(精编)【高血压英文教学精品课件】 MS DRGs and the Medicare Quality Initiatives.pptVIP

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2018-03-21 发布于天津
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(精编)【高血压英文教学精品课件】 MS DRGs and the Medicare Quality Initiatives.ppt

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教学课件课件PPT医学培训课件教育资源教材讲义

MS DRGs and the Medicare Quality Initiatives;Documentation Basics;The Importance of Good Documentation; The Information Supply Chain Quality;Document the diagnosis or cause for a symptom if known;Documentation Basics;Documentation Basics;Physician Documentation in the Medical Record is Key;Illegibility: Can you identify whose writing this is?;Reasons for Inaccurate Ratings;Your Effect on Ratings;MS-DRGs ;Medicare has a new DRG system for FY 2008 (October 2007) The new system’s DRGs are called MS-DRGs. The numbering is different and the titles have been revised to avoid ambiguity A three level system similar but not the same to AP DRGs ( NYS All Patient DRGS) is created for most MS-DRGs. There are also MS-DRGs with only two levels with a CC or MCC and without a CC or MCC. There will be MS-DRGs that only are influenced by an MCC and not by a CC. No comorbidity/complication (CC) or Major comorbidity/complication (MCC) With a CC With a MCC ;Acuity (Acute v. chronic) and type of anemia Type and location of arrhythmia Type of cardiomyopathy, especially if non ischemic Exacerbation of chronic obstructive pulmonary disease Exacerbation of asthma Type of congestive heart failure, and if acute or chronic and location: Systolic, diastolic or mixed, left, or right Stage of decubitus ulcer and specific location Dehydration specify osmolarity and electrolyte abnormalities Type and control of diabetes and whether associated with ketoacidosis, coma or hyperosmolarity Specific designation of infections Organism Extent;With GI hemorrhage Specify the location of the ulcer or other lesion, whether acute or chronic and document acute blood loss anemia if present Type and severity of malnutrition, cachexia present? Type and location of myocardial infarction, and complications Renal failure, acute and degree of chronic kidney disease Specify whether the patient has acute or chronic respiratory insufficiency or failure and length of life support ventilation Type of pneumonia T