Quality-Based Competition

Best Practices for Optimizing Quality Reporting

Topics: Cardiovascular, Service Lines, Quality, Performance Improvement, Dashboards and Reports, Management Tools, Clinical Documentation, Metrics and Analytics, Strategic Alignment, Methodologies, Organizational Models, Workforce, Accountability and Action Planning, Efficiency

Designating a Clinical Resource Coordinator to Manage Cardiovascular Quality Reporting

Creating a gatekeeper for clinical data

Washburn Hospital (a pseudonym) established a formal process for managing quality reporting by designating a Clinical Resource Coordinator position. A nurse by training, the coordinator abstracts and codes data for all cardiac patients, eliminating the cases from the coding department’s workload. The coordinator then acts as liaison with external agencies by extracting data elements into a standardized form that is scanned into a clinical database and distributed to reporting agencies.

Processing Charts through One Resource

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Quality point person benefits hospital

The Clinical Resource Coordinator has improved appropriate care capture at Washburn, reducing the percentage of cardiac cases erroneously classifi ed as minor severity. The more accurate picture of severity has contributed to the widening gap between actual and expected mortality, especially notable when considering that many external agencies assign grades based on the difference between these two measures. Through improved coding and billing effi ciency, the coordinator has also saved the hospital $400,000 annually.

A More Accurate Picture of Severity

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Ensuring Ample Oversight of Cardiovascular Quality Performance

Proactive Metric Management to Ensure Positive Public Reporting