Title: Collaborating for Quality: How HDSs and CDISs Can Work Together for Content Improvement
Presenters: Jill Devrick, MPA, and Susan E. Belley, M.Ed., RHIA, CPHQ
Date: January 20, 2015
Time: 12 p.m. PT/ 3 p.m. ET
CEC: 1 ML or 1 MTT
As healthcare organizations work with ICD-10, they are also adopting and adapting to new technologies and workflows for documentation capture. In this session, the presenters will use examples of common issues discovered by CDISs when evaluating documentation for ICD-10. They will suggest how to enlist HDSs to determine how documentation capture tools and processes can be improved to resolve each scenario. Utilizing both CDISs and HDSs, organizations can build a strong documentation quality improvement cycle in which common CDI queries can be reduced or eliminated over time.
1. Describe the roles and goals of both healthcare documentation specialists (HDSs) and clinical
documentation improvement specialists (CDISs) and how they fit into the documentation capture workflow within healthcare organizations.
2. Highlight common documentation issues discovered by CDISs.
3. Describe various documentation capture scenarios that may contribute to poor content quality.
4. Illustrate how common documentation issues can be addressed by HDSs through collaboration with CDISs.
Jill Devrick is a Product Solutions Advisor for 3M Health Information Systems, specializing in electronic healthcare documentation software solutions for 20 years. She is currently product manager for 3M’s ChartScript and VoiceScript software. Jill earned a master’s degree in Public Administration with healthcare certification from West Virginia University. She is an AHDI Past President and serves as the Health Story Project’s Liaison to the HIMSS Interoperability and Standards Committee.
Susan Belley is the Manager of Clinical Content Development for 3M Health Information Systems Consulting Services and is responsible for oversight of clinical content and new service/product development. She is an AHIMA certified ICD-10 Trainer. She has a master’s degree in Education from Cleveland State University and taught coding and related subjects for 20 years as an adjunct faculty member in the HIM program at Cuyahoga Community College in Cleveland, Ohio.