Located in Summersville, West Virginia, Summersville Regional Medical Center (SRMC) has served Nicholas County and the surrounding area for over three decades. Rooted by a deep commitment to deliver high-quality, cost-effective healthcare to its community–SRMC wanted to make sure that its clinical documentation accurately reflected the patient care being provided and that it was obtaining the proper reimbursement necessary to survive healthcare reform and the transition to ICD-10.
SRMC sought to implement a Clinical Documentation Improvement (CDI) Program to help assure compliant documentation and proper reimbursement. The hospital also believed the CDI engagement would result in:
• Shorter length of stay (LOS);
• Higher case mix index;
• Increased Medicare Severity Diagnosis
Related Group (MS-DRG); and
• Better educated physicians on CDI
flexibility for future expansion needs.