CDI-Cast, Follow-up training: Using outcomes measures to design training and why it should go on and on and on

Program Description

Follow-up training has the greatest impact if it is designed to target identified weaknesses in the system.  In this session you will learn about the two primary measurement processes of documentation testing and audits.  In addition, the use of operational measures employed in day- to-day clinical documentation programs is described. First, the basic components of clinical documentation audits are described. Next, the use of clinical documentation retesting as a way to create the content of ongoing clinical documentation training is described.  Examples of testing materials are shared and methods to obtain the best support from physicians in retesting are described. Suggestions for incorporating findings from tests and audits into follow-up training are made.

Session tools

• Sample clinical documentation post-tests
• Sample clinical documentation audit forms

Objectives

• Describe testing methods and contents for post-documentation training and testing
• Identify important components of clinical documentation testing
• Discuss methods for ensuring physicians participate in the documentation testing process
• Discuss steps in clinical documentation audit process

Intended audience:

• Clinical documentation managers
• Compliance managers
• Coders
• Health information managers
• Physician documentation leaders
• Education managers

CDI-Cast Self-assessment: 

Assess your program by answering a few key questions that will be provided at the end of the session.  Use your responses to improve your current CDI program.

Q&A:

You can submit your questions on the CDI-Cast Web site.  We will address as many of the questions as possible and post responses on the Web site.  Responses will only be available for CDI-Cast subscribers to view.

Take-aways

• Improve your current documentation process or start a new one using principles from the session
• Improve your current documentation audits by incorporating contents of the session

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