Anywhere Hospital USA
Quality and Education Department
Welcome to the Quality and Education Department!
All services provided to patients in the hospital may impact their outcomes. These outcomes are reported in the form of coded data by HIM coders. Hospital and physician performance as to how patient care was delivered and the success and/or failure of treatment is reflected after discharge on the coded data submitted.
Any adverse affect of treatment, complications and/or unexpected death negatively impacts hospital and physician quality reporting. This makes the accurate documentation and coding of severity of illness and risk of mortality as important as the optimization of any particular case. Severity and risk are part of APR DRG reimbursement but they should also be considered when coding for MS-DRG's.
Anywhere Hospital USA coders are expected to take these factors into consideration when coding all cases.
Code with severity of illness and risk of mortality in mind and you have the potential to impact the quality metrics for your facility!
All services provided to patients in the hospital may impact their outcomes. These outcomes are reported in the form of coded data by HIM coders. Hospital and physician performance as to how patient care was delivered and the success and/or failure of treatment is reflected after discharge on the coded data submitted.
Any adverse affect of treatment, complications and/or unexpected death negatively impacts hospital and physician quality reporting. This makes the accurate documentation and coding of severity of illness and risk of mortality as important as the optimization of any particular case. Severity and risk are part of APR DRG reimbursement but they should also be considered when coding for MS-DRG's.
Anywhere Hospital USA coders are expected to take these factors into consideration when coding all cases.
Code with severity of illness and risk of mortality in mind and you have the potential to impact the quality metrics for your facility!
Quality is the concern of every department including Health Information Management!
Quality and Education Resources
Click on the title to access the desired resource
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CMS Conditions of Participation (COP) [Select Department From The List]
Website Administrator Note: View the CMS Conditions of Participation for specific hospitals and other types of healthcare organizations. |
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Document Weblink: Core Measure Sets
The Joint Commission |
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Document Weblink: Health Grades - Access this link and select a hospital you are interested in. All hospitals report data that is turned into quality statistics based on their performance in comparison to competing hospitals. This same type of information is available for reviewing doctors performance in their care and treatment of patients.
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Document Weblink: Hospital Acquired Conditions List (HAC) (CMS)
Website Administrator Note: Access this site and view the CMS hospital acquired conditions (HACs) for the Hospital Inpatient Quality Reporting Program. |
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Document Weblink: Hospital Acquired Conditions Overview (HAC) (CMS)
Website Administrator Note: This site provides an overview of the Hospital Acquired Conditions (HACs). |
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Document Weblink: Hospital Inpatient Quality Initiatives, Patient Assessment, and Outcomes (CMS)
Website Administrator Note: Access this site and review the many resources CMS provides on the Hospital Quality Initiative. |
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Document Weblink: Quality Initiatives - General Information (CMS)
Website Administrator Note: This site provides the general background information about the quality initiatives. |
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Document Weblink: Quality Measures- Instruments, Measures and Index
Website Administrator Note: Access this site and read about the qualify measures, how they are developed and used plus much more information. |
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Document Weblink: Roadmap to Quality of Measurement in the Traditional Fee For Service Program
Website Administrator Note: This is a very large file and does take a minute to load so be patient. |
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