CDI and Quality Care Measures Boot Camp

Bookmark and Share

CDI and Quality Care Measures Boot Camp

Product Code: CQBC

This intensive three-day 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.
Learn More


To register multiple attendees, or if you have any questions about this class, please call our sales team at 615-724-7200.

This live boot camp is best for those looking for an interactive learning experience. Classes are led by our expert instructors, take place over the course of a week, and allow instructor/student interaction and engagement.

CDI and Quality Care Measures Boot Camp

Course Overview

Advance your practice to the next level in CDI

The CDI and Quality Care Measures Boot Camp is an intensive three-day 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 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—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. 
  • Live instruction: Classes are taught by an experienced instructor who is credentialed as a CDI professional and works as an industry subject matter expert for ACDIS.
  • Small class size: We limit the number of course participants in order to maintain a low participant-teacher ratio. This allows us to provide individual instruction as needed when participants find a topic particularly challenging; it also allows time for discussion.
  • 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.

ACDIS members save $150 off the registration fee. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!

For more information about the CDI and Quality Care Boot Camp, contact us at 615-724-7200 or email PD-IS@SimplifyCompliance.com.

CDI and Quality Care Measures Boot Camp

Course Outline/Agenda

Day One

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


Day Two

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


Day Three

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)
    • Postoperative hip fracture rate (PSI 8)
    • Perioperative hemorrhage or hematoma rate (PSI 9)
    • Postoperative Acute Kidney Injury Rate (PSI 10)
    • Postoperative Respiratory Failure Rate (PS 11)
    • Postoperative pulmonary embolism (PE) or deep vein thrombosis rate (DVT) (PSI 12)
    • Postoperative sepsis rate (PSI 13)
    • Postoperative 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


Module 12: Record Review and Queries

  • Reviewing medical record documentation
  • What is a query? Query Compliance.
  • Justification to issue a query
  • How to construct a query
  • Written vs. verbal processes
  • Concurrent vs. retrospective
  • Available formats
  • The importance of clinical indicators


*Course Outline/Agenda subject to change.

CDI and Quality Care Measures Boot Camp

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

AAPC
This program has the prior approval of AAPC for 22.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

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 22.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ACDIS
This program has been approved for 22.5 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 22.5 nursing contact hours is provided by HCPro.

CCMC
This program is approved by the Commission for Case Manager Certification for 22.5 Continuing Education Units.

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.

CDI and Quality Care Measures Boot Camp

Things to Know Before Attending Class

Directions and Hotel Information

The hotel address, phone number, URL, room rate and room rate cut-off date are posted on the Locations/Dates tab. The hotel websites give detailed directions to the hotel as well as information about the location.  Please call the hotel directly to make a room reservation.  Be sure to identify yourself as an HCPro Boot Camp participant.  Please be sure to make your reservation before the cut-off date.  After the cut-off date, contact the hotel to determine room availability and rates.

Course Materials

When you arrive at class, you will receive two books containing the class materials utilized throughout the boot camp.  These books will be yours to keep, so plan accordingly in allowing enough room in your luggage on the return trip home.  The books weight approximately 8 – 10 pounds.  Books may also be shipped from the hotel at your own expense.

Classroom Time

Other than short breaks and lunch, we will be in class from 8:00 a.m. to at least 5:00 p.m. each day.  In order to focus all attention on the course and to not distract other participants as well as the instructor, cell phone use during class is strictly prohibited. We will take short breaks (up to 10 minutes each) throughout the day that will give participants an opportunity to make calls, use the restroom, etc., in addition to an hour lunch break for lunch on your own.

Lunch

We will take about a 45-minute break for lunch each day.  We typically provide coffee in the morning and drinks and a light snack in the afternoon, everyone is on their own for lunch.  Note that many hotels do not have restaurants on-site.  If you are flying to the course, we generally recommend renting a car, or investigating availability of hotel shuttle or ride share.

What to Bring to Class

Please bring the following to all classes:

  • Highlighter
  • Notepaper
  • Sticky Notes/flags
  • Pen/Pencil
  • Layered clothing  e.g., light sweater, light jacket, etc.

Dress

Business attire is not necessary.  Please dress comfortably.   Sometimes classrooms are on the cool side, even during the warmer months.  You may be more comfortable if you bring a sweater or sweatshirt in case you get cold. 

CCDS Examination Information

The Association of Clinical Documentation Improvement Specialists (ACDIS) offers a certification for CDI specialists, the Certified Clinical Documentation Specialist (CCDS). We recommend the CCDS exam for individuals who desire to pursue certification. However, the course may not cover all the content areas tested on the exam.  Additionally, the certification requires experience performing the duties of a CDI specialist so attending this class may not qualify you to sit for the exam if you are new to the field of CDI. 

Consequently, depending on your background and experience, additional independent study and/or training may be required to pass the CCDS examination. To download the CCDS Candidate Handbook and Application and view the prerequisites, visit the ACDIS website at https://acdis.org/certification.

Cancellation and Transfer Policy

For our cancellation and transfer policy, visit our website:  http://hcmarketplace.com/cancellations.

COVID Safety

Simplify Compliance and HCPro place the highest priority on the safety of our guests. In preparation for attendance at our events, we want to share the following measures to promote health and well-being:

  • If the region where our event is located is deemed by the CDC to be within the substantial or high-risk category, we will require all attendees, regardless of vaccination status, to wear masks when indoors except while actively eating or drinking. 
  • Meeting rooms will be set to support social distancing when necessary.
  • Food service will follow the safety guidelines implemented by the hotel.

To view all the safety measures that a specific hotel has implemented, please see the information listed on their website. 

Simplify Compliance and HCPro will continue to monitor the COVID-19 environment and the recommended guidelines, and will communicate adjustments to the onsite policies and procedures as necessary.

Contact Information

For more information about our Boot Camps, contact us at 615-724-7200 or email PD-IS@SimplifyCompliance.com.

We Look Forward to Having You In Class!

CDI and Quality Care Measures Boot Camp

Questions/Answers

What is the focus of the CDI and Quality Care Measures Boot Camp?
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.

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. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!

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 615-724-7200 or email PD-IS@SimplifyCompliance.com.

CDI and Quality Care Measures Boot Camp

COVID

Simplify Compliance and HCPro place the highest priority on the safety of our guests. In preparation for attendance at our events, we want to share the following measures to promote health and well-being:

  • Per current CDC guidelines, if the county where our event is located is deemed to be within the high level of COVID-19, it will be recommended that all attendees, regardless of vaccination status, wear masks when indoors except while actively eating or drinking.
  • Food service will follow the safety guidelines implemented by the hotel.

To view all the safety measures that a specific hotel has implemented, please see the information listed on their website.

Simplify Compliance and HCPro will continue to monitor the COVID-19 environment and the recommended guidelines and will communicate adjustments to the onsite policies and procedures as necessary.