The Essential Guide to Supporting Quality Care Measures Through Documentation Improvement

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The Essential Guide to Supporting Quality Care Measures Through Documentation Improvement

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Available June 2017

The Essential Guide to Supporting Quality Care Measures Through Documentation Improvement

Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC
Sharme Brodie, RN, CCDS

The Essential Guide to Supporting Quality Care Measures Through Documentation Improvement is an indispensable ACDIS guide for CDI professionals about quality measures and how the CDI department affects those measures. CDI specialists and departments can use this guide to advance to the next level of CDI—not just reviewing and clarifying diagnoses, but understanding how those diagnoses impact hospital quality metrics and influence indirect revenues.

This book covers publically reported quality data and how code assignment affects quality metrics, including the Hospital Value-Based Purchasing Program. It also explains the why and how of reviewing complex cases involving Patient Safety Indicators and hospital-acquired infections.

By reading this book, CDI specialists will be equipped with action plans to:

  • Impact quality care metrics
  • Implement measurable strategies for improving their hospital profiles
  • Positively influence value-based incentive payments


About the Authors

Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, is the CDI education direc­tor with the Association of Clinical Documentation Improvement Specialists (ACDIS) and HCPro. Prescott is responsible for the design and development of all ACDIS CDI boot camps—including the CDI Boot Camp, the CDI and Quality Care Measures Boot Camp, the Risk Adjustment Documentation and Coding Boot Camp, and the CCDS Exam Prep Class—and serves as a full-time instructor. She is a subject matter expert for ACDIS, a frequent speaker on HCPro/ACDIS webinars, and author of The Clinical Documentation Improvement Specialist’s Complete Training Guide.

Prescott started her nursing career in 1985 as a graduate of the University of Vermont School of Nurs­ing. Since that time she has worked at a variety of organizations, including academic, large, and small community hospitals. She has served in a number of nursing roles, including as manager in the areas of medical/surgical, ICU, PACU, and endoscopy. Her experience also includes specialization as a compli­ance officer. In 2007, she transitioned from a clinical focus to initiate and grow a successful CDI program within a community hospital. She joined HCPro in 2013 to combine her teaching skills with a focus on CDI. 

Sharme Brodie, RN, CCDS, is a CDI education specialist with HCPro. Brodie serves as a full-time instructor for the CDI Boot Camp, the CDI and Quality Care Measures Boot Camp, the Risk Adjustment Documentation and Coding Boot Camp, and the CCDS Exam Prep Class. She is a subject matter expert for ACDIS and a frequent presenter at national CDI seminars and conferences, as well as on ACDIS webinars. Her CDI experience includes a background in consulting in which she provided program reviews and training to medical staffs, including physician education at various healthcare facilities.

Brodie has implemented and overseen a CDI department in a small community hospital and helped with the revitalization of CDI at another facility. Her nursing experience includes mother/baby, L&D, pediatrics with urgent care, GI lab, and case management.


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Page count: 250

Dimensions: 8.5 x 11
ISBN: 978-1-68308-493-8

Table of Contents

Chapter 1: Introduction to Healthcare Data

Chapter 2: ICD-10 Code Sets

Chapter 3: Inpatient Prospective Payment System (IPPS) and MS-DRGs

Chapter 4: Introduction to Quality

Chapter 5: Hierarchical Condition Categories (HCC)

Chapter 6: Hospital-Acquired Conditions (HAC) and Present on Admission Status

Chapter 7: Hospital Inpatient Quality Reporting (IQR) Program

Chapter 8: Hospital Value-Based Purchasing (HVBP) Program

Chapter 9: Hospital Readmissions Reduction Program (HRRP)

Chapter 10: PSI 90: The Composite Patient Safety Indicators (PSI)

Chapter 11: Hospital-Acquired Infections (HAI)