Boot Camps

CDI and Quality Care Measures Boot Camp Online

Course Overview

Advance your practice to the next level in CDI

The CDI and Quality Care Measures Boot Camp Online is an intensive course designed for CDI departments/programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues.

This class covers publicly reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing Program. Students will learn the why and how of reviewing complex cases involving Patient Safety Indicators (PSI) and hospital-acquired infections (HAI), and leave with measurable strategies for improving their hospital profiles and positively influencing their facility’s value-based incentive payments.

Who is this class for?
The CDI and Quality Care Measures Boot Camp Online course is designed for CDI departments and programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues. One year of experience is recommended for this course but not required.

This boot camp will help you to:

• Apply concepts of CDI record review, query, and provider education to CMS quality reporting measures
• Create a strategy to demonstrate accurate public reporting and quality measure scores
• Accurately apply present on admission indicators and identify query opportunities related to the HAC Reduction Program quality measures

Leave this boot camp with an understanding of:

• How quality reporting impacts organization reimbursement
• The application of CDI record review, query, and provider education to demonstrate quality outcomes
• Quality measure reporting and how documentation integrity can positively impact scores
• The impact of diagnoses reporting on quality reporting and organizational revenue

CDI and Quality Care Boot Camp Online—see the difference for yourself!
Check out all the benefits of this HCPro Boot Camp:

• Expertly designed course materials: Course materials are developed by an adult education expert. The curriculum uses a “how to” approach where participants learn how to apply CDI concepts that they can then customize to their organizational needs. Content is regularly updated based on changing industry practices and participant feedback. 
• Well-established program: Brought to you by the Association of Clinical Documentation Integrity Specialists (ACDIS), this Boot Camp from the industry’s only dedicated CDI association provides the best-in-class education you expect.

Our boot camps are a comprehensive and effective way to strengthen your understanding of CDI. “Our goal as instructors is to offer detailed, thorough, and timely education that can be simply broken down and easily understood and applied in daily practice,” says CDI education director Laurie Prescott, MSN, RN, CCDS, CDIP, CRC, CCDS-O.

This isn't just any CDI course. Check out all the benefits of this HCPro online Boot Camp:

• 60-day access to video instruction after purchase: View video sessions and complete all assignments, including review of all answer keys.

• 24-hour access: Video instruction is available at any time of day—you choose the time that works for you. You can also email questions to our instructors. We try to answer all questions either via email or phone within two business days. 

For more information about the CDI and Quality Care Boot Camp Online, contact customer service at 800-650-6787 or email
sales@hcpro.com

CDI and Quality Care Measures Boot Camp Online

Dates

Below is the current course schedule for upcoming CDI and Quality Care Measures Boot Camp Online classes.

To view our cancellation policy, click here.

CDI and Quality Care Measures Boot Camp Online

Course Outline - Agenda

Module 1: Introduction to Healthcare Data

• Uniform Hospital Discharge Data Set (UHDDS)
• Key definitions
• Key elements by setting
• Publically reported quality data
• Types of publically reported data
• Quality or performance data
• Physician Value-Based Modifier Program
• Utilization data
• Clinical condition data

Module 2: ICD-10 Code Sets

• Introduction to diagnosis coding
• Overview of Official Coding Guidelines for Coding and Reporting
• Introduction to hospital inpatient procedure coding

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

• Overview of the Medicare IPPS system
• Key terminology
• What is an MS-DRG?
• How is an MS-DRG assigned?
• Principal diagnosis
• Complications/comorbidities (CC) and major CCs
• Principal procedure
• The impact of principal diagnosis
• Medical necessity denials

Module 4: Introduction to Quality

• A history of CMS quality initiatives
• Quality initiatives affected by the inpatient population
• Basic quality concepts
• Early quality efforts
• The relationship between the electronic health record and reporting quality data
• National Quality Initiatives (NQI)
• Different types/categories of quality metrics and their significance

Module 5: Hierarchical Condition Categories (HCC)

• Introduction to CMS-HCC payment methodology
• How HCCs are used to adjust quality monitors
• Case studies

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

• Introduction to traditional HACs
• Significance of the present on admission (POA) indicator on CMS quality metrics
• CMS and OIG studies on POA accuracy
• Hospital-Acquired Conditions Reduction Program (HACRP)
• Complication of care codes as defined by coding guidelines
• The impact on provider documentation on assigning a complication of care code
• Role of ICD-10-CM codes and their associated guidelines
• Hospital-Acquired Conditions Reduction Program
• Case studies

Module 7: Hospital Inpatient Quality Reporting (IQR) Program

• History and evolution of the Hospital IQR Program
• IQR as basis/foundation of other CMS quality initiatives
• Potential impacts of IQR
• Reimbursement
• Organizational reputation
• Role of principal diagnosis assignment in IQR
• Role of ICD-10-CM codes
• Case studies

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

• The HVBP program
• Coded data elements that impact the reporting of HVBP
• Impact of the principal diagnosis on HVBP
• Role of ICD-10-CM codes and their associated guidelines

Module 9: Hospital Readmissions Reduction Program (HRRP)

• About the HRRP
• Coded data elements that can impact the reporting of HHRP measures
• Impact of the principal diagnosis on the HRRP
• Case studies

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

• An introduction to PSIs
• Impact of PSI 90 on CMS quality programs
• Elements of PSI 90
• Pressure ulcer rate (PSI 3)
• Iatrogenic pneumothorax rate (PSI 6)
• Central venous catheter-related bloodstream infection rate (PSI 7)
• Postoperative hip fracture rate (PSI 8)
• Postoperative pulmonary embolism (PE) or deep vein thrombosis rate (DVT) (PSI 12)
• Postoperative sepsis rate (PSI 13)
• Wound dehiscence rate (PSI 14)
• Accidental puncture and laceration rate (PSI 15)
• Case studies

Module 11: Hospital-Acquired Infections (HAI)

• HAI methodology
• Nosocomial infections
• HAIs that may or may not be a HAC
• Surveillance data vs. coded data
• HAIs currently used in CMS quality metrics
• CLABSI
• CAUTI
• SSI
• VAP
• Adjourn

*Outline-Agenda subject to change.

CDI and Quality Care Measures Boot Camp Online

Questions/Answers

What is the focus of the CDI and Quality Care Measures Boot Camp Online?
This class covers publicly reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing (HVBP) Program, the Hospital Readmission Reduction Program (HRRP), The Hospital Acquired Condition Reduction Program (HACRP) to include Patient Safety Indicators (PSI) and hospital-acquired infections (HAI) and Hospital Inpatient Quality Reporting (IQR). The course speaks to the relationship between provider documentation and quality measure reporting. Attendees will leave with measurable strategies for applying the concepts of CDI record review, query and provider education with a goal to improve quality measure scores and public reporting.

The CDI and Quality Care Measures Boot Camp Online: How does it work?
You'll receive the same content and instruction that you would experience at our classroom-based, nationally recognized Boot Camps.

Here's how it works:

• 60-day access to online instruction after your purchase: View sessions and complete all assignments including review of all answer keys.
• Expertly designed course materials: You’ll receive your Boot Camp materials with presentations and practice exercises prior to the start of class.
• 24-hour access: Instruction is available any time of day. You choose the time that works for you. You can also email questions to our instructors. We try to answer all questions either via email or phone within two business days.
• Interactive learning: Course participants work more than 140 exercises and questions based on the course content.
• Well-established program: Backed by the Association of Clinical Documentation Integrity Specialists (ACDIS), this Boot Camp provides the same great education you've come to rely on.

How long will the online content remain accessible after class ends?
The online portal location for your class sessions and materials is accessible for 60 from your purchase date.

What if I need to cancel or transfer my registration?
Please click here to view our cancellation policy.

What material does the course cover?
To view the course outline, click on "Course Outline" above.

Does the course require any previous experience or training?
No. However, because of the course’s fast-paced nature, it is recommended (but not required) that participants have at least one year of experience working in a hospital. This course is taught on a basic to intermediate level. It is recommended, however, that new CDI specialists attend the CDI Boot Camp first and the CDI and Quality Care Measures Boot Camp second, as the former course includes information on the basic roles and responsibilities of the CDI specialist while the CDI and Quality Care Measures Boot Camp does not.

Who should attend?

• CDI specialists, CDI supervisors, CDI managers/directors
• Quality improvement professionals, quality department managers/directors
• Coding supervisors, coding managers/directors
• HIM managers/directors
• Coding compliance specialists, coding compliance supervisors/managers/directors
• Utilization review/case management managers/directors
• Revenue cycle managers/directors
• Physician advisors/champions to CDI
• Hospitalist leadership

Is there a discount for ACDIS members?
ACDIS members save $150 off the registration fee. Contact us at 800-650-6787 or email sales@hcpro.com.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and hands-on exercises/case studies.

What do I need to bring to class?

• Highlighter
• Sticky notes
• Pen/pencil

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information?
Contact our sales team at 800-650-6787 or email sales@hcpro.com.

CDI and Quality Care Measures Boot Camp Online

Learning Objectives

At the conclusion of the course, participants will be able to:

• Define payment methodologies beyond Medicare’s inpatient prospective payment system (IPPS), including the Hierarchical Condition Categories (HCC) system
• Describe the potential advantages and documentation opportunities of expanding CDI beyond MS-DRG review/optimization and CC/MCC capture   
• Explain the impact of principal diagnosis assignment (i.e., diagnosis sequencing) on indirect revenue, including that affected by quality metrics and medical necessity denials
• Define the CDI specialist’s role in supporting medical necessity and working collaboratively with utilization review/case management
• Develop documentation strategies to enhance a hospital’s quality metrics without compromising data integrity congruent with official coding guidelines
• Describe how additional CDI responsibilities impact individual metrics, including staffing, productivity, and workflow
• Discuss how physician documentation impacts various quality metrics through coded data, compared to abstracted data and surveillance data
• Conduct reviews and/or develop appropriate review processes to ensure accurate reporting of Patient Safety Indicator (PSI) 90
• Develop strategies to leverage collaboration within the revenue cycle, including CDI, coding, infection control, quality, and case management (utilization review) to promote consistency in the reporting of metrics associated with Hospital Value-Based Purchasing (HVBP) and other quality indicators

Continuing Education

ACCME
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

HCPro designates this educational activity for a maximum of 10.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ACDIS
This program has been approved for 10.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

ANCC
HCPro, is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 10.5 nursing contact hours is provided by HCPro.

CCMC
This program has been submitted to The Commission for Case Manager Certification for approval to provide board certified case managers with 8.5 clock hours.

Disclosure Statement:
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.