Domain 4 Cdi Metrics And Statistics Flashcards
Examples of key metrics. Will be on test
Record review rate - 20 to 25 case reviews per day
Physician query rate - are they missing the query opportunities
Physician response rate- is one physician not answering
Validation rate measures the degree to which the physicians in the CDI program staff are synchronized in their understandings of the query and CDI process
Setting cdi program goals
Cdi must be effective and efficient
Should be developed specifically by the organization
CDI is guided by key metrics
Why is it important to collect the query agreement rate?
If it is too high or too low it may represent more systemic problem with the documentation process. 100% agreement rate would indicate the physician is agreeing with all queries. This may be evidence of leading queries or physicians be not properly trained
When should the CDI’s staff concurrent record review occur?
It should occur on the second day of admission. Follow up review should be 1 to 2 days from the initial review
How is CM I calculated
Sum of all DRG relative weights divided by the number of patients for that period. This question was on the test
What are three basic hospital statistics
Average length of stay occupancy rate and case mix index
Pie charts are best and displaying what
Best for percentages it shows differences in frequencies or percentages by categories
What are bar graphs best for
Show qualitative differences and frequencies for example marital status by US adults by female and male
What are histograms good for showing
Quantitative data. percentages among categories in an interval
What way is it important to report on and analyze the CDI court key metrics
Aggregate
CDI case mix change is the result of what
Documentation that impacted CMIIW
Real patient case and exchange occurs when what happens
When the type of patients admitted to the hospital changes. Such as orthopedic cases being moved to outpatient from inpatient
What other components can affect the CMI
Seasonal variations, medical and surgical mix, physician staffing changes, coding competency, severity of illness among the patient population
How should you illustrate changes in CMI to the organization?
Changes in CMI are best illustrated with graphs
