A non-profit, community-directed Wisconsin health system partnered with Prism to review its clinical documentation improvement (CDI) program. The system, which includes eight hospitals, outpatient clinics, post-acute care and high-quality affiliated physicians, identified opportunities to more accurately reflect the severity of illness and risk of mortality and increase compliant payer reimbursement for the inpatient population.
Working with Prism’s CDI experts, the system refreshed the existing CDI program by focusing on CDI team education, program infrastructure and transition. Initiatives included:
The system’s CDI program has boosted the bottom line through additional compliant reimbursement and improved the organization’s quality profiles.