Pediatric CDI: Building Blocks for Success

Children aren’t little adults. Their disease processes don’t always mimic those typically seen in the adult population. This makes expanding CDI reviews to pediatric units or children’s hospitals a challenge—but every challenge is an opportunity.

We’ve compiled a panel of contributors representing some of the most advanced thought leadership in the pediatric CDI realm today to provide an in-depth look at a wide variety of documentation concerns related to childhood conditions. Whether you need help securing administrative support from the get-go or want some guidance on delving deep into the documentation depths, this book provides the building blocks to get your pediatric program off the ground.

Pediatric CDI: Building Blocks for Success is a must-read resource for both new CDI specialists and experienced CDI specialists who have pediatric chart review added to their responsibilities.

At the end of the book, readers will understand:

• The fundamentals of pathophysiology of childhood diseases
• Coding and documentation requirements for common pediatric diagnoses
• Techniques for physician engagement
• The need for a pediatric CDI program
• Methods for program analysis

Use this book to expand into the pediatric setting or to take your existing pediatric CDI efforts forward and improve documentation, coding, quality, and reimbursement.

Published: December 2017

Page count: 125 
Dimensions: 8.5” X 11” 
ISBN: 978-1-68308-655-0

Table of Contents

1. Introduction
2. Contributors 
3. Chapter 1: How to Get Started in Pediatric CDI

a. Pediatric CDI Momentum
b. CDI in Children’s Hospitals
c. CDI in Acute Care Facilities on a Pediatric Unit
d. Data Analysis to Engage Administration
e. Staffing Requirements
f. Staff Training
g. Program Rollout

4. Chapter 2: Coding and Payment System Overview

a. WHO and ICD-10-CM/PCS
b. IPPS Process
c. Advocacy for Change
d. MS-DRGs
e. APR-DRGs
f. Adult Codes Versus Childhood Diseases

5. Chapter 3: Clinical Considerations 

a. Congenital Cardiac Conditions
b. Developmental Diagnoses
c. Encephalopathy
d. Nutritional Conditions
e. Gastroenterological Conditions 
f. Respiratory Failure
g. Sepsis

6. Chapter 4: Physician Support

a. Understanding Pediatric Physicians
b. Building CDI and Physician Relationships
c. Providing Resources and Education

7. Chapter 5: Metrics and Analysis

a. Individual Staff Review Rates
b. Physician Response and Engagement Rates and Metrics
c. CMI Trends
d. APR-DRG Shifts
e. CDI and Coding Reconciliation 
f. Query Auditing and Retention