CDI Program Refinement

Why is refinement crucial to CDI sustainability? Sooner or later, CDI programs hit a plateau. But is this plateau the result of comfort or full potential? We mine your CDI practices to determine that ultimate potential and create a unique set of metrics that help you advance your program.

Institutions that have an established adult or pediatric CDI program often find themselves in a malaise. Sometimes we see provider clarification response rates decrease or diagnosis specificity begin to wane. In some cases, SMRT Doc is called in to reorganize or rectify a previous CDI vendor's implementation. If you find yourself in a similar situation, your adult or pediatric CDI program can use a new strategy. SMRT Doc has direct experience revitalizing and revamping both adult and pediatric CDI programs including those at specialty and Children's Hospitals. Consider that a profitable CDI program is not a gauge of potential, only one of justification. Let us optimize your adult or pediatric CDI efforts for the highest level of accuracy and revenue capture.

  • -|  Chart Review - Each engagement typically begins with an objective assessment of your current CDI opportunities.

  • -|  CDIS Interviews and SWOT Analysis - The CDI specialists are interviewed to gain a better understanding of pain points, what is working and what can be improved. This is then compared with management's performance objectives and together a course of action is planned. We outline formal reconciliation, assignment, query/clarification, response and compliance procedures establishing the new department with a workflow and metrics.

  • -|  Performance Tuning - Often, SMRT Doc is brought into an organization to optimize a program set up by a third party or started internally. We take your existing processes and refine them based on industry best practices and our specific experience with your patient population.

  • -|  Provider and CDIS Refresher Education - Continual education is crucial to a sustained CDI program. Regulations and coding changes happen frequently. This transforms follow-up sessions from a refresher into a risk mitigation strategy.

  • -|  Coding Clarifications - Bringing coders into the mix creates a sense of unity in the CDI practice and helps team members address specific scenarios that may cause confusion or create inconsistent results.