Shoreup risk and severity through mortality reviews

October 3rd, 2017

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses mortality reviews as a clinical documentation integrity activity focused on capturing patient severity and mortality risk more accurately. It outlines operational approaches for selecting cases, coordinating CDI with coding and physician advisors, and tracking facility-level quality indicators such as mortality-related metrics. The piece is intended for CDI specialists, coding professionals, physician advisors, and HIM teams involved in review workflows and quality reporting.

Why This Topic Matters

Accurate mortality review processes can help organizations better represent patient acuity, support quality measurement, and reduce the chance that documentation gaps distort facility metrics.

Article Sections

  1. Getting the ball rolling

    Introduces the challenges of mortality review work and discusses staffing, experience level, and physician-advisor support for review programs.

  2. Developing a review process

    Describes ways organizations decide which mortality cases to review and how review workflows may be tracked and managed.

  3. Building a relationship between coding and CDI

    Covers coordination between CDI, coding, and HIM teams during the review process and the role of communication in handling records.

  4. Marking progress

    Explains general approaches to monitoring mortality-related performance measures and using trending to assess program impact.

What You Will Learn

  • How mortality review workflows fit into CDI programs
  • How CDI teams coordinate with coding, physician advisors, and HIM
  • What general quality measures are commonly monitored in mortality review work
  • How organizations may track review activity and performance trends

Who Should Read This

  • Clinical documentation integrity specialists
  • Coding professionals
  • HIM managers
  • Physician advisors
  • Hospital quality teams

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