M*Modal FD CAPD CDI - HIMSS 2016

Outcomes and Evaluation

This report tracks DRGs and queries per encounter

Looking closer at William Allen's encounter that we just reviewed, the CAPD messages and Pneumonia CDI query helped ensure documentation was complete, which resulted in a DRG that accurately reflects the patient's severity of illness and the level of care provided.

Looking specifically at the encounter we just walked through, there was a DRG shift as a result of technology and human interventions

How did M*Modal solutions and services impact William Allen's inpatient stay and help Gotham General Hospital achieve their goals?

M*Modal CDI Solutions Overview - Assess - Engage - Collaborate + Adoption Services

MEDPAR Analysis - Before and After

MEDPAR Analysis shows there is opportunity for documentation improvement of Heart Failure

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After using M*Modal CDI software and looking back at MEDPAR data we can see an improvement in Heart Failure documentation

MEDPAR Analysis shows there is opportunity for documentation improvement of Pneumonia

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After using M*Modal CDI software and looking back at MEDPAR data we can see an improvement in Pneumonia documentation

Document Insights Analysis - Before and After

After using M*Modal CDI software we can see that physicians now have less underspecified documentation