2021 ACDIS Conference

October 25 – October 28, 2021 | Sheraton Dallas Hotel: Dallas, TX

*Agenda subject to change*

Day 1

October 25, 2021
2:00 p.m. -7:00 p.m.
Registration Opens
4:00 p.m. -7:00 p.m.
Exhibit Hall Opens/Welcome Reception

Day 2

October 26, 2021
7:00 a.m. - 7:45 a.m.
Registration & Continental Breakfast
8:00 a.m. - 8:30 a.m.
Opening Remarks and ACDIS Update

Brian Murphy, Director, ACDIS

8:30 a.m. - 9:30 a.m.
General Session: Stepping Forward: The Courage to Continue Nicole Fox, MD, MPH, FACS, CPE, Trauma Surgeon, Surgical Intensivist, and Medical Director of CDI, Cooper University Health Care

As the COVID-19 pandemic raged, healthcare professionals responded with an astounding display of selflessness, caring for patients despite the risk of profound personal harm. In the midst of uncertain times, there was a sense of altruism and urgency that was transformative. Unfortunately, data collected during the past year suggests that the pandemic also placed an extreme psychological toll on healthcare workers. For many, the effects could be long lasting. These findings emphasize the critical need to develop personal and professional resilience. In this session, Nicole Fox, MD, MPH, FACS, CPE, a trauma surgeon, surgical intensivist, and medical director of CDI for Cooper University Health Care, discusses experiences and lessons learned on the front lines of the pandemic, and offers strategies to enhance one’s ability to evolve, adapt, and thrive in times of personal and professional upheaval.

9:45 a.m. - 10:45 a.m.
Breakout Session
Track 1: Clinical & Coding Lessons From COVID-19: Looking Ahead to the Future

Clinical medicine, and indeed life as we knew it, changed drastically in 2020. During this session, Remer will explore how CDI programs quickly pivoted to address the pandemic, identify common clinical and coding scenarios related to the outbreak, and consider best practices for future public health emergencies as it relates to CDI efforts.

Track 2: Management & Professional Development Heart and Soul of the CDI Role: Culture and Professional Growth Pathways

During this session, speakers will describe strategies for facilitating individual professional growth to prevent burnout, reduce turnover, and improve ROI for CDI programs. Participants will leave this session with detailed examples of the speakers’ personal pathway stories and practices used to improve program culture and CDI engagement.

Track 3: Quality & Regulatory Clinical Quality Value Index: Advancing CDI in Clinical Quality

During this session, participants will learn how to advance CDI efforts into quality care assurance and quality measures clarifications.

Track 4: Innovation & Expansion CDI Program Expansion: Journey into LTAC

Session attendees will learn how AdventHealth expanded from short-term acute care to long-term acute care (LTAC) efforts, beginning with its 90-day pilot program implementation and results, and the tools developed to ensure success. Learn how to continue progress with a post-pilot program to identify challenges, strategies, and a path forward.

10:45 a.m. - 11:30 a.m.
Networking Break
11:30 a.m. - 12:30 p.m.
Breakout Session
Track 1: Clinical & Coding Community-Acquired Pneumonia: A Clinical Update Affecting DRG/HCC Assignment

As gram-negative bacterial and staphylococcus pneumonias are now included in community-acquired pneumonia (CAP), they can affect DRG and HCC assignment when clinically validated and reported. During this session, Haik will offer tools to understand etiology of a pneumonia to obtain the specificity needed to form accurate and clinically succinct physician queries.

Track 2: Management & Professional Development There's No Place Like Home: Remote CDI

During this session, speakers will address multiple facets of remote work, including general management, privacy issues, communication, virtual meeting participation, time management, self-motivation, and stress reduction. Attendees, both the manager and remote worker, will obtain pearls of wisdom to ensure home-office success.

Track 3: Quality & Regulatory Expanding Our Horizons: The Role of CDI in Quality Metrics

During this session, participants will learn how CDI efforts influence hospital-based pay for performance programs (P4P) and how chart audits, record reviews, and collaboration with quality in clinical education can help improve accurate capture of quality measures.

Track 4: Innovation & Expansion Vascular Surgery & CDI: The Fantastic Voyage

Learn how to align the worlds of CDI, coding, and vascular surgery in this dynamic presentation that delves into the frequent procedures of vascular bypasses, and endovascular aneurysm repairs (EVARS), including current updates and strategies to make these easier to accurately capture.

12:30 p.m. - 1:45 p.m.
Lunch—Provided
1:45 p.m. - 2:45 p.m.
Breakout Session
Track 1: Clinical & Coding Exploring Why Sepsis Is Such a Problematic Diagnosis

Many CDI departments struggle to define sepsis, questioning whether to use SIRS or SOFA criteria to clinically validate sepsis and determine the need for a query. This session will explore the risks associated differing sepsis definitions and outline financial and quality implications associated with using SIRS, SOFA, and/or both definitions of sepsis so organizations can make informed choices.

Track 2: Management & Professional Development Implementing Query Impact & Proving the Benefit

Learn how to improve CDI query functionality from Trinity Health’s pilot program to CDI training to implementation at 40 sites across the enterprise. During this session, participants will learn workflow pros and cons, tools to ensure the accuracy of query outcomes, effective ROI tracking tips, and methods to create their own benchmarking.

Track 3: Quality & Regulatory Data Driven Decisions: CDI and Physicians Partner to Address Patient Complexity

When physicians know they care for very sick patients but their publicly reported data doesn’t reflect the acuity and mortality, partnering with the CDI team to hold all healthcare providers—including ancillary staff—responsible for medical record accuracy can drastically affect outcomes. Session attendees will learn how the CDI team and providers collaborated to move the needle on patient complexity in risk-adjusted mortality data.

Track 4: Innovation & Expansion Clinical Validation and the Denial Defense

When it comes to denials, unfortunately, the CDI team needs to ensure the medical record holds up to clinical validation scrutiny. During this session, attendees will learn how to interrogate the denials process, dissect denial letters, and prepare effective appeal responses.

2:45 p.m. - 3:30 p.m.
Networking Break
3:30 p.m. - 4:30 p.m.
Breakout Session
Track 1: Clinical & Coding Coding Clinic Updates: The Year in Review

During this session, attendees will understand the various recommendations from the American Hospital Association’s Coding Clinic for ICD-10-CM/PCS quarterly publication. CDI professionals need to understand how Coding Clinic recommendations play a role in code assignment and when to follow its directives. During this session, attendees will identify recent changes and interpret how to apply the agency’s recommendations to their daily record review practices.

Track 2: Management & Professional Development Do Health System-Defined Diagnoses Make a Difference?

During this session, Stence will share how an ACDIS Quarterly Conference Call led her team to delve into developing system-wide diagnosis definitions to help develop query clinical indicators and how their endeavor grew into a system process valued throughout the organization.

Track 3: Quality & Regulatory Quality Tracking for Myocardial Infarction

During this presentation, attendees will learn how documentation for an elevated troponin can have a significant impact to a hospital’s reputation and profitability.

Track 4: Innovation & Expansion Incorporating the Surgical Outpatient’s Risk Depiction into the Inpatient Encounter

During this session, members of the Mayo Clinic outpatient CDI team will explore tools to abstract and validate diagnoses to better reflect the patient’s complexity of care and risk outcomes at the time of pre-operative evaluation. Inpatient and outpatient CDI collaboration, provider education, and EHR/data assessment will be explored.

4:45 p.m. - 5:30 p.m.
Special Session - Diversity and Inclusion in CDI

Join members of the new ACDIS Diversity and Inclusion Task Force for an update on their efforts to strive to make CDI a community that embodies social responsibility through promoting a positive environment of greater diversity and inclusion across all cultures, races, ethnicities, sexual orientations, gender identities, ages, and educational backgrounds, to break the silence that accompanies discrimination and inequity, and to ensure that all feel valued, empowered, and welcomed.

Day 3

October 27, 2021
7:00 a.m. - 7:45 a.m.
Continental Breakfast
8:00 a.m. - 8:30 a.m.
ACDIS Achievement Awards
8:30 a.m. - 9:30 a.m.
General Session and Keynote: What If? Mike Rayburn

Every major invention, accomplishment and victory in human history began with the simple, almost childlike curiosity of a “What If…?” question - “What if we could? I know we can’t, but what if we could?” International keynote artist, Mike Rayburn, will share three simple, powerful tools which took him from playing empty bars, to headlining Carnegie Hall (eight times!). They work for anyone. And everyone. Always.

Mike Rayburn is a two-time TED Talk Presenter, an innovative entrepreneur and Hall of Fame speaker who uses world-class guitar and comedy to teach change and innovation to corporations world-wide. He has headlined Carnegie Hall, headlined in Las Vegas, and performed more than 5,000 presentations in 20 countries on five continents. Rayburn is a regular on Sirius/XM and morning radio nationwide. He has performed as guitarist with The Beach Boys and John Oates. Rayburn’s keynote is called “The What IF? Keynote Experience.” You will learn three simple tools for harnessing your unrealized potential, creating and leading change, and becoming a virtuoso performer. You’ll hear amazing music including a solo guitar version of Bohemian Rhapsody.

Oh, and you laugh a LOT! No one does what Mike Rayburn does.

9:45 a.m. – 10:45 a.m.
Breakout Session
Track 1: Clinical & Coding The Top 25: If You Can Make It Here, You Will Make It EVERYWHERE!

During this presentation, participants will learn how the top 25 codes in the final medical record discharge summary have become so important in various federal and consumer health agency score cards. This session will explain how we got to the 25-code limit, how the top 25 is used to score health systems by various risk models, and how to manage the top 25 codes for maximum outcomes and identify areas of potential regulatory changes for the future of the top 25 code limit.

Track 2: Management & Professional Development Just Because You Think It Is Working Doesn’t Mean It Can’t Be Fixed

So, you've got a successful and productive CDI program...now what? Are you sure it is the best it can be? Where do you want to take it from here? Join La Charité for an in-depth review of what one academic medical center did to improve what was already working. Attendees will learn the benefits of continuous program self-assessment, how to identify opportunities related to CDI program structure and function, and how to revamp existing processes to take CDI to the next level.

Track 3: Quality & Regulatory Risk Modeling and Coding for Social Determinants of Health

As providers, health systems, and payers continue to address social determinants of health (SDOH), the ability to analyze patient outcomes and assess the effectiveness of various initiatives will be essential. This education session will address how SDOH concepts are used in risk-adjustment models used to assess patient outcomes, the current state of ICD-10-CM coding and documentation of SDOH, and identify steps to improve SDOH capture.

Track 4: Innovation & Expansion Advancing CDI into Academia: Multi-Institutional Research Collaboration

The field of CDI is evolving and advancing, and the lessons learned can add volumes to the body of knowledge housed in healthcare academia. Join members of the Pediatric Documentation Research Collaborative (PDRC) in a discussion about research in CDI and the power of multi-institutional collaboration. Attendees will be able to implement strategies to successfully develop a research project, collaborate with other institutions, and submit findings for academic publication.

10:45 a.m. - 11:30 a.m.
Networking Break
11:30 a.m. – 12:30 p.m.
Breakout Session
Track 1: Clinical & Coding Defining and Querying for AKI and CKD: Could It Be ATN?

Attendees will learn how the incidence of kidney disease in America makes this disease one of the most common and more difficult for CDI and coding professionals to accurately capture. Speakers will provide a clinical overview of various stages of kidney disease, discuss KDIGO criteria for AKI and CKD staging, and provide tips for effective queries.

Track 2: Management & Professional Development Gotcha! A CDI Physician Advisor’s Guide to Effective Chart Reviews

Would you like to get more out of your reviews, learn how to be more efficient, and understand which charts really only need a quick glance? Attendees will learn how to identify the most valuable pieces of an admission H&P, where the real rewards are located, how to interpret common lab results, and avoid frequent pitfalls that derail many CDI efforts.

Track 3: Quality & Regulatory Why Mortality Reviews Matter

A story can be told through documentation. Missing pages, chapters, and inconclusive endings leaves a mystery to the reader. Attendees will learn how to complete the pages in your patients’ book through mortality reviews and help physicians write effective notes to close the chapter.

Track 4: Innovation & Expansion A Breath of Fresh Air: Pediatric Respiratory Failure

During this session, speakers will address the differences between pediatric and adult respiratory systems, challenges with care for newborns and children, as well as COVID-19 and related conditions.

12:30 p.m. - 1:45 p.m.
Lunch—Provided
1:45 p.m. - 2:45 p.m.
Breakout Session
Track 1: Clinical & Coding Back to the Laboratory! Assessing Lab Values for CDI Outcomes

Session attendees will learn how results from laboratory tests provide vast quantities of information regarding a patient’s status. Exploring the results that go beyond the basics can provide CDI staff with tools to write queries with targeted indicators leading to better choices for the provider and better outcomes for your CDI program.

Track 2: Management & Professional Development The Power of CDI Metrics

During this presentation, participants will learn how to improve CDI metrics to showcase program efforts to leaders and achieve the credit CDI efforts deserves.

Track 3: Quality & Regulatory Risk Adjustment: Why CMI and SOI/ROM Aren’t Enough

Many CDI specialists working in the inpatient setting are unfamiliar with HCCs, a risk-adjustment tool based on chronic conditions. Learn how MS-DRGs and APR-DRG differ from HCCs and how to leverage record reviews to improve CMS-HCC capture in in both the inpatient and outpatient setting.

Track 4: Innovation & Expansion Using Custom HCC Tools and Workflows to Manage the Medicare Advantage Population

Learn how collaborating with IT solution providers to build out tools, workflows, and processes can help to stratify outreach and accurately document care within the Medicare Advantage population. Session attendees will learn how this team used custom built tools to surface suspect diagnoses while creating reports and work queues to track and audit the suggestions.

2:45 p.m. - 3:30 p.m.
Networking Break & Exhibit Hall Finale
3:30 p.m. - 4:30 p.m.
Breakout Session
Track 1: Clinical & Coding Searching for the Underlying Cause: Why Is Symptom Etiology Coding So Difficult?

During this session, participants will learn how to decipher between symptom codes routinely associated with a disease and when it might be appropriate to code for it. Participants will learn the correlation between symptoms and etiology and how Official Guidelines for Coding and Reporting address these differences.

Track 2: Management & Professional Development Advanced CDI: What Is It and How Do I Get There?

During this session, participants will explore what an advanced CDI program looks like, identify means to mentor CDI specialists into advanced practitioners, and determine expectations for advanced CDI staff. Additionally, attendees will learn how career ladders help CDI programs and how certifications contribute program and staff growth.

Track 3: Quality & Regulatory Record Interrogations for Bundled Payments for Care Improvement Advanced Model: Tools for CDI

Session attendees will learn about the BPCI Advanced Model and develop additional competencies in CDI for HCC risk adjustment capabilities.

Track 4: Innovation & Expansion Ready, Set, Go: Launching an OP CDI Program From Start to Finish

During this session, participants will learn how to launch an outpatient CDI program, identify strategies for success, and focus in on attainable goals for staff and physicians.

Day 4

October 28, 2021
7:00 a.m. - 7:45 a.m.
Continental Breakfast
8:00 a.m. - 9:00 a.m.
Keynote Session: Where You Look Is Where You’ll Go Noelle Pikus-Pace

On February 14, 2014, Noelle Pikus Pace crossed the finish line at the Winter Olympic Games in Sochi, Russia and finally earned an Olympic medal- but it wasn’t an easy road. She learned through her trials the importance of setting specific goals each and every day in an effort to progress forward. After a terrible crash in Germany, she realized the importance of eliminating doubts, fears and worries within our daily lives and that where you look is where you’ll go. Noelle will undoubtably make you laugh as she shares this story and applies it to life. The audience will walk away, recognizing that it is those small decisions we make daily that will shape our habits and who we will inevitably become.

A lifelong athlete who transitioned from track and field to skeleton in high school, it took Noelle 15 very determined years to reach the Olympic podium, but she did! Along the way she became the most decorated American athlete in the history of the sport and was the first American woman to become World Champion and to win the overall World Cup Championship.

A standout high school track athlete and native of the Salt Lake City area, site of the 2002 Olympic Games, Noelle's track coach suggested she try bobsled. She did, but soon thereafter got on a skeleton sled and fell in love with the high speed, head-first, rocket-ride most certainly not for the faint of heart.

Pace blossomed as a slider and years later became the best in the world. With the 2006 Olympics coming into focus on the horizon, Pace was the gold medal favorite. The Olympic podium was in sight. With just months to go to the big show, Noelle was severely injured in a training accident. She was hit by a run-a-way bobsled, suffering a compound leg fracture. Despite a valiant effort to return to sliding in time for the Olympics she was unable to make it back. Her Olympic medal slipped away.

Her story of redemption, taking one last shot at the Olympic podium, and raising a family in the middle of it all, is not to be missed.

9:15 a.m. - 10:15 a.m.
Breakout Session
Track 1: Clinical & Coding Acute Heart Failure: Clinical Validation, Quality, Denials, and Appeals

Not all acute heart failure is manifested as flash pulmonary edema with acute respiratory distress. What about the patient with refractory peripheral edema or chronically decompensated heart failure? Learn how to validate atypical presentations of acute heart failure to support clinical validation, quality metrics, and defend code assignment. Learn how to cultivate transparency and respect as physicians and CDI align to produce the most authentic codified medical record.

Track 2: Management & Professional Development Vendor Selection: A Practical Approach

There are a lot of great vendors with services and/or products that can help your CDI program be successful. During this session, Cooper explores how programs can determine the right resources for their specific needs. Although the selection process should be well vetted, it should not be hard. This session will provide the tools needed to be successful in the vendor selection process so that you can feel confident in the decisions you make.

Track 3: Quality & Regulatory Foraging a Path Through the Forest: Uncovering CDI’s Role in Clarifying Patient Safety Indicators

Session attendees will learn how to recognize AHRQ patient safety indicators (PSIs) inclusions, exclusions, and documentation challenges and how to leverage PSI decision trees to facilitate an effective, quick review of the record.

Track 4: Innovation & Expansion Clinical Validation and the Denial Defense (Encore)

When it comes to denials, unfortunately, the CDI team needs to ensure the medical record holds up to clinical validation scrutiny. During this session, attendees will learn how to interrogate the denials process, dissect denial letters, and prepare effective appeal responses.

10:15 a.m. - 10:35 a.m.
Refreshment Break
10:35 a.m. – 11:35 a.m.
Breakout Session
Track 1: Clinical & Coding Understanding Spinal Procedure Processes for CDI and Coding

Session attendees will learn about documentation improvement opportunities related to common back surgeries including basic anatomy of the spine, anatomical planes and positioning, and root operation definitions. Attendees will explore elemental fusions, disc procedures, laminectomy, foraminotomy, and vertebroplasty as well as applicable Coding Clinic and related information from the Official Guidelines for Coding and Reporting.

Track 2: Management & Professional Development Leveraging CDI Prioritization

During this session, participants will learn how to use software tools to help their CDI team improve efficiency and effectiveness, understand how the prioritization scores work, and how to manage them from a technical and operational perspective to obtain the greatest benefit.

Track 3: Quality & Regulatory Deciphering Population Health

Session attendees will obtain insight into the regulatory initiative of population health and learn how documentation integrity plays a role.

Track 4: Innovation & Expansion 2021 Changes in E/M Coding

During this session, participants will learn how evaluation and management code assignment rules for physician practices and ambulatory services have changed with attention to the definitions around prolonged services, medical decision making, and time. Attendees will learn how the new rules affected one large medical practice and understand educational strategies to ensure compliance.

11:35 a.m.
Conference Adjourns
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