Next Steps: An ACDIS Encore

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Next Steps: An ACDIS Encore

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Next Steps: An ACDIS Encore

Wednesday, November 10 — Friday, November 12, 2021

ACDIS is proud to offer our final virtual education event for 2021: a three-day, two-track, online conference filled with educational opportunities and continuing education offerings.

Throughout an unprecedented pandemic, ACDIS and the CDI community have continuously embodied a spirit of change. Now, we welcome you to join us for Next Steps: An ACDIS Encore this November.

During this online event, participants will delve into a wide variety of emerging ways that CDI professionals have pushed their programs forward, pulled their staff through innovative waters, and propelled program outcomes beyond traditional record reviews.

Sessions will dig into quality-of-care concerns such as record reviews to capture mortality, value-based purchasing, patient length of stay, clinical validation, and more.

Additionally, as the world moves forward post-pandemic, CDI programs are taking their next steps, too, hiring additional staff and coalescing their teams. Participants will dive into DRG accuracy, CMS’ chronic conditions list, ICD-10-PCS code assignment, and other core clinical and coding competencies CDI professionals need to be proficient.

Please note: All registered attendees of the in-person live national ACDIS conference taking place in Dallas in October 2021 will receive a complimentary registration to this online virtual event.

Important: The continuing education credits listed are available for live attendees only. Participants can claim credit for the live sessions they attend from either track between November 10 and 12, 2021. As a bonus, attendees will also be able to watch recordings of sessions they were not able to attend live, although continuing education credits will not be available for on-demand sessions.

Next Steps: An ACDIS Encore

Agenda

*Times listed are Eastern.

Day One — Wednesday, November 10, 2021

11:45 a.m. 
Welcome Remarks
ACDIS Director Brian Murphy

12:00 p.m. – 12:50 p.m.
General Session
Dumpster Diving for Dollars: A CDI Approach for Salvaging Opportunities During COVID-19
Amy Current, RN, CCDS, and Eileen Pracz, RN, CCDS
During the pandemic, the trajectory of healthcare was uncertain and there were fewer in-hospital, non-COVID-19 admissions. CDI programs scrambled to mine low-hanging fruit, diving deep into the chart to identify any opportunities to evaluate, educate, and collaborate. It’s a strategy that served Oregon Health & Science University well during the pandemic, but any program can use it to increase productivity and outcomes regardless of the obstacles.

1:00 p.m. – 1:50 p.m.

Track 1: Clinical & Coding
DRG Security: Acknowledging to Give Credit
James “Jamie” Doster, MS, BSN, CCDS
CDI programs leverage many metrics to illuminate successes and opportunities—one of the most commonly used is financial impact. Join the manager of CDI at Emory University Hospital Midtown in Atlanta, Georgia, for a look at how to use a secured DRG metric to improve the capture of true financial outcomes related to CDI activities.

Track 2: Quality & Regulatory
Is Automation Your Next Step?
Shelby Humphreys, RHIA, Debbie Martin, RN, Vaughn Matacale, MD, and Gerasimos Petratos, MD
This unique panel discussion/case study from the CDI team at Vidant Health, based in Charlotte, North Carolina, will offer insight into how their health system explored, developed, established, and refined an automated query process. Attendees will review CDI needs related to natural language processing as well as implementation timelines, outcomes, benefits, and pitfalls to overcome.

1:50 p.m. – 2:15 p.m.
Break (25 minutes)

2:15 p.m. – 3:05 p.m.

Track 1: Clinical & Coding
Deep Dive Into the CMS Chronic Condition List
Leigh Poland, RHIA, CCS
During this session, Leigh Poland, executive director for education at AGS Health in Newark, New Jersey, will explore how coding chronic conditions and comorbidities affects efforts related to value-based care, advancing the triple aim of providing better care for individuals, improving population health management strategies, and reducing healthcare costs. Participants will learn how risk scores and the risk adjustment factor work as statistical tools that predict speculated healthcare costs.

Track 2: Quality & Regulatory
Beyond SOI/ROM: A Deeper Dive Into Mortality Risk Assessments and Reviews
Keisha Downes, RN, CCRN, CCDS, and Jill Horruitiner, RN, CCDS, CCS
Join the CDI team from Tufts Medical Center in Boston, Massachusetts, as they share their next steps in investigating why their expected mortality rate reported to CMS didn’t reflect their patient population. Tufts created a Mortality Review Committee to aggressively address the root causes, leading to CDI record review expansion to incorporate not only CC/MCC and SOI/ROM capture, but also Vizient Risk Model Groups based on specific DRGs to optimize the expected mortality.

3:15 p.m. – 4:05 p.m.
General Session Poster Lightning Rounds

4:15 p.m. – 4:45 p.m.
General Session Live Q&A
Join the speakers for a live Q&A and submit all your questions from the day’s sessions.
Amy Current, RN, CCDS
James “Jamie” Doster, MS, BSN, CCDS
Keisha Downes, RN, CCRN, CCDS
Jill Horruitiner, RN, CCDS, CCS
Shelby Humphreys, RHIA
Debbie Martin, RN
Vaughn Matacale, MD
Gerasimos Petratos, MD
Leigh Poland, RHIA, CCS
Eileen Pracz, RN, CCDS



Day Two — Thursday, November 11, 2021

12:00 p.m. – 12:50 p.m.
General Session: ACDIS Regulatory Committee & Advisory Board Update

1:00 p.m. – 1:50 p.m.

Track 1: Clinical & Coding
Demystifying Debridement: Partnering With the Patient Care Team
Lynn Heinrich, MS, RN, CCDS, and Lynette Kutz, RN, BSN, CCDS
Session attendees will learn why it’s important to continue to focus on debridement and obtain clinical and coding information necessary to prevent denials and capture this condition in the medical record.

Track 2: Quality & Regulatory
CDI Beyond Reimbursement: How NYU Health Incorporated Focus on Quality Into CDI Reviews
Jennifer Bahdi, MPA, MSN, NP-C, CDIP, CCDS, CCS, Christopher Petrilli, MD, SFHM, CCDS, Will Winfree, and Irina Zusman, RHIA, CCS, CCDS
Join the CDI team from NYU Langone Health to learn how an institutionalized value-based management initiative can result in better quality of care and patient outcomes. Presenters will explore critical elements including education, specialized reviews, and escalation workflow, as well as monitoring and evaluation of project outcomes.

1:50 p.m. – 2:15 p.m.
Break (25 minutes)

2:15 p.m. – 3:05 p.m.

Track 1: Clinical & Coding
Concurrent Coding: A Different Approach to Maximizing CDI Resources
Michelle Knuckles, RHIT
During this session, Michelle Knuckles, manager of inpatient coding and CDI at Utah Health in Salt Lake City, will explore how to use a fully concurrent coding model from admission to discharge. Coders own the process of setting the initial DRG and following an account through discharge, which provides CDI specialists more time for clinical review and query generation. Knuckles will also hold additional discussion regarding facilitating collaborative processes between the two departments.

Track 2: Quality & Regulatory
Leveraging Length of Stay Data for Provider Engagement and CDI
Jennifer Cavagnac, RN, CCDS, and Nageshwar Jonnalagadda, MD
Join Baystate Health’s CDI assistant director and physician advisor to learn how to leverage technology in identifying a working DRG, pairing that information with expected geometric length of stay (GLOS), and leveraging that data within the query process. See how Baystate Health, based in Springfield, Massachusetts, uses GLOS for interdisciplinary huddles that accommodate both remote and on-site staff.

3:15 p.m. – 4:05 p.m.
General Session: Poster Lightning Rounds

4:15 p.m. – 4:45 p.m.
General Session: Live Q&A
Join the speakers for a live Q&A and submit all your questions from the day’s sessions.
Jennifer Bahdi, MPA, MSN, NP-C, CDIP, CCDS, CCS
Jennifer Cavagnac, RN, CCDS
Lynn Heinrich, MS, RN, CCDS
Nageshwar Jonnalagadda, MD
Michelle Knuckles, RHIT
Lynette Kutz, RN, BSN, CCDS
Christopher Petrilli, MD, SFHM, CCDS
Will Winfree
Irina Zusman, RHIA, CCS, CCDS



Day Three — Friday, November 12, 2021

12:00 p.m. – 12:50 p.m.
General Session: Poster Lightning Rounds

1:00 p.m. – 1:50 p.m.

Track 1: Clinical & Coding
Evaluation and Management (E/M) Office Visit Revisions
Zachary Hochstetler
Join the director of CPT® editorial and regulatory affairs for the American Medical Association to learn about new landmark revisions to the CPT E/M codes and gain insight into the process behind the reimagined approach to office visits—directly from the secretary of the CPT Editorial Panel.

Track 2: Quality & Regulatory
TBD

1:50 p.m. – 2:15 p.m.
Break (25 minutes)

2:15 p.m. – 3:05 p.m.

Track 1: Clinical & Coding
Assigning ICD-10-PCS Codes Using CMS Files
Cindy Hestir, MSN, RN, CCDS, and Kay Piper, RHIA, CDIP, CCS
Learn how to use CMS’ free ICD-10-PCS files for accurate coding. This session will include hands-on participation and provide tips and tricks for avoiding coding errors.

Track 2: Quality & Regulatory
Make the Business Case for Your CDI Program With Redefined Performance Metrics
Kim Conner, RN, CCDS
Learn how South Shore Health, based in Weymouth, Massachusetts, launched a reorganization of its CDI program to address the need for better performance metrics and improved collaboration to focus on people, process, and technology.

3:15 p.m. – 4:05 p.m.

Track 1: Clinical & Coding
Harnessing the Chameleon-Like Powers of ICD-10
Margaret DeFilippis and Saneth Eang
Join the CDI team from UCLA Health in California to glean a better understanding of the effect of ICD-10-CM/PCS codes in all parts of the revenue cycle—from inpatient to outpatient, from quality to compliance. Capturing accurate and complete documentation, with an awareness of all outcomes stemming from that documentation, is vital to keeping healthcare doors open.

Track 2: Quality & Regulatory
Provider Education + Data Analytics + CDI + Coding = Exceptional CDI and Quality
Chinwe Anyika, PhD, RN, CCS, CCDS, CCDS-O, CDIP, CPHIMS
Learn from the manager of CDI and data operations at Memorial Sloan Kettering Cancer Center in New York how healthcare facilities can leverage various documentation demands to show better outcomes focusing on four important aspects—provider education, data analytics, CDI, and coding knowledge—as the means to reaching quality outcomes.

4:15 p.m. – 4:45 p.m.
General Session: Live Q&A
Join the speakers for a live Q&A and submit all your questions from the day’s sessions.
Chinwe Anyika, PhD, RN, CCS, CCDS, CCDS-O, CDIP, CPHIMS
Kim Conner, RN, CCDS
Margaret DeFilippis
Saneth Eang
Cindy Hestir, MSN, RN, CCDS
Zachary Hochstetler
Kay Piper, RHIA, CDIP, CCS


— Agenda and speakers subject to change. —

Next Steps: An ACDIS Encore

Learning Objectives

  • Identify COVID-19-related documentation integrity opportunities
  • Define CDI metrics related to MS-DRG capture
  • Implement CDI automation for process improvement
  • Understand the importance of CMS’ chronic conditions list for CDI progression
  • Incorporate mortality review processes into CDI program priorities
  • Identify core quality measure concerns affected by documentation integrity efforts
  • Implement data analytic techniques to improve CDI performance