On this episode, we continue our discussion with a physician executive on addressing mortality as a key quality indicator. We focus on using the correct coding and documentation scores for a more accurate representation. We examine the under-use of palliative care, and we discuss how to better work with transfer centers, patients and their families to improve patient experience and hospital mortality scores.

Guest speaker:

Aman Sabharwal, MD, MHA, CPHM

Executive Principal

Operations and Quality

Vizient

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Principal

Clinical Operations and Quality

Vizient

Show Notes:

[00:46] Role of documentation and coding

[01:52] Example from neurosurgery notes

[03:20] Gaming the system accusation

[04:12] Ignorance about coders and coding process

[05:10] Surgeons and the medical record

[06:27] Risk stratification and the transfer center in the academic medical center

[08:10] Patient-family involvement in the transfer

[09:16] Use of observation and of virtual care

Links | Resources:

To contact Modern Practice: [email protected]

Aman Sabharwal’s contact email: [email protected]

Mortality Measures Hospital-Specific Reports (CMS) Click here

Selected Best Practices and Suggestions for Improvement – Mortality (AHRQ) Click here

Variation in US Hospital Mortality Rates for Patients Admitted With COVID-19 During the First 6 Months of the Pandemic (JAMA Internal Medicine) Click here

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