AHA Coding Clinic Webinar

Aligned CDI Performance Metrics: When CMI and Quality Metrics Are Misaligned
Presented on: Thursday, June 29, 2017
1 hour
 Michelle Wieczorek, RN, RHIT, CPHQ, Senior Manager, DHG Healthcare

Wayne Little, Partner, DHG Healthcare

Please join us to gain an understanding of how CDI departments can align financial performance goals with clinical imperatives demonstrating quality care. CMS’ adoption of a value-based reimbursement framework impacts organizational finances through penalties and, in some cases, incentives that adjusts MS-DRG payments during the applicable fiscal year.  However, the impact of quality of care penalties are not readily evident when monitoring an organization’s Case Mix Index (CMI) creating a “blind spot.”  This webinar will provide a case study demonstrating misalignment between CMI and performance on the CMS Inpatient quality programs of Hospital Value Based Purchasing (HVBP), Hospital Readmission Reduction Program (HRRP), and the Hospital Acquired Conditions Reduction Program (HACRP) as well as discuss potential strategies to establish balance between these competing imperatives.

After This Webinar You’ll Be Able To:

  • Articulate strategies CDI departments can employ to better reflect patient acuity and validate measure cohorts
  • Discuss the importance of understanding the impact of risk adjustment on quality-based reimbursement strategies and how legacy CDI efforts fall short
  • Analyze the impact of changing healthcare reimbursement strategies on the role of CDI within healthcare organizations
  • Examine the need for revised CDI performance metrics that reflect both financial and clinical imperatives within coded data 

Recommended For:
Hospital and health system CEO, CFO, CMO, HIM Director, Quality Director, CDI Director/Manager, VP Revenue Cycle, Chief Quality Officer

*The opinions expressed by authors/speakers do not necessarily reflect the policy of AHA Central Office, Health Forum Inc., or the American Hospital Association.

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**Not available for CEUs**