SOLUTIONS GRADED A+
✔✔What 2 organizations guide CDI programs? - ✔✔Oversight Committee
Operations Committee
✔✔Most organizations should begin with the committee structure and determine, over
time, what long-term structure will work best in their environment to support and
maintain high-quality clinical documentation. - ✔✔True
✔✔What is essential to the success of a CDI program? - ✔✔Support from the top
✔✔Who are the members of the governance or OVERSIGHT committee? -
✔✔Members of executive management, the physician advisor or leader for clinical
documentation and CDI, and the manager of the CDI program.
✔✔Who are some of the people that should be included in the OVERSIGHT
committee? - ✔✔The chief executive officer (CEO)
the chief financial officer (CFO)
the chief marketing officer (CMO)
the chief compliance officer
the chief information officer (CIO)
a physician
a CDI leader
a CDI program manager
✔✔During the initial implementation phase, the oversight committee should meet how
often? - ✔✔Weekly
✔✔How many times should the oversight committee meet for the remainder of the first
year after the initial implementation? - ✔✔Monthly
✔✔During year two, how often should the oversight committee meet? - ✔✔Quarterly
✔✔Five key responsibilities of the oversight committee are to: - ✔✔- Obtain and
maintain medical staff support
- Create a chain of command to manage uncooperative physicians
- Support the program financially
- Determine key metrics to be reviewed on a strategic level
- Provide feedback to the CDI operational group
✔✔Generally, for organizations with a large number of CDI specialists (five or more),
they will not be included in the operations meetings. However, for organizations with
only a few CDI specialists, they may be included in the meetings. T/F? - ✔✔True
, ✔✔What are the 7 primary responsibilities of the operations committee - ✔✔o Hire and
train staff
o Oversee the training of physicians and other clinicians
o Implement and oversee activities for obtaining high-quality clinical documentation
through day-to-day activities such as location of record review activities and one-on-one
training with the positions
o Review program data for tracking and measuring
o Supervise the design of auditing clinical documentation and CDI functions
o Supervise the design of follow-up training for physicians
Report on key metrics to the oversight committee
✔✔Which committee is responsible for obtaining support of staff for the CDI program? -
✔✔The OVERSIGHT committee
✔✔When should communication about the CDI process to the physicians begin? -
✔✔Communication about the CDI process should begin in advance of any program
training or operationalizing. Letting the physicians know about the program prepares
them for the coming activities and, if done appropriately, helps obtain the physicians'
support for the program.
✔✔What 3 key concepts should the organization implementing a CDI program consider
in regards to communication? - ✔✔o WHO communicates it—From whom will
communications come?
o HOW will it be communicated—What media will the CDI program use?
o WHAT is communicated—What information will the CDI staff communicate?
✔✔What is the key to success and sustainability of the CDI program? - ✔✔Physician
Support
✔✔Who should provide the initial announcement for the CDI program? - ✔✔CEO
✔✔Who is responsible for obtaining cooperation from the physician when the CDI
specialist encounters a problematic physician? - ✔✔The Physician Leader
✔✔What change in nature can eliminate the need for hundreds of queries? - ✔✔The
physician advisor should consider if the use of a template can correct the problem.
Ex. Where further specificity is missing from a diagnosis of CHF, the CHF template
provides automated drop down options for acute versus chronic and diastolic versus
systolic.
✔✔Which departments would be best for the CDI department to belong it is not an
independent department? - ✔✔HIM, Case Management, or Quality Management