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CDI 2.0: Optimising CMI and risk-adjustment value through data analytics and provider education
Accurate clinical documentation is vital for any healthcare facility. Documentation in the record plays a critical role in reimbursement, case mix index (CMI), risk adjusted quality outcomes, length of stay days, etc. The need for Clinical documentation improvement (CDI) specialists is high.
In this article, we discuss the success WVU Medicine have had by transitioning from a traditional approach to capture severity reporting (CDI 1.0), which relies heavily on the concurrent review of medical records by the CDI team, to a patient population driven and provider focused approach (CDI 2.0).
Authored by Kalee Vincent and Terrance Govender
Management in Healthcare: A Peer-Reviewed Journal, 9 (1), 89-97 (2024)
Published by Henry Stewart Publications
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"Partnering with ClinIntell impacts our health system by directing our focus to key diagnoses and has given us insight on drivers of CMI and Quality. We are better able to assess areas of opportunity and address them at a group and individual level."
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"After following traditional Clinical Documentation metrics, we needed something outside of the traditional box. ClinIntell offered exactly what we were looking for, ways to improve documentation at the provider level, comparing to the severity of our patients, was exactly what we received."
"ClinIntell has changed the entire tone of conversations with senior leaders, clinical leaders, and our coding and documentation improvement teams. By scoring documentation against our own cohort of patients, we are able to set more meaningful goals and establish an action plan to achieve them. I highly recommend ClinIntell to any CDI program hoping to maximize their quality and financial performance."
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"The ClinIntell software tool not only has been a great addition to our CDI team, but it has been adopted by service lines, departments leads, and provider leads within our system to help target under documented conditions and where provider education is needed. The ClinIntell team is amazing to work with and they have been supportive on a regular basis to help us and provide recommendations and guidance over the past few years. The training was smooth, the software is easy to use and the reports take no time to run. ClinIntell has been a game changer for us."
