thequalitypost
Greetings from Cat, Saj, Ari and Jenica
Welcome to the 116th edition of The Quality Post! In this issue, we feature a piece on why providing an estimated discharge date matters; provide updates on improving the patient experience; keep you updated on clinical documentation and billing tips; remind you to use the Medicine Best Practice List in APeX; and share our True North Metric performance for FY21.
inthisissue
The Importance of the Estimated Discharge Date
Improving the Patient Experience Updates
Profee Billing and CDI Tips and Tricks
The DHM Dashboard
Use the Medicine Best Practice List
FY21 DHM True North Metric Performance
Why Providing An Estimated Discharge Date Matters
Case managers are asking teams when the patient's estimated date of discharge (EDD) is during MDR and entering this information into APeX, and you may be asking yourself why this question has been added to the MDR script. There are several reasons why the EDOD is important:
- Knowing that a discharge is coming up within 24-36 hours is crucial for effective multi-disciplinary focus on discharge tasks.
- Currently, the EDD is less than 50% accurate even 12 hours prior to the actual discharge.
- A more accurate EDD can expedite discharge pending orders such as phlebotomy, therapy services, and radiology.
- A more accurate EDD could also help with bed planning and placement. This may relieve ED boarding and patients waiting for long periods of time to be transferred from outside hospitals.
Providing a more accurate EDD is the first step towards an improved discharge planning process workflow embedded in APeX called Discharge Milestones. Stay tuned in January for more updates!
Profee Billing and Clinical Documentation Integrity Tips and Tricks
Here are some best practice tips for Billing and Clinical Documentation Integrity (CDI). Please check out the Clinical Documentation page on the Wiki below for more tips and slides from Saj’s presentation on Monday 10/26. Feel free to email Saj (sajan.patel@ucsf.edu) with any questions, and please review your personal billing data that was recently sent to you.
The DHM Dashboard
DHM Dashboard - https://ucsfdhm.shinyapps.io/dhmdashboard/ (don’t forget to bookmark this link!). The Dashboard is updated monthly and is a great way to set personal goals before you start a GMS or UC Wards stint on our carefully selected metrics! The log-in is ‘ucsf hosp’, select your name, and enter your cellphone number as the password (unless you requested a password change from Logan).
Tip #1: You can click on the drop down menu “Performance Scorecard” on the left side of the Dashboard to view the other pages of the Dashboard, including a summary of your diagnostic ordering costs, your performance on Goldman vs. UC Wards, your performance over time, a description of the metrics, and an opportunity to request your data (which you should do if you have any questions about the accuracy of the metrics or want to reflect on specific patient cases). Please email Logan (Logan.Pierce@ucsf.edu) or Saj (Sajan.Patel@ucsf.edu) with any questions, and check out the DHM Wiki Dashboard page for more info.
