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Medical Documentation Software, Clinical Documentation Improvement, CDI Clinical Documentation Improvement, CDI Program, Insight

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 & 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.

"HITEKS has been more than just an efficiency solution for our CDI Specialists and physicians. Their ability to customize queries and provide them inside Epic at the point of care while physicians are still writing their notes is a true asset to Rush. In addition, HITEKS fills the gaps provided by other CDI tools, which help us with prioritization and query writing, by serving to capture the physicians' attention to their individual notes before they save/sign, as well as distribution of automated queries to the entire care team, allowing medical residents, hospitalists and specialists to respond according to their patient-specific knowledge and availability. The ROI for HITEKS is justified by the timely DRG shifts, where physicians respond immediately to queries, or satisfy queries in subsequent documentation within a few minutes."

-Rush University Medical Center Physician


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