CDI Demo - AGS Health

Navigate Through the CDI

Our CDI is designed to reduce number of clicks required to code and is divided into 3 screens - Worklist, Workbench, and Dashboard and Reporting. We will review the Worklist first.

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Worklist

As soon as you click on the CDI Module, you are brought to the "Worklist". The platform will have pre-screened the charts and identify charts with potential query opportunities.

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Worklist Buckets - Left Section

The left most section has the worklist buckets which shows you the patient cases from different worklists.

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Worklist Buckets - Initial review

The "Initial Review" bucket contains charts ready to be reviewed. It is further divided in two sub worklist buckets - "Ready" and "Not Ready" depending on availability of documentation.

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Worklist Buckets - Assigned

The "Assigned" bucket has the charts assigned to a clinical documentation specialist by a supervisor. "Assigned" is further divided in two sub worklist buckets - "In Queue" and "In Progress" depending on the case status.

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Worklist Buckets - Escalated

The "Escalated" bucket will hold the charts that the CDI has escalated because of the DRG mismatch.

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Worklist Buckets - Follow Up Reviews

The "Follow Up Reviews" bucket contains charts with the initial review completed and the specialist will review on a later date. It is further divided in three sub worklist buckets - "Updated", "Scheduled for Today", and "Pending".

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Worklist Buckets - Reconcilation

The "Reconciliation" bucket contains charts with the CDI review complete and are awaiting final coding. Once the coding is complete, the system automatically reconciles the DRGs and moves the chart to the "Completed" bucket if the DRG matches and moves it to "DRG Mismatch" if the DRGs do not match. Enabling the specialist to start their collaboration with the coder.

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Worklist Buckets - Completed

The "Completed" bucket holds all the charts on which the CDI review has been completed and the DRGs match.

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Worklist - Middle Section

As soon as the user selects any particular bucket, the middle section will show all the charts that are available under that bucket.

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Case Listing Panel

You can find a list of all the patient cases under the "Case Listing" panel. It allows you to navigate and view patient demographics for each patient case. It sorts the patient cases based on case value or case arrival.

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Worklist - Right Section

As soon as a patient is selected, you will see additional demographic information for that patient in the right section.

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Case Detail Panel

This section contains detailed patient information available within CDI like Patient Demographics, Case Summary - Events Timeline, etc.

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Sorting

This feature allows you to sort the cases by Admit Date, Assigned To, Case Value, Default, Discharge Date, and Last Modified Date.

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Search

The smart search bar on top enables you to quickly search charts using multiple criteria such as admit date, physician, discharge date, patient class, service line etc.

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Saved Searches

If a particular search is performed daily, it can be saved using the star icon that you see on the right of the search bar.

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Automated Query Suggestion

The CDI system has a built in library of automated queries, based on which the system automatically tags the charts with query opportunities and gives you a prioritized worklist.

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Edit Case

Once you select the account to review, navigate to the "Working Page" by clicking on "Edit Case" in the Case Detail Panel of the Worklist Page.

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Working Page - Workbench

All the documentation necessary is collected in the system. No more having multiple systems open and worrying you missed a document.

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Medical Record Panel

The left side displays all documentation and notes related to a patient visit that we have received from the EHR. If there are multiple documents, you will be able to navigate between documents using the continuous scroll.

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Coding Highlights

The highlighted words on the document mean that the system has suggested a code, clicking on the highlights will take you to the code in the right section.

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Coding Evidence

The right section will have all the suggested codes and every code will have evidence tagged to them forming an audit trail. Clicking on the evidence will show you where it was mentioned in the document.

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Accept/Reject/Modify Code

While coding you can accept, reject or modify the suggested code with these icons available next to each code.

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Principal/Admiting Code

To change any code to "Principle" or "Admitting", click on the small A or P button next to the code.

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Adding a Code

Since the encoder and codebook are built in, the coder can add codes that have been missed by the system.

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Adding a Code

To add a code, select "Add code" from the top and select the type of code.

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Select a Code

If you know the code you want to add, you can enter it and save, if you do not know what the code is and want to search for it, select the option "Open Codebook".

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Codebook

Once selected, our book-based codebook opens up and you can search for the code by using a term or the index. The codebook also has additional references. Once you select the code, double-click on it to add it to the coding screen.

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Query Tab

To view suggested queries identified for a case, select the queries tab at the top right hand corner and click the Suggested filter tab.

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Query Physician

To query a physician, select text from the documentation on medical record panel or from the coding evidence on the Coding Panel. Right click with your mouse, and select "Query Physician".

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Query Template

A query template form will be displayed for the user to complete. Alternatively, to initiate a query you can click "Query to Physician" and select the required query template. The system offers 91 query templates that cover the most common queries.

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Follow Up, Release, and Complete

After the specialist has completed a case, you can either select "Follow Up" to keep the case on hold, "Reconcile" to place the case in Reconciliation/Pending, or "Complete" to complete the case.

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Completing a Case

The system has built in CMS and APR grouper. Once the grouping is done, the system will compute the reimbursement and notify the user if there are any type of edits based on the codes added.

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Completing a Case

Once done it will take them back to the landing page and they can start with the next chart.

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Navigate to Dashboard

Use the side panel to navigate to different areas like Dashboard, Settings, or the Message Center. We will review the Dashboard first.

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Dashboard

The system has real-time dashboards and reports that are able to track key metrics.

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Dashboard

Each dashboard shows a chart and has a "View Report" link. Using the link, the user can view more details on the metric. Most reports will allow you to drill down to the account level.

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Navigate to Message Center

The platform allows you to collaborate with colleagues through the "Message Center" found on the right side.

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Message Center

The "Message Center" allows you to view all your messages created on patient cases, both those sent and received.

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