Dec 7, 2023, 15:22 by Sarah Moore

Dec 6, 2023, 15:54 by Sarah Moore

Dec 6, 2023, 15:36 by Sarah Moore

Dec 5, 2023, 15:36 by Sarah Moore

Nov 28, 2023, 16:35 by Sarah Moore

Complete and accurate documentation is an important part of medical care. [Our endoscopy center] aims to provide and document care that meets the recommendations of the American Society for Gastrointestinal Endoscopy (ASGE) and American College of Gastroenterology (ACG), as well as others.

Nov 16, 2023, 10:30 by Sarah Moore

Nov 16, 2023, 10:15 by Sarah Moore

Nov 16, 2023, 09:23 by Sarah Moore

Nov 16, 2023, 09:03 by Sarah Moore

Nov 15, 2023, 09:59 by Andrea Lee

A patient came in for a surveillance colonoscopy for a history of polyps. However, during the procedure, the doctor took random biopsy samples due to the patient’s history of Crohn’s disease. Can I bill it as diagnosis codes Z86.010 and K50.90? Or do I have to bill it as just diagnosis code K50.90?

Oct 17, 2023, 10:54 by Sarah Moore

Oct 4, 2023, 10:10 by Sarah Moore

A Bravo, CPT code 91035, was performed and did not show active reflux, so the diagnosis attached was dysphonia, which the insurance is denying. What other diagnosis could be used?

Oct 4, 2023, 10:07 by Sarah Moore

The endoscopy staff identified inconsistencies in our preprocedure time-out process, including the information being shared and the attentiveness of all members. The goals of this project were to develop a standardized time-out format, engage all members of the team and increase patient involvement. The focus of our project was to improve patient safety and prevent adverse events resulting from miscommunication and/or misinformation.

Oct 4, 2023, 09:48 by Sarah Moore

A 24-year-old male presents to the emergency room with a chief complaint of “I can’t swallow.” He states that while eating dinner, chicken suddenly “got stuck, and I could not swallow.” He can swallow saliva; however, he cannot swallow liquids. He has associated mid-chest discomfort. He denies GI bleeding, heartburn, weight loss or any additional symptoms. Over the last two to three years, he has experienced intermittent solid food dysphagia, which has caused him to eat slowly and chew food repeatedly. There are no prior episodes of food impaction. He has a history of seasonal allergies for which he takes an over-the-counter antihistamine. He denies other medical problems.

Sep 29, 2023, 11:45 by Sarah Moore

No incorrectly labeled specimen containers, no specimens placed in wrong containers, no missing specimens, 100% real-time timeout charting compliance

Sep 29, 2023, 11:44 by Sarah Moore

The health system has a strategic goal of increasing the ratings on the NRC “What Matters Most” question in patient satisfaction surveys to 66.9% for all departments. Prior to this goal being established, no specific efforts were made to make sure the patient’s most pressing concern was addressed in the appointment.

Sep 29, 2023, 11:42 by Sarah Moore

On November 16, 2021, a quality improvement study was conducted to determine that all endoscopes are going from end of procedure to high-level disinfection (HLD) within the national guideline of one hour. Data was gathered from EMR platforms measuring the end of procedure time and the time reprocessing began as proven by the (automated endoscope reprocessor) data. A formula was followed to calculate this time, and each staff member had 14 cases analyzed for the data collection. It was proven that each staff member was well under the one-hour time frame from end of procedure to start of HLD. The average time between all staff members was 17 minutes. All staff was 100% compliant with this national standard. No improvement is needed, and we achieved our project goals to prove our excellence.

Sep 29, 2023, 11:40 by Sarah Moore

It is suspected that patients are perceiving excessive wait times in relation to their experience at [the facility] and delays in discharge which is increasing the time the patient is in the facility. The target for performance for patient wait time scores was 4.6 or higher (patient satisfaction surveys) and the patient’s average time in the facility of 150 minutes or less.

Sep 29, 2023, 11:14 by Sarah Moore

Over the past three years, [the unit] has used several different bowel preps in order to achieve the best possible colonoscopy for our patients. The cleansing quality is a critical factor in determining the quality, ease, speed, and completeness the colonoscopy. Our facility has used [Prep A], [Prep B], and [Prep C] over the past two years with varying results.

Sep 29, 2023, 11:11 by Sarah Moore

To determine if the use of Carbon Dioxide for GI insufflation will decrease the patient complaints of abdominal pain and cramping can be discharged to home after his or her procedure sooner.