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A Continuous Quality Improvement Approach to IL-372 Documentation Compliance in an Academic Emergency Department, and Its Impact on Dictation Costs, Billing Practices, and Average Patient Length of Stay
| Content Provider | Scilit |
|---|---|
| Author | Iii, George L. Higgins Becker, Mary H. |
| Copyright Year | 2000 |
| Description | Journal: Academic Emergency Medicine To determine whether continuous quality improvement (CQI) methodology could improve and maintain IL-372 documentation compliance in an academic emergency department (ED). The impact on transcription costs, billing practices, and average patient length of stay was also analyzed. Baseline IL-372 compliance data were collected and shared with staff during a multidisciplinary educational session. Faculty dictation became mandatory. Pocket-sized dictation templates were provided. A Documentation Improvement Committee monitored outcomes. Each month of the study period, a compliance officer reviewed approximately 100 records. The following indicators were monitored: IL-372 compliance rates, dictation rates, transcription costs, down-coding rates, percentage of billable records, and average patient length of stay. Individualized results were provided to faculty. During the ten-month study period, compliance rates increased from 60% to 100% (p-trend < 0.001), while dictation rates increased from 69% to 100% (p < 0.001). Rates of down-coding adjustments improved from 54% to 2% (p-trend < 0.001). The percentage of billable records increased from 65% to 100% (p-trend < 0.001). Transcription costs increased a modest 16%. The average patient length of stay remained unchanged. The application of CQI methodology, combined with the availability of dictation, resulted in sustained improvement in IL-372 compliance. This was associated with a parallel increase in dictation rates, although concurrent transcription costs increased only modestly. The percentage of billable records increased, while the number of charts requiring down-coding decreased, both beneficial outcomes. Average length of stay was not adversely impacted by this added documentation requirement. |
| Related Links | http://onlinelibrary.wiley.com/doi/10.1111/j.1553-2712.2000.tb01074.x/pdf |
| Ending Page | 275 |
| Page Count | 7 |
| Starting Page | 269 |
| ISSN | 10696563 |
| e-ISSN | 15532712 |
| DOI | 10.1111/j.1553-2712.2000.tb01074.x |
| Journal | Academic Emergency Medicine |
| Issue Number | 3 |
| Volume Number | 7 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2000-03-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Academic Emergency Medicine Emergency Medicine Continuous Quality Improvement |
| Content Type | Text |
| Subject | Emergency Medicine |
