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Modeling and analysis of a clinical documentation improvement system

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TitleInfo
Title
Modeling and analysis of a clinical documentation improvement system
SubTitle
calculatiing patient outcomes
Name (type = personal)
NamePart (type = family)
Anyika
NamePart (type = given)
Chinwe
NamePart (type = date)
1975-
DisplayForm
Chinwe Anyika
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Srinivasan
NamePart (type = given)
Shankar
DisplayForm
Shankar Srinivasan
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Coffman
NamePart (type = given)
Frederick
DisplayForm
Frederick Coffman
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Kirk
NamePart (type = given)
Kathleen
DisplayForm
Kathleen Kirk
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Health Related Professions
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact); (encoding = w3cdtf)
2015
DateOther (type = degree); (qualifier = exact)
2015-10
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2015
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Over the past decade, clinical documentation improvement (CDI) programs have undergone quite an evolution and continue to evolve even today, particularly as the implementation of the new International Classification of Diseases, version 10 (ICD-10) system draws near. Before the Prospective Payment System (PPS) was established, Physicians focused on taking care of their patients without concerning themselves about quality or detailed documentation. They were reimbursed by Insurance companies without in-depth enquiries about services provided. With the introduction of the PPS, quality of patient care, length of stay during admission, severity of illness, and risk of mortality, became important benchmarks. CDI software models became more and more necessary as more hospitals adopted CDI programs to assist in improving Physician documentation in the patient’s medical record. This study first describes the need for a comprehensive electronic CDI model. Secondly, descriptive statistics will be used to determine the relevance of the different metrics collected as data in the new CDI model. Then, analysis of the collected data will be performed using the MS-DRG severity level and APR-DRG severity level to show the effects and contributions of a functional CDI program in relation to a hospital’s reported and coded statistics. Consequently, results of descriptive statistics show that between 19 to 32.5 percent of queries were generated monthly as a result of inadequate documentation by Physicians in patients’ medical records in relation to the total number of records reviewed and entered in the CDI software by the CDI Specialists. Other results of analyses show that a good CDI program significantly and positively impacts on different hospital metrics like the accuracy of coded data, case mix index (CMI), length of stay (LOS), severity of illness (SOI), risk of mortality (ROM), and reimbursement. In conclusion, the results of this study reveal that a significant positive ripple effect is achieved when an efficient CDI program is implemented, and this notion should serve as a basis to obtain a comprehensive CDI model where data collection can be better utilized to positively impact patient outcomes.
Subject (authority = RUETD)
Topic
Biomedical Informatics
Subject (authority = ETD-LCSH)
Topic
Medical records
Subject (authority = ETD-LCSH)
Topic
Outcome Assessment (Health Care)
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_6718
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xii, 93 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Chinwe Anyika
RelatedItem (type = host)
TitleInfo
Title
School of Health Related Professions ETD Collection
Identifier (type = local)
rucore10007400001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3HH6N1H
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Anyika
GivenName
Chinwe
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-09-09 15:34:24
AssociatedEntity
Name
CHINWE ANYIKA
Role
Copyright holder
Affiliation
Rutgers University. School of Health Related Professions
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
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