Introduction
The purpose of this project was to obtain data that could identify ways to improve clinical documentation and the amount of queries sent to physicians for conflicting, incomplete, or nonspecific documentation. The specific data that we were analyzing over a three month period was the documentation for meeting Sepsis criteria. The information in the report was obtained from the collected data and benchmarked within the facility. First, our mission statement is to evaluate physician documentation by identifying opportunities for improvement to help drive case mix index and improve patient outcomes. Second, our vision statement is to improve patient outcomes with the result of improving physician documentation through the course of …show more content…
Assuring the goal of clearly understanding the issue of a high volume of queries being developed and sent to physicians is extremely important. This topic is usually neglected and not taken seriously. Regardless, this problem will reflect on the organization receiving the correct reimbursement, ensuring the coding of medical records are processed with clean claims, and reflects the delivery of healthcare services. At the same time it involves staff from different departments to share data and work together to help accomplish the goals that we have set.
To overcome our team’s goals of improving poor clinical documentation, we have organized an action plan. For the manufacturer’s specification, see Appendix A. This action plan helps clarify the proper steps in solving the eight different problems that our team identified. Therefore, each problem is placed under four different categories such as education, documentation, query, and CDI. The main improvement and deficiency that we are now aware of is the lack of physician
The purpose of this project was to obtain data that could identify ways to improve clinical documentation and the amount of queries sent to physicians for conflicting, incomplete, or nonspecific documentation. The specific data that we were analyzing over a three month period was the documentation for meeting Sepsis criteria. The information in the report was obtained from the collected data and benchmarked within the facility. First, our mission statement is to evaluate physician documentation by identifying opportunities for improvement to help drive case mix index and improve patient outcomes. Second, our vision statement is to improve patient outcomes with the result of improving physician documentation through the course of …show more content…
Assuring the goal of clearly understanding the issue of a high volume of queries being developed and sent to physicians is extremely important. This topic is usually neglected and not taken seriously. Regardless, this problem will reflect on the organization receiving the correct reimbursement, ensuring the coding of medical records are processed with clean claims, and reflects the delivery of healthcare services. At the same time it involves staff from different departments to share data and work together to help accomplish the goals that we have set.
To overcome our team’s goals of improving poor clinical documentation, we have organized an action plan. For the manufacturer’s specification, see Appendix A. This action plan helps clarify the proper steps in solving the eight different problems that our team identified. Therefore, each problem is placed under four different categories such as education, documentation, query, and CDI. The main improvement and deficiency that we are now aware of is the lack of physician