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Forward2021 Pneumonia Documentation [IEM]
CDI and Quality depts. routinely track coding results that affect their business lines. This data has indicated a need for understanding the implications of coding on many metrics that both hospitals and clinics follow to include, but not limited to: accuracy of primary dxs, LOS, DRGs, Readmission, Mortality, PSIs, HACs, and POA indicators. The need for continued conversations regarding these various metrics, indicates the need for more formalized resources available to educate providers.
For further study:
Target Audience
Physicians, Fellows, Residents, Physician Assistants, Nurse Practitioners, Pharmacists across the system.
Learning Objectives
After participating in this activity, the learner should be able to:
1. Recognize the difference between clinical classifications of pneumonia and coding classifications of pneumonia.
2. Recognize how documentation of a specified pneumonia impacts the allowable length of stay (LOS).
3. Identify the recommendations for pneumonia documentation when cultures are inconclusive.
Commercial Support:
No commercial support was received for this activity.
Planner/Author:
Dr. Elizabeth Aguirre, MD
Clinical Documentation Improvement Program
Inpatient Clinical Documentation Physician Lead
Planners:
Dr. Sunita Varghees, MD, PhD, CHCQM
VP System Clinical Documentation Improvement
Planner/Author Disclosure:
Planners/Authors for this enduring material, Dr. Varghees and Dr. Aguirre, have no relevant financial relationship(s) to disclose with companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Developer:
Brittany Gonzales
Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Available Credit
- 0.25 American Board of Internal Medicine (ABIM) MOC Part 2Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 0.25 AMA PRA Category 1 Credit™The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 0.25 Attendance
Required Hardware/software
The evaluation and credit claim for this activity works with Internet Explorer, Mozilla Fire Fox and Google Chrome.
If you are not already logged into your account, you must log in or register at the top of the page using "BSWH login."
Once you are logged in, you will see a TAKE COURSE button.
Click on the TAKE COURSE button to continue.