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Valley Medical Center Implements Nuance Clintegrity CDI to Drive Clinical Excellence and Generate a $2.2 Million Gain in Appropriate Revenue
|By Business Wire
|June 18, 2014 08:03 AM EDT
Communications, Inc. (NASDAQ: NUAN) announced today that Valley
Medical Center, part of the University of Washington Medical Center, has
achieved higher levels of clinical excellence and gained additional
revenue through proper reimbursements thanks to Nuance Clintegrity 360
solutions. Valley Medical has improved the quality of clinical
information in its electronic health records (EHRs) and realized more
than $2.2 million in appropriate reimbursement following the
implementation of the Nuance
Clinical Documentation Improvement (CDI) program developed by
Nuance’s J.A. Thomas & Associates (JATA).
One year after implementing the Nuance CDI program, Valley Medical
Center achieved rich clinical content and quality, earning the Distinguished
Hospital Award for Clinical Excellence from
Healthgrades. The organization surpassed its goal of better
describing the complexity of its patients’ cases through physician
documentation, increasing its Case Mix Index (CMI) by 11 percent.
“The benefit of obtaining better clinical information is that physicians
and nurses can provide better care to patients,” says Larry Smith, CFO,
Valley Medical. “And if you focus on clinical quality, the money will
follow through appropriate reimbursements.” He attributes the expertise
of Nuance and its JATA team and their clinical knowledge to raising the
bar on clinical documentation and clinical performance by helping Valley
Medical engage physicians.
Using Data to Pinpoint CDI Priorities
Valley Medical had a legacy CDI process in place for 10 years, but
administrators believed they were missing opportunities to provide more
documentation details for patient cases. A recent
HFMA Executive Survey: Clinical Documentation Meets Financial Performance
found that a majority of healthcare CFOs and finance executives share
this concern. The survey showed that 87 percent of respondents believe
that improving the accuracy of clinical documentation is the greatest
opportunity for financial improvement in their organization.
To achieve rapid success with the Nuance CDI program, Valley Medical
identified opportunities for improvement, leveraging easy-to-understand
reports to see how they compared against peer organizations in terms of
patient cases, physician specialties and CMI. They focused on the areas
where the clinical documentation did not align with the complexity of a
patient’s case. Additionally, they used a unique approach to educate
clinicians, coders and clinical documentation specialists and bring
teams closer together for the success of the program.
“The Nuance JATA team helped us view the patient with a focus on the
clinical information – from admission to discharge – to ensure we
capture the complete clinical picture for each patient,” explains Ronna
Mahlen, RN, C-CDS lead clinical documentation specialist. “We’re not
coders and they’re not nurses, but we learn from each other and the
combined team, along with management support, created early success in a
program that has proven methodologies.”
“Eighty percent of Nuance CDI customers had prior CDI programs, but when
they implement our clinical CDI program with its guaranteed outcomes,
they see significant improvements in quality and a 4-8 percent increase
in CMI,” says Joanne Webb, senior vice president of healthcare, Nuance
Communications. “Instead of focusing on CDI from a coding perspective, we
engage physicians and focus on clinical accuracy from the beginning
of the patient’s stay, and that difference enhances coding and both
clinical and financial outcomes.”
To learn more about how Nuance’s CDI solutions boost CMI, improve
quality and optimize reimbursement, please
visit Nuance at HFMA ANI 2014 in Las Vegas June 22-23 in booth #832.
HFMA’s Executive Survey and Report – Download
When Excellent Doctors are Poor Documenters – view
post from Melinda Tully, MSN, senior vice president, clinical
services and education, Nuance.
Tell the Patient Story. Don’t Talk about Coding Watch
video of Jennifer Woodworth, director of clinical documentation
integrity, Swedish Medical Center
The CFO’s Role in Physician Alignment & Engagement – Join
Money Atwal, CFO and CIO, Hawaii Health, east region and Dr.
Paul Weygandt, M.D., J.D., vice president of physician services,
Nuance, at this ANI presentation: Tuesday, June 24, 2:00-3:15pm
About Nuance Communications, Inc.
Nuance Communications, Inc. (NASDAQ: NUAN) is a leading provider of
voice and language solutions for businesses and consumers around the
world. Its technologies, applications and services make the user
experience more compelling by transforming the way people interact with
devices and systems. Every day, millions of users and thousands of
businesses experience Nuance’s proven applications. For more
information, please visit: www.nuance.com.
Connect with Nuance on social media through the healthcare blog, What's
next, as well as Twitter
Nuance and the Nuance logo are trademarks or registered trademarks of
Nuance Communications, Inc. or its affiliates in the United States
and/or other countries. All other company names or product names may be
the trademarks of their respective owners.
The statements in this press release relating to future plans, events
or services, are forward-looking statements which are subject to
specific risks and uncertainties. There are a number of factors which
could cause actual events or results to differ materially from those
indicated in such forward-looking statements, including fluctuations in
demand for the Nuance products, and the continued development of Nuance
products. The reader is warned not to rely on these forward-looking
statements without reservation, since these are simply reflections of
the current situation. Nuance disclaims any obligation to update any
forward-looking statements as a result of developments occurring after
the date of this document.
Photos/Multimedia Gallery Available: http://www.businesswire.com/multimedia/home/20140618005260/en/
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