The Impact of CAPD to Strengthen ICD-10-CM-Pertinent Documentation & Hospital Quality Rankings

The impact of CAPD to strengthen ICD-10-CM-pertinent documentation and hospital quality rankings has been well documented in recent years. National and state- wide hospital rankings, such as CMS Star Ratings and US News & World Report (USNWR), are now tangible to hospital system marketing and promotions for attracting patients to their enterprises.

Hospitals must be able to demonstrate the quality of care provided by them through various quality measurement frameworks.

In this case study, we show:

• How the implementation of a software technology embedded within the electronic health record (EHR) workflows significantly impacts the ECI for one specialty (Neurology and Neurosurgery) at an urban Midwest hospital system using Epic.
• Demonstrate an approach to working with CDI queries by focusing on the comorbidities with the highest index weight sorted in decreasing relative weight for expected mortality as described by van Walraven and Moore in the FY2022.1 ECI model.