Innovations in clinical documentation integrity practice: Continual adaptation in a data-intensive healthcare organisation

2021 ◽  
pp. 183335832110678
Author(s):  
Kathleen H Pine ◽  
Lee Anne Landon ◽  
Claus Bossen ◽  
ME VanGelder
Keyword(s):  
Relationship Building ◽  
Healthcare Organisation ◽  
Clinical Documentation ◽  
Payment Systems ◽  
Clinical Coding ◽  
Hospital System ◽  
Data Intensive ◽  
Patient Admissions ◽  
Vital Component

Background Numbers of clinical documentation integrity specialists (CDIS) and CDI programs have increased rapidly. CDIS review patient records concurrently with patient admissions and visits to ensure that information is accurate, complete and non-ambiguous, and query clinicians when they see opportunities for improving data. The occupation was initially focused on improving data for reimbursement, but rapid changes to clinical coding requirements, technologies and payment systems led to a quickly evolving role for CDI programs and changes in CDIS practice. Objective This case study seeks to uncover the ongoing innovation and adaptation occurring in a CDI program by tracing the evolution of a single CDI program over time. Method We present a case study of the CDI program at the HonorHealth hospital system in Arizona. Results The HonorHealth CDI program holds a unique hybrid expertise and role within the healthcare organisation that allows it to rapidly adapt to support emergent demands both internal and external to the organisation, such as supporting accurate data collection for the COVID-19 pandemic. Conclusion CDIS are a vital component in present data-intensive resourcing efforts. The hybrid expertise of CDIS and capacity for adaption and relationship building has enabled the HonorHealth CDI program to adapt rapidly to meet a growing array of clinical documentation integrity needs, including emergent needs during the COVID-19 pandemic. Implications The HonorHealth case study can guide other CDI programs in adaptation of the CDI role and practices in response to changing organisational needs.

Exploring Proxy Measures of Mutuality for Strategic Partnership Development: A Case Study

2017 ◽  
Vol 18 (4) ◽  
pp. 598-606
Author(s):  
Tilicia L. Mayo-Gamble ◽  
Priscilla A. Barnes ◽  
Catherine M. Sherwood-Laughlin ◽  
Michael Reece ◽  
Sandy DeWeese ◽  
...  
Keyword(s):  
Public Health ◽  
Steering Committee ◽  
Strategic Partnership ◽  
Health Organizations ◽  
Hospital System ◽  
Partnership Development ◽  
Key Informant ◽  
School Of Public Health ◽  
Vital Component

Partnerships between academic and clinical-based health organizations are becoming increasingly important in improving health outcomes. Mutuality is recognized as a vital component of these partnerships. If partnerships are to achieve mutuality, there is a need to define what it means to partnering organizations. Few studies have described the elements contributing to mutuality, particularly in new relationships between academic and clinical partners. This study seeks to identify how mutuality is expressed and to explore potential proxy measures of mutuality for an alliance consisting of a hospital system and a School of Public Health. Key informant interviews were conducted with faculty and hospital representatives serving on the partnership steering committee. Key informants were asked about perceived events that led to the development of the Alliance; perceived goals, expectations, and outcomes; and current/future roles with the Alliance. Four proxy measures of mutuality for an academic–clinical partnership were identified: policy directives, community beneficence, procurement of human capital, and partnership longevity. Findings can inform the development of tools for assisting in strengthening relationships and ensuring stakeholders’ interests align with the mission and goal of the partnership by operationalizing elements necessary to evaluate the progress of the partnership.

Cultivating Connections in 140 Characters: A Case Study of Twitter Relationship Building

Media Watch ◽  
2015 ◽  
Vol 6 (3) ◽  
pp. 273
Author(s):  
Jessica D. Bertapelle ◽  
Deborah Ballard-Reisch
Keyword(s):  
Relationship Building

[P2-488]: THE HOUSTON ALLIANCE TO ADDRESS DEMENTIA ENACTS SYSTEMS CHANGES IN MOBILIZING DEMENTIA CARE: CASE STUDY OF THE HOUSTON METHODIST HOSPITAL SYSTEM

2017 ◽  
Vol 13 (7S_Part_17) ◽  
pp. P827-P827
Author(s):  
Kathryn Agarwal ◽  
Julie Kutac ◽  
Katherine Scott ◽  
Andrea' Williams
Keyword(s):  
Dementia Care ◽  
Hospital System

Identification of root causes of clinical coding problems in Iranian hospitals

2021 ◽  
pp. 183335832110604
Author(s):  
Mohamad Jebraeily ◽  
Jebraeil Farzi ◽  
Shahla Fozoonkhah ◽  
Abbas Sheikhtaheri
Keyword(s):  
Medical Records ◽  
Working Environment ◽  
Clinical Documentation ◽  
Clinical Coding ◽  
Staff Support ◽  
Hospital Managers ◽  
Coding Quality ◽  
Support Tools ◽  
Cause And Effect Diagram

Background Improving the quality of coded data requires the identification and evaluation of the root causes of clinical coding problems to inform appropriate solutions. Objective The objective of this study was to identify the root causes of clinical coding problems. Method Twenty-one clinical coders from three cities in Iran were interviewed. The five formal categories in Ishikawa's cause-and-effect diagram were applied as pre-determined themes for the data analysis. Results The study indicated 16 root causes of clinical coding problems in the five main themes: (i) policies, protocols, and processes (lack of clinical documentation guidelines; lack of audit of clinical coding and feedback to clinical coders; the long interval between documentation and clinical coding; and not using coded data for reimbursement; (ii) individual factors (shortage of clinical coders; low-skilled clinical coders; clinical coders' insufficient communication with physicians; and the lack of continuing education; (iii) equipment and materials (incomplete medical records; lack of access to electronic medical records and electronic coding support tools; (iv) working environment (lack of an appropriate, dynamic, and motivational workspace; and (v) management factors (mangers' inattention to the importance of coding and clinical documentation; and to providing the required staff support. Conclusion The study identified 16 root causes of clinical coding problems that stand in the way of clinical coding quality improvement. Implications The quality of clinical coding could be improved by hospital managers and health policymakers taking these problems into account to develop strategies and implement solutions that target the root causes of clinical coding problems.

Stitching story and life together: Participatory textile making practices at a Harlem gallery

2020 ◽  
Vol 11 (1-2) ◽  
pp. 81-91
Author(s):  
Sarah Gerth van den Berg ◽  
Maria Liu Wong
Keyword(s):  
New York ◽  
Learning Community ◽  
Graduate Student ◽  
Relationship Building ◽  
Time And Space ◽  
The Past ◽  
The Arts ◽  
Challenges And Opportunities

What brings a tourist from Italy, a lifelong resident of Harlem and a graduate student from a local university together? Crochet hooks, knitting needles, an assortment of green acrylic yarn and time and space for community craftivism. This case study focuses on crossing boundaries through participatory textile making, making time and space for relationship building in the changing neighbourhood of Harlem and practicing institutional stewardship as a ‘good neighbour’. The Walls-Ortiz Gallery and Center – the arts and research space of City Seminary of New York, an intercultural urban theological learning community – affords an opportunity to explore what happens when lives and stories are stitched together through participatory textile practices. Through the lenses of the EcCoWell learning neighbourhood approach and craftivism, this documentation and reflection of data from collaborative yarn bombing and community quilt-making projects over the past two years provide insights on lessons, challenges and opportunities of these community-oriented practices.

A Case Study on Cross-Cultural Differences

2016 ◽  
pp. 1103-1142
Author(s):  
Semra Boga ◽  
I. Efe Efeoğlu
Keyword(s):  
Cultural Differences ◽  
Future Orientation ◽  
Turkish Population ◽  
Relationship Building ◽  
Business Culture ◽  
Business Partners ◽  
Cross Cultural Differences ◽  
Language Communication ◽  
Critical Location

Following the globalization trend in the world, Turkey and Belgium have become good business partners in the international arena. Belgium, with its geographically and politically critical location and high Turkish population has been a very attractive European country for Turkish investors. However, there are still Turkish companies leaving Belgium possibly due to adaptation problems to business culture in Belgium. In this chapter, cultural differences between Belgium and Turkey are investigated using qualitative research method with a single company case study. The results of the study indicate that differences between Turkish and Belgian cultures are mainly due to language, communication and relationship building styles, different level of individualism, and future orientation.

Defining a corporate real estate management's (CREM) brand

2014 ◽  
Vol 16 (1) ◽  
pp. 60-76 ◽  
Author(s):  
Abdul Jalil Omar ◽  
Christopher A. Heywood
Keyword(s):  
Real Estate ◽  
Real Estate Market ◽  
Relationship Building ◽  
Content Type ◽  
Study Approach ◽  
Brand Development ◽  
Corporate Real Estate ◽  
Multiple Case ◽  
Business Functions

Purpose – This paper aims to explore how branding theory can be used to understand corporate real estate management's (CREM's) relationships with its customers. Specifically, the perspectives of CREM executives and customers are used to develop a statement of a CREM brand. Design/methodology/approach – A multiple case study approach from four industry sections that consist of telecommunications, logistic, retail, and education from an emerging real estate market (Malaysia) and a mature real estate market (Australia). CREM executives and CREM customers from each case were interviewed to obtain information on CREM within organisations. Findings – The findings indicate that CREM supports the business by managing organisations' strategic real estate resources as its brand. CREM executives focus more on the technicality of real estate functions, while CREM customers expect corporate real estate (CRE) to support their business functions. Research limitations/implications – A CREM brand is important to CREM relationship building with the targeted customers. Successful brand development is able to increase CREM visibility to customers and at the same time gain appreciation of its contributions to the organisations. Originality/value – This is the first study that investigates CREM from a branding perspective. The mechanism for communicating CREM contributions using branding helps to increase acceptance from the customers.

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