Quality Report Card - Outpatient Colonoscopy Measures as of December 2017

Outpatient Colonoscopy Measures

(December 2017 reporting is based on discharges from January to December 2016)

More recent data is also available reporting discharges from January-December 2017


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Facility has implemented Provation which provides a template for required documentation
by physicians. New software implemented in January 2018 to make it easier for physicians to document
appropriate follow up interval. Education to all
providers performing colonoscopy cases (GI providers and surgeons) regarding the CMS guidelines were implemented. Monthly results are
reviewed and re-education provided as needed. We are working
with physicians to ensure the appropriate documentation is present in the medical record. Completed education of staff
and physicians regarding CMS requirements. All fallouts are addressed as soon as abstraction of information is complete. An New software implemented in January 2018 to make it easier for physicians to
document appropriate follow up interval. Provation software rolled out Dec 2017 to improve electronic
documentation practices.  Physician re-education of CMS guidelines recently completed. We are working with physicians to ensure the appropriate documentation
is present in the medical record.

Completed education of staff and physicians regarding CMS requirements. All fallouts are addressed as soon
as abstraction of information is complete. An