[MEDITECH-L] Care level charging in EDM by acuity points

[Iddings, Chris]

I am resending in hopes of getting some responses.

We are a CS site currently using acuity points to calculate our Care
Level charges through the EDM module. Would anyone be willing to share
how you set up your point system? For example, we have our Level 1 set
to be 1 - 100 points and so on.

Also, do you add points to performing procedures such as blood draws and
other clerical-type duties? If so, would you share some of these items?
Thanks in advance.

Chris Iddings
Clinical Analyst
Witham Health Services
Ph. 765-485-8597
cidd...@witham.org

====================================

Please do NOT send messages that ask "Please post to the list" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.

To UNSUBSCRIBE, go to http://MTUSers.net
for information.

The meditech-l archives (and other tips) can be found at
http://mtusers.net/zarchives

Job opportunites in the Meditech community can be found at
http://mtusers.net/zjobs

[Snow, Justine]

Hi Chris,
We are a site that has been using the acuity based charging since our Go Live 2 years ago. Here are a list of our levels..
Level One 1-15 points (Non-Urgent)
Level Two 16-25 points (Urgent)
Level Three 26-35 points (Semi-Emergent)
Level Four 36-50 points (Emergent)
Level Five 51 and higher
We assigned point values to all of our assessments. Ex)Triage is an automatic 10 points so everyone is always at least a level 1. Most of our other assessments are assigned 10 points and a re-assessment is given 2 points. The system automatically calculates a care level based on the documentation. We set up our chief complaints to automatically default certain assessments relating to that complaint and even made some of them required. Ex) Chest Pain has a Cardiovascular and Pain Assessment and a Pain Reassessment attatched to it.
We assigned points to our treatments as well. For example, we give 1 point anytime the Transfer/Lab/EKG treatment is filled out initially, we did not assign points for reassessing.
The system has worked fairly well for our organization much to our surprise. At the time Meditech had no other sites using the acuity based charging. Hope this helps

Justine Snow, RN
Information Services
United Memorial Medical Center
(585) 344-7271

[Michele Banks]

Did you have issues with double charging if users undid documentation?

====================================

====================================

----------------------------------------------------------------------------------------
Cook Children's Health Care System

This e-mail, facsimile, or letter and any files or attachments transmitted may contain information that is confidential and privileged. This information is intended only for the use of the individual(s) and entity(ies) to whom it is addressed. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations.

If you have received this information in error, please notify Cook Children's Health Care System immediately at (682)885-4000 or via e-mail at compl...@cookchildrens.org. Cook Children's Health Care System, its subsidiaries, and affiliates hereby claim all applicable privileges related to this information.
---------------------------------------------------------------------------------------

[Snow, Justine]

No, we have not had any issues with double charging. The charge is automatically removed when documentation is undone. We have operators within our dept who monitor the batches for any out of the ordinary charges. For example, anytime there is a level one charge the chart is reviewed to ensure accuracy. Usually the level ones are those who are triaged and then leave before being seen. There have been occasions where not enough documentation was done and the nurse will have to edit the chart to ensure proper charging. We also have times when a nurse might enter an 11 for a IM injection instead of a 1 accidentally. Those errors are caught by our operators as well.

[Smith, Tina]

Here is what we use for our point calc.
We charge an additional charge for any procedures that have a cpt code.
It's been several years since I reviewed, but our points are associated to assessments, and we used a scenario thought process to determine the time and resources involved.

Hope this helps.
Tina Smith
Huntsville Memorial
Huntsville, Tx

-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Iddings, Chris
Sent: Monday, February 23, 2009 11:36 AM
To: medit...@MTusers.com
Subject: [MEDITECH-L] Care level charging in EDM by acuity points

====================================

Huntsville Memorial Hospital... Down to earth and up to the minute.

******CONFIDENTIALITY NOTICE******
The information in this email may be confidential and/or privileged. This email is intended to be reviewed by only the individual or organization named above. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this email and its attachments, if any, or the information contained herein is prohibited. If you have received this email in error, please immediately notify the sender by return email and delete this email from your system. Thank You.

[Kern, Wayne]

Ours is:

RESP>120 5;
RESP>60 4;
RESP>30 3;
RESP>15 2;
RESP>0 1;

No points for clerical duties.

Wayne Kern
St. Joseph Medical Center
Towson, MD

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Snow, Justine
Sent: Monday, February 23, 2009 3:00 PM
To: 'Iddings, Chris'; medit...@MTusers.com