Quality
Get credit for the high-quality care you provide
Effective clinical documentation is critical to accurately capture the high quality of care that your hospital provides. When documentation opportunity exists, an organization’s fiscal health as well as public perception can be jeopardized due to innappropriate reporting of patient safety events and complications.
Our clinical physician advisors can help
Review and clarify the use of “postoperative” when describing conditions in the peri-operative period
Capture and clarify diagnoses that impact quality metrics
Review and clarify present on admission (POA) status
Review and validate the coding and reporting of complications
Ensure accurate reporting of Severity of Illness (SOI) and Risk of Mortality (ROM)
Ensure risk-adjustment methodologies are optimized
Patient Safety Indicators (PSIs)
With hospitals facing a 1% penalty to revenue through the CMS HAC Reduction Program, accurate reporting of complications is critical to the financial health of the organization. We work to ensure your team understands the capture and reporting of PSI complications.
Consider
1% penalty for a large hospital often exceeds $1.1 million annually!
1% penalty for a mid-sized hospital often exceeds $500,000 annually!
Mortality Risk Adjustment Optimization
Documentation and coding of all reportable ICD-10 diagnoses is critically important to ensure accurate portrayal of risk. In addition, many quality metrics only utilize diagnoses captured as Present On Admission (POA) for risk adjustment. These risk models are often very complex and require an appreciation of the methodology to effectively optimize Observed to Expected (O/E) ratios.
Our team has deep knowledge of multiple risk models and can work with your organization to guide your team and teach your providers.