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Can you believe I just got dinged for "expanding" UTI under diagnoses? - Lee

Posted: Aug 06, 2012

Has the rules changed? I always expand disease abbreviations under the diagnoses heading?

You are correct.... - Report that to QA lead

[ In Reply To ..]
Complete nonsense.

Depends... - me

[ In Reply To ..]
Although expansion is the way to go, I have worked places where the acct specs indicate "do not expand abbreviations in diagnosis, assessment, plan." Don't know how they get away with it. Is this acute care or office work you are doing? I have found it more prevalent in the office setting when I've moonlighted....but a rare acute care request has arisen also.

Clinic care and acct specs does not address it. - Lee

[ In Reply To ..]
I would report it....but found the last time I reported someting, I got hit with more audits than usual...so I have learned to keep my mouth shut and try to stay hidden in the background. I have learned to just let off steam and go on with making my minimum wage. The Big Guys Always Win...we "little people" don't have the money to fight them....we just keep plugging away. Sad.

When you say you got dinged, do you mean by your - Quality coach or MME?

[ In Reply To ..]
Because if the account specs do not address whether or not to expand in diagnoses section, then of course the general rule of thumb is to expand.

I would think your quality coach knows that. If it was an MME, it does not count against you so I wouldn't sweat it. Its been my experience that feedback with MMEs can be inconsistent.

I got marked for capitlizing Proteus mirabilis (sp) sm - anon

[ In Reply To ..]
and could document it in Dorland's. The QA/QTC people do not know what they are doing and those type of things caused ma a bad audit.

Never even look at the feedback - saves headaches

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Everyone seems to do thing their own way..I have taken stuff to the lead QA and she told me how to do it only to then be continually giged by the underlings,,whatever dont care

I got dinged for - changing

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ASR: quarter percent Marcaine.
I changed to 0.25% and got a critical error. WTH?

How in heaven's name is that a CRITICAL - ERROR?

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So glad I found another job. Just ridiculous. This is the dumb stuff that made me quit.

Huh. I thought this was Joint Commission or... - (see message)

[ In Reply To ..]
...some kind of hospital accreditation rules. No?

I thought there were some JCAHO rules that apply to all hospitals. Are there some that don't follow those rules for accreditation? I was told that expanding abbreviations in the diagnoses or assessments is mandatory, to follow JCAHO rules.

Why or why do they even HAVE different account specifics for each facility???? Things like this make me crazy. If I "ruled the world" (LOL), I would tell the facilities that my MTSO follows the same rules for every account, and that's that. :-D

It makes too much sense that all facilities in this country would have some uniformity about these things. I would think doctors would LIKE that! Even if it's not the way the facility has "always done it," they can adjust to having it done the PROPER way after they get used to it....right??

Also got dinged - Mac

[ In Reply To ..]
Also got dinged and didn't even send this to QA, could not fine patient in database, left a blank and a note stating patient not in database. Another chart, dinged for not typing Full Code in all CAPS also not sent to QA. Face it folks, we can't win for losing.

Yes I can!!! - Are you kidding?

[ In Reply To ..]
I got dinged for typing a heading like this:

PORTABLE CHEST, 08/20/2012, 2035 HOURS

THE CORRECTION WAS:

PORTABLE CHEST, 08/20/2012, AT 2035 HOURS

CAN YOU BELIEVE THAT PETTY CRAP???

SO YES, I BELIEVE IT.

AND LETS TALK ABOUT THE QA WHO SAYS ONE THING, AND THEN ANOTHER QA SAYS ANOTHER!!! SO TIRED OF ONE SAYING WHEN THE DOCTOR STATE CASE DISCUSSED WITH DR. SO-AND-SO IN THE EMERGENCY ROOM SHOULD BE A NUMBERED IMPRESSION, AND THE OTHER SAYS, NO.....MAKE IT A SEPARATE PARAGRAPH WITH NO NUMBER.

WHOOOOO.....THANKS FOR LETTING ME VENT!!!

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