waiting time for African-Americans needing kidney transplants is almost twice as long as that of white patients. These healthcare disparities translate into real health outcomes. Hispanic and African American youth are substantially more likely to die from…
Adapting to Change—Observations from AHIMA 2018
Adapting to Change—Observations from AHIMA 2018 America’s healthcare costs are astronomical and continuing to rise. How to solve this cost crisis is one of the most pressing challenges for our country today. By infusing more market forces into healthcare through value-based care, the U.S. can decrease costs while improving care quality. The rules for hospital reimbursement are impressive. The Centers for Medicare & Medicaid Services (CMS) guidelines are sensible and easy to follow in a vacuum. The 4,000 plus page provider reimbursement manual outlines the what if’s in black and white English—they are practical and implicit. The only problem, the…