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Numbers Don’t Lie. An analytical approach to CDI
Joel Schawe
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Intro
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My Role Definition- Data Analyst Data Analyst here at the Nix
Audit Reporting Opportunities Various software Cerner based software 3M 360 Excel Power BI Company databases
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Reporting Analyze data Develop graphs and visuals
Opportunities & actions Enhanced & targeted focus Identify patterns and trends Develop graphs and visuals Analyze data Reporting
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CDI KPI’s Accounts reviewed Review rate Capture rate Med and Sx CMI
Number of queries
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CDI KPI’s Query rate Number of query responses Query response rate
Number of agreed Queries Concurrence rate Yield rate
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Physician Profile
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CDS Profile Opportunities Productivity Department standards
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Examples $120,000 missing? Prior 3M 360- formatting DB
Denial log discrepancy The census Templates for weekly and quarterly reports
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CDI Dashboard
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CDI Dashboard: Physician group A
Just phys 30-35
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CDI Dashboard: A single physician
Have an established method to acquire the data
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Identified concern: Unanswered queries?
Is there a specific doctor that won’t answer? Are they all the same type of query? Could a doctor benefit from an education session? Holidays/PTO CDS Solutions
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Interdepartmental CDI Impact
Case Management Revenue Integrity/ Finance Quality Assurance Coding
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Pre to post 3M 360 New program Learning curve New and old data
Hurdles & solutions Reporting
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ROI Department’s statistics Recognizing trends
Identifying opportunities Managing integration of various data types Analyze CDI workflows and processes $$$
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Conclusion Reporting CDI KPI’s Physician, CDI and CDS Profiles
What CDI affects Software switch ROI
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When are you getting a CDI Analyst?
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