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CDI Week: Photo caption contest

The photo caption contest follows the same rules as the cartoon caption one. Think of something fun and clever (and politically correct/tasteful) that might best describe the action in the photograph below and post it in the comments section. ACDIS Director Brian Murphy will chose a favorite to win a prize.

ACDIS Director Brian Murphy and the official "Wild Horse" outside the Wildhorse Saloon in Nashville, during the 2013 ACDIS National Conference.

ACDIS Director Brian Murphy and the official “Wild Horse” outside the Wildhorse Saloon in Nashville, during the 2013 ACDIS National Conference.

Nashville post-conference buzz: Standing ovation for guitar-playing physician

Although the ACDIS staff and crew were well aware of the antics Jonathan Elion, MD, FACC, founder and CEO of ChartWise Medical Systems, Wakefield, R.I., had planned for the 2013 ACDIS National Conference in Nashville this past May, the power, humor, and overall enjoyment his presentation evoked was a pleasant surprise to all involved.

The presentation “Ethical Practices in Clinical Documentation Improvement,” represents one of Elion’s favorite topics of discussion, one previously extolled during local chapter and audio conference speaking engagements. If CDI specialists interrogate the medical record only to improvement financial outcomes they could face potentially negative consequences in terms of quality reporting and Recovery Auditor denials. However, when examining the record for quality and continuity of the documentation in light of the clinical picture of the patient, quality improves, reimbursement improves, and denials decline.

Elion quoted the ethical standards for CDI professionals from both ACDIS and AHIMA and highlighted potentially unethical querying practices by illustrating increases in cases of encephalopathy, malnutrition, and malignant hypertension.

With all the vital information Elion shared, his coup de foudre, or unexpected crowning achievement during this particular presentation occurred when he pulled out his guitar and began play. After all, he says “I figured if there was anywhere in the country where you could get away with closing a scientific talk with a song, it has to be in Nashville!”

Luckily, if you were not able to attend the conference in person, ChartWise (Platinum sponsor of the 2013 conference and proud sponsor of the upcoming CDI Week celebrations) took the time to post the video to Vimeo, complete with lyrics. To see additional ChartWise videos, visit their Vimeo site.

Dr. Jon Elion Sings at ACDIS 2013 from ChartWise Medical Systems, Inc. on Vimeo.

Nashville post-conference buzz: Connecting with CDI excitement

Boot Camp Instructor Cheryl Ericson discusses ICD-10 implementation with Sharon Fawcett.

Boot Camp Instructor Cheryl Ericson discusses ICD-10 implementation with Sharon Fawcett.

When I was small, I had a favorite book and knew every word from front to back. I brought it with me one day to show-and-tell. When the teacher began to read, I was overcome with excitement and kept nudging my nearest neighbor, whispering to her about what was going to happen next.

In the session breakout rooms at the ACDIS National Conference, the excitement is like that. Participants nudge each other murmur back to each other salient points from the presentation, questioning each other about how their programs “back home” do it, thrilled to hear their own stories repeated:

  • What physicians say
  • What physicians write
  • What CDI specialists do

And the story is shared, and shared, and shared. There are nods of agreement, commiserating eye rolls, smiles, laughs, and hugs as strangers become friends, and mentors.

This is what the ACDIS National Conference is all about—sharing stories and best practices, this acknowledgement of action, maybe more than that, maybe an acknowledgement of “right” action. For those who attend there is an acknowledgement that they (and by extension their CDI programs) are on the right track, they are querying and reviewing appropriately, that there are like-minded people in the world, people who… well, people who like the same book as you, too, and can’t wait to read it with you.

Here is a small sample of what participants were saying following this year’s conference in Nashville:

  • It was such a great learning and re-learning experience and so encouraging to know that other people have the same problems as we have in our facility but that everyone is working towards a solution.
  • The annual ACDIS conference provides an excellent opportunity for professionals in the field to network with colleagues from a variety of provider settings to gain insight on trials, tribulations and best practices.
  • I come home each year with ideas. It’s simply a great deal of fun, and intellectually, very stimulating. Where else can you talk to so many people that “get” what we do and the challenges we face? Sharing, support, ideas, solutions … commiseration. Commiseration.
  • The conference gets me out of my little corner of the world, sparks my interest in improving my efforts, and inspires me to move to the next highest level.

 

Texas chapter shares lessons learned; upcoming chapter meetings this week

ACDIS Director Brian Murphy and members of the Tennessee ACDIS Chapter sport their Tenn. pride.

ACDIS Director Brian Murphy and members of the Tennessee ACDIS Chapter sport their Tenn. pride.

The Austin/San Antonio ACDIS Chapter met Saturday, June 1 at St. Luke’s Baptist Hospital in San Antonio, Texas. During the session Rosemary Chacko, MD, FACP, CHCQM, FAAHPM, a physician advisor at St. Luke’s shared an internet-based tool she developed to help teach physicians about documentation efforts related to severity of illness (SOI) and risk of mortality (ROM). She shared a snip-it of the tool so you can see how it works.

It was only the group’s third meeting but already they are experiencing terrific success tapping into local members’ expertise and rotating meetings between venues and host facilities. During the ACDIS national conference in Nashville, chapter leader Barbara Anne Presley, RN, CCDS, CDI specialist at University Medical Center Brackenridge in Austin, met several area CDI specialists at the local chapter networking lunch and came away from the event with topic and speaker ideas as well as future meeting hosts.

During the conference every year, our host state chapter members sponsor the “Day 2″ lunch. This year everyone was treated to a special trivia game speckled in with fun facts about Tennessee. The  Chapter gave out “moon pies” to the top three scoring tables.

We are so happy and proud of the growth and strength of our local chapters and are indebted to them for their ongoing networking and educational efforts.

There are two additional networking meetings taking place in June Illinois and Connecticut. For a complete list of networking groups, visit the Local Chapter page on the ACDIS website.

Connecticut: Meets Thursday, June 13, 1:30-3 p.m., at the Hospital of Central Connecticut’s Bradley Memorial Campus in Southington. For information, email Mary Ann Shanley at mshanley24@yahoo.com.

N. Illinois: Meets Friday, June 14, 12:30-3:30 p.m., at Central DuPage Hospital Campus of Cadence Health in Winfield. Agenda includes:

  • Registration, networking, and lunch
  • Anne Lindstrom, RN, APN, FNP-BC: “Stroke Care through the Continuum”
  • Open Forum: 2013 ACDIS National Conference Recap
  • Door prize raffle
  • Wrap up

Plan ahead: The next N. Illinois meeting takes place on Friday, July 12, at Advocate Good Shepherd Hospital in Barrington. For information, contact Colleen Stukenberg at CStukenberg@fhn.org.

Nashville Conference Buzz: PowerPoint presentations posted

Head to the exhibit hall for sponsor raffle items.

2013 presentations posted.

ACDIS members now have access to all the PowerPoint presentations from the 6th Annual Conference in Nashville. This year’s conference featured more sessions than ever–seven different tracks for a range of CDI expertise from basic to advanced.

There were more 30 presentations and nearly 50 speakers. No doubt if you were among the more 1,200 participants at this year’s conference you couldn’t make it to everything so take a moment to re-examine the slides which have been uploaded to the ACDIS Forms & Tools Library.

If, by chance, you were unable to attend at all, review the slides now in the Forms & Tools Library and feel free to reach out to the speakers. As a reminder, ACDIS members have access to all the conference presentations going back to the very first conference. You an search the presentations by holding “Control F” and typing in the keyword of your search. So if you know you just loved a presentation by James Kennedy, MD, from 2011, you can type 2011 or Kennedy to find what you’re looking for.

To become a member, visit the ACDIS website or call our Member Relations Department at 877-240-6586 and a representative will take care of the details.

Conference Buzz: You’re invited to join the Day 2 Networking Lunch & Trivia Contest

Date: Wednesday, May 22,

Time: 12:15 p.m.

Location: Rear of exhibit hall, 6th Annual ACDIS National Conference, Nashville, Tenn.

The ACDIS Florida Chapter started a tradition back in 2011 helping to host a CDI-related trivia contest during the Day 2 Networking Lunch. This year, the tradition continues and you’re invited to join in the fun!

For the past three years, chapter members from our host state have joined together to create a fun event for our Day 2 lunch.

This year the Tennessee ACDIS Chapter opted to create a trivia contest and scavenger hunt. We encourage you to explore the city of Nashville and attempt to learn the answers to tourist-specific questions which will be listed in attendees’ material packets. There are a number of ACDIS and CDI related questions as well. Please refrain from using your smart phones or other devices to answer these questions and work with your colleagues and friends to deduce the solutions instead.

Playing is easy: Grab a box lunch on Wednesday, May 22, and join us at the rear of the exhibit hall at 12:15 p.m.

We encourage you to sit with other CDI professionals from your state. Please examine the seating chart which will also be located in the attendee material packets to find your state’s table number and look for those dressed in sporting gear supporting teams from your home state. Many of our chapter leaders will have signs to help you find them.

Nashville Conference Buzz: Exhibit hall raffles scheduled

Head to the exhibit hall for sponsor raffle items.

Head to the exhibit hall for sponsor raffle items.

In addition to all the terrific sessions and networking opportunities available at the 6th Annual ACDIS Conference in Nashville, this year we are proud to have the support of more than 30 sponsors. We encourage you to visit the exhibit hall and take advantage of all the additional educational materials and offerings these industry experts provide.

Furthermore, many exhibitors will be giving away raffle prizes ranging from vacation spots to gift certificates and electronic gadgets. In many cases, you must be present to win so be sure to slot some time into your day for the following raffles:

Wednesday, May 22, noon to 1:30 p.m.

  • Berkeley Research Group raffles a Kindle Fire
  • HCPro, Inc. raffles an iPad
  • DCBA, Inc. raffles an iPad mini

Thursday, May 23, 7-8 a.m.

  • Contexo Media raffles two sets of ICD-10 books
  • Optum raffles a Kindle Fire

Thursday, May 23, 10:15–10:45 a.m.

  • CDI Search Group raffles a vacation to either Alaska or Hawaii, enter to win at Booth #1306
  • ACDIS raffles a complimentary pass to the 2014 conference
  • UASI – United Audit Systems, Inc. raffles a $500 Pandora Gift Card
  • ChartWise Medical Systems raffles a Kindle Fire

Nashville Conference Buzz: Get your CDI books signed by the authors

What's on your CDI bookshelf? Consider obtaining a copy of the latest in industry guidance signed by the authors themselves.

What’s on your CDI bookshelf? Consider obtaining a copy of the latest in industry guidance signed by the authors themselves.

As many of you know, ACDIS publishes a variety of CDI related books and materials. If you happen to have a favorite and would like to meet the author and talk about the contents of the book, the ACDIS 2013 National Conference is the perfect time to do so.  Our authors represent experts in the CDI industry and they worked diligently to bring forward the most comprehensive information related to CDI practices. We encourage you to stop by, say hi, and take advantage of this unique opportunity.

“Book signings” include:

Tuesday, May 21

10:15-10:45 a.m.: Dr. Richard Pinson and Cynthia Tang, co-authors of 2013 CDI Pocket Guide  will be signing copies at HCQ Booth #1209.

2:30-3 p.m.: Marion Kruse, author of Physician Queries Handbook, Second Edition, and co-author of The Clinical Documentation Improvement Handbook, Second Edition, will be signing copies of her books at the ACDIS Booth.

Wednesday, May 22

7:15-7:45 a.m.: Cheryl Ericson and Jennifer Avery, co-authors of The Clinical Documentation Improvement Specialists Guide to ICD-10, Second Edition, will sign copies of their book at the HCPro Booth.

10:15-10:45  a.m.: Nancy Ignatowicz author of the CDI Toolkit and Glenn Krauss author of the Documentation Improvement Guide to Physician E/M sign copies of their books at the HCPro Booth.

2:30-3:00 p.m.: Fran Jurcak author of The CCDS Exam Study Guide signs copies of her book at the HCPro Booth.

Thursday, May 23

7:15-7:45 a.m.: Dr. Richard Pinson and Cynthia Tang, co-authors of 2013 CDI Pocket Guide will sign copies of their book at HCQ Booth #1209.

 

Conference Buzz: Use your brain. Attend the encephalopathy session tomorrow at ACDIS

Editor’s Note: This is the fifth in a series of posts showcasing speakers at the 6th Annual ACDIS

Cynthia Pritchett presents during the ACDIS National Conference tomorrow.

Cynthia Pritchett presents during the ACDIS National Conference tomorrow.

conference in Nashville, May 21-23.  Cindy Pritchett, RN, BSN, CCDS, presents “Encephalopathy and brain-related SOI” tomorrow, Tuesday, May 22, at 1:30 p.m.

ACDIS: Tell us a little about how you got into the CDI profession. 

CP: I have been an RN for almost 30 years. I have a background in critical care, education, and quality/performance improvement. I decided to move to the non-clinical side of nursing I originally chose case management.  I applied for a position 5 ½ years ago, was accepted for the position, and was ready to start when the organization’s director asked me if I would be interested in helping start up a new program the hospital was implementing called clinical documentation improvement.

I had no clue at the time what it was all about. They were kind enough to let me take home the assessment that had been done by an external consulting company. After reading all the materials and program implementation plan, I could envision the effect this program was going to have. The scary part for me at the time was passing up a great job for one that might not be long-lived if the program didn’t succeed.

After my initial training, I couldn’t believe I was lucky enough to have landed in this arena. it felt like the sky was the limit. I was excited and passionate about making a difference and excited about having an impact on the bottom line. It was a bit intimidating to sit with vice presidents and the chief financial officer to justify our data, numbers, and outcomes, but it was a blessing in disguise since it did not take long to prove valuable CDI was.

And just look at how far we have come in the past five years. I am proud to be part of a profession that helps hospitals survive and thrive.

ACDIS: What was the biggest challenge creating your presentation for the ACDIS National Conference?

CP: The greatest challenge has been the lack of agreement within the medical community about what constitutes encephalopathy, lack of definitive testing to identify it, and the absence of definitive treatment. It’s one of those diagnoses that you know is present, but it’s hard to “prove.”  It’s also very hard to identify this disease process when the patient has underlying dementia. The CDI professional has to figure out the “trigger” that differentiates the two. Then they have to consider how a stroke might be a causative factor and where such diagnoses fall in the mix? Finding my way through the fog of these definitions has made me a stronger CDI practitioner, I believe and I can’t wait to share what I’ve learned with others.

ACDIS: How will your ACDIS presentation help attendees with this topic?   

CP: I believe the presentation will help those who attend build a stronger practice by providing them with a clearer understanding of encephalopathy and other brain-related severity of illness. I hope they will learn how to identify it, how to capture it, and how to engage medical staff so that they develop a comfort level defining it.  I am also going to touch on some encephalopathy issues related to Recovery Auditors that, I’ve been exposed to now, working as a travel CDI consultant. Whether you are new to the field or experienced, I don’t think anyone has completely mastered this topic, so the program will help all attendees begin to “tackle” this challenging diagnosis.

ACDIS Notes: Pritchett says she’s never been to Nashville but because she is from Texas, and a huge country music fan, she is looking forward to visiting the Grand Ole Opry where some of her favorite artists have performed including:  Patsy Cline, Alan Jackson, Vince Gill, Lady Antebellum, and Willie Nelson…

Conference Buzz: Tune in to live podcasts from the ACDIS 2013 Conference floor

Can’t make it to the 6th Annual ACDIS conference? Listen in to a series of broadcasts by ICD-10 Monitor  for all the highlights from Nashville. The broadcasts will take place live from the conference exhibit hall, May 21-23. This video shows the complete broadcast schedule.

The coverage kicks off with ICD-10 Monitor’s “Talk Ten Tuesday” webcast from 10-10:30 a.m. ET. After its morning session, ICD-10 Monitor will podcast on Tuesday, Wednesday, and Thursday, interviewing a series of speakers on topics like ICD-10, denials management, pathophysiology, and CDI department management.

Registration is free but you must sign up in advance.