The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts


Victoria M. Roelker1, Kara Carissimi1, Scott Neison2, Kristin Leininger2, Manxia Sun2, Karyn Clifford2, Beverly McCormick3, Catherine Feather3, Johnson Lynne3; 1Respiratory Care, The Christ Hospital, Cincinnati, OH; 2Information Services, The Christ Hospital, Cincinnati, OH; 3Patient Financial Services, The Christ Hospital, Cincinnati, OH

Background – Upon implementation of the hospitals Electronic Medical Record (EMR), the charging for Respiratory Care services remained on paper. Random audits of this paper system were completed and errors in accurate charging were found. A multi-disciplinary team was formed to design Charge on Documentation (COD) within the EMR. The team comprised of staff from the Respiratory Care Department, Information Services, and Patient Financial Services. The goal was to link charge capture, charge entry, and productivity tracking to therapists’ documentation. Initial steps in the process were to review all billable procedures on the hospitals charge master as well as those tasks with time standards as outlined in the AARC Uniform Reporting Manual. All charge codes and time standards were then captured within the EMR by either re-programming current rows or adding new rows to documentation. Method – For the first two weeks of implementation, the Respiratory Care staff continued to complete paper charge sheets. Procedures and services documented with COD were captured and reported daily. Of the 130 procedures and tasks that COD is able to track, 68 of them were able to be compared to the paper charge sheets. After COD go live, respiratory therapist were surveyed to determine if they felt COD saved time and improved job satisfaction. Results – The Respiratory Care Department increased charge capture by $21,000 the first two weeks and increased productivity an average of 13 hours a day. Of the 60 staff members surveyed, 45 of them responded. On average therapist felt they saved 37 minutes a day with COD. The time saved has allowed therapist to spend more time with patients and reviewing their charts. After implementation of COD 89% of the therapist surveyed stated it had improved their job satisfaction. Conclusion – Implementation of COD improves charge capture, productivity as well as job satisfaction among respiratory therapist. Therapist no longer rely on memory to charge for procedures and services rendered. Removing tedious non-patient care tasks has helped therapist improve their patient practice. Sponsored Research - None