One Hospital's $1M Savings in CDI Transcription Costs
Phoenix Children's CMIO reveals the IT-clinical collaboration behind its ambulatory disease-specific clinical documentation templates.
For many years, the ambulatory clinics at Phoenix Children's Hospital lagged in their EHR use.
"The ambulatory was a little step behind," says Vinay Vaidya, MD, vice president and chief medical information officer at Phoenix Children's. "Everything was on paper or dictation."
Now, the clinics not only use a clinical documentation platform in all 30 divisions of its ambulatory clinics, but the organization is in the process of building disease-specific templates that are part of a larger quality improvement initiative for chronic diseases.
Four years ago, the ambulatory clinics at Phoenix Children's adopted Quippe Clinical Documentation from Medicomp Systems, which delivers longitudinal patient information to clinicians using a clinical data engine containing 360,000 clinical concepts.
Now, the hospital is diving into disease-specific work that started with juvenile idiopathic arthritis (JIA), a complex disease to treat and document, thanks to the 71 joints that need to be monitored and many other measures about which rheumatologists must capture data.
For example, among those measures is one called "clinical inactive disease," which takes into account a number of factors, including the number of joints with active arthritis, a physician's overall assessment, and the duration of a patients' stiffness in the morning.
Unlike something relatively straightforward like high blood pressure, though, clinical inactive disease is not easy to document and track, and wasn't typically captured well.