HCPro, JustCoding Inpatient - 2021 Issue 17 (April)
ROI beyond reimbursement: CDI quality reviews
April 27th, 2021
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Article Overview
This article discusses how CDI programs can demonstrate value through quality reporting rather than solely through reimbursement improvement. It covers broad approaches to tracking and sharing performance data, using organizational benchmarks, and aligning CDI work with physician engagement, leadership reporting, and quality improvement goals. The focus is on the kinds of metrics and reporting practices CDI leaders may use to show impact in a pay-for-performance environment.
Why This Topic Matters
As healthcare reimbursement models increasingly reward quality and outcomes, CDI leaders need ways to show that documentation efforts support patient care, organizational benchmarking, and operational improvement. The article is relevant for CDI, HIM, quality, finance, and physician leadership stakeholders who need to understand how documentation quality affects reported performance.
Article Sections
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Tracking length of stay metrics
Introduces quality measures CDI teams may monitor and discusses using length of stay and related outcome indicators as part of quality review efforts.
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Tracking mortality metrics, public rankings
Covers mortality-focused reporting, benchmarking, and the use of external quality and ranking information to assess performance over time.
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Reporting, sharing data
Describes how CDI quality data may be summarized, distributed, and tailored for different internal audiences and leadership groups.
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Leveraging quality for physician engagement
Explores how quality reporting can support physician engagement and education, and how CDI teams may use metric trends to guide follow-up review.
What You Will Learn
- What types of quality metrics CDI programs may track
- How CDI teams can use reporting to support organizational benchmarking
- Why data sharing and audience-specific reporting matter
- How quality-focused CDI efforts may influence physician engagement and education
Who Should Read This
- Clinical Documentation Integrity (CDI) professionals
- Health Information Management (HIM) leaders
- Quality improvement staff
- Hospital leadership
- Finance and revenue cycle stakeholders
- Physician leaders and service line chiefs
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