Tip:
Highlight text to annotate it
X
[Paul Manternach] I get Spirit Of Performance, and this award...
... recognizes the commitment and hard work of associates...
... in improving performance and enhancing the quality of services provided...
... at Mercy - North Iowa. This team consists of the adult hospitalist...
... coding improvement team and is an indication that it does take a...
... village, so the members were adult hospitalist service. I don't think...
any of them were able to make it down here, but also Vickie Krahenbuhl...
... Betty Borchardt, Kathy Asto, Beckey Ott, Debbie Abben, Mike Riley, Kimberly Haskins...
Kristi Larsen, Karon Haun, Laura Olander. So come on up. [applause]
What did the team accomplish? A Value Stream Map, so Rapid Improvement...
... event Nov. 11. The event was to change the coding process for...
... inpatient services performed by the adult hospitalists.
A three-week pilot was planned to begin Jan. 13. The coder, Vickie...
was moved to a location on East Campus (from Regency bulding...
... which is a huge building if you've ever been there.
It's fascinating to me), so the Regency building out to...
... the East Campus where she could interact face-to-face with the...
... hospitalists, coding their services on a timely basis, and obtaining...
... additional information from them as needed. Coding from a distance...
... so again out at the Regency building, delayed responses...
... to requests for information as it was mainly done through e-mail.
So again, I want you to think about a busy provider, here in the...
... hospital, after reading the e-mail and determining the requested action, then...
... key in the patient FIN number to find the correct documentation and then...
... clarify or add addendums. Then close out of the chart and reply to the...
... e-mail to let Vickie know it was completed. That was the process.
So again think of physicians and how timely that could be.
So time consuming and inefficient, and that's that.
At the beginning of the pilot, there were 323 outstanding services that needed some...
... revision or addendum. At the end of the pilot, that was down to 100...
... and literally 73 were owned by one physician, who happened to be...
... gone during the pilot. It's just one of those things: what could the overall...
... gains be? The other component: due to direct feedback...
... and skill set of Vickie the coder, being able to communnicate with the...
... hospitalist in a timely fashion, literally had an improvement result...
... of around $1,000 a week in revenue.Also when we looked at the number...
... of encounters October 1, there were 1,641 waiting to be coded and billed.
By the end of the pilot, there were only 68. So big improvement in...
... delaying coding, big improvement in the coding accuracy...
... and big improvement in the timeliness of chart completion.
Huge impact all- around, so I wanna thank this group.
[applause]