Evidence clearly shows the value of implementing Clinical Documentation Improvement (CDI) to improve Case Mix Index (CMI), but can it positively impact patient safety and care quality metrics—in a quantifiable, persistent way? An in depth look at clinical quality outcomes data pre and post CDI implementation will provide insight into the value of measuring your clinical documentation improvement efforts impact on overall quality ratings including expected mortality and inpatient quality indicators.
6:00 – 6:30 pm – Welcome Reception & Cocktails
6:30 – 6:40 pm – Introduction from Master of Ceremonies
6:40 – 7:00 pm – Keynote Speaker
7:00 – 9:00 pm – Three-course dinner complemented with table discussion points
9:00 – 9:30 pm – Wrap up & closing remarks from Nuance
- How metrics—especially observed/expected mortality ratios—directly correlate to improved financial performance
- How quality metrics, impacting mortality, patient safety, in-patient quality and even surgical complications can be more impactful than a change in CMI
- Why it’s vitally important to financial improvement and predictability to look at the data and the quality impact metrics, especially in light of industry changes towards value based reimbursement
- How employers will underwrite differences in benefits that will dwarf the penalties/incentives by CMS in impacting hospitals and physicians offices
Dr. Tony Oliva, Chief Medical Officer – Nuance
Vice President and CMO at Nuance. Dr. Oliva draws on over 15 years of CMO experience. Previously serving as CMO for Borgess Health, he continues as a Physician Executive consultant. Dr. Oliva is board certified in Family Medicine and is a Fellow of the AmericanCollege of Physician Executives. He continues to practice clinically as faculty for a Family Medicine Residency Program. As CMO he personally has been involved with the implementation and expansion of clinical documentation programs since 2004.
Shane Wolverton, Senior Vice President, Corporate Development – Quantros
Shane is responsible for establishing business partnerships and distribution channels for the company and is a sought after speaker on topics relating to value-based healthcare. He has been a featured speaker at the CMS National Medicare-Medicaid Payment Incentives and Penalties Summit, the American Hospital Association’s National SHSMD Conference, the National Association for Healthcare Quality’s Annual Conference, and the International Health Travel Insurance Conference of the Americas. Prior to joining Quantros, Shane served as senior vice president of corporate development at Comparion Medical Analytics. He also served as a management consultant with Health Care Investment Analysts (now Truven Health Analytics) and the McGraw-Hill Healthcare Management Group. Shane received his undergraduate degree from Auburn University.
For more than two decades, Nuance has provided clients with a fully managed, end-to-end clinical documentation improvement (CDI) program that touches all critical aspects of an institution’s clinical documentation process. The firm’s Compliant Documentation Management Program® (CDMP®) and Advanced Practice CDI™ approach have produced Case Mix Index improvement of 4-8%, on average, reimbursement appropriate to level of care provided to patients, and physician engagement and buy-in, all with comprehensive program maintenance, structured compliance support and an infrastructure to sustain positive results.
Today’s world of healthcare and payment reform, ACOs and RAC audits requires hospitals to adopt innovative technology solutions and services that empower them to be competitive, stay ahead, and proactively address change. Nuance Clintegrity CDI solutions powered by JATA methodologies streamline clinical documentation efforts and deliver richer, more actionable data. Ultimately, this enables hospitals to better support clinicians, enhance patient care and ensure more appropriate reimbursement and quality outcomes reporting for their healthcare system.