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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