CDI Metrics and Statistics Flashcards
7 cards from real CDIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 CDI Metrics and Statistics flashcards as text
Which APR-DRG component is MOST useful for CDI programs focused on quality outcomes reporting rather than reimbursement?
Answer: Risk of mortality (ROM) subclass
The risk of mortality (ROM) subclass in APR-DRGs is used in quality and outcomes reporting to assess whether hospital mortality rates are appropriate given patient severity.
A CDI department is asked to report its 'initial query rate.' This metric is calculated as:
Answer: Queries issued ÷ total records reviewed
Initial query rate = queries issued ÷ total records reviewed, measuring how often reviewers identify documentation opportunities.
In CDI metrics, 'physician query compliance' differs from 'physician query agreement' in that compliance measures:
Answer: Whether the physician responded at all, regardless of the answer
Query compliance measures response rate (whether the physician replied), while agreement rate measures whether they documented the suggested finding.
A CDI program tracks 'average query lag time.' This metric is important because it measures:
Answer: How long it takes a physician to respond after a query is sent
Average query lag time measures the number of days between query issuance and physician response, impacting concurrent review effectiveness.
Which of the following would be considered a LEADING indicator of CDI program performance, as opposed to a lagging indicator?
Answer: Daily query volume by CDI specialist
Daily query volume is a leading indicator because it predicts future outcomes; CMI and revenue metrics are lagging indicators that reflect past performance.
A hospital wants to assess the accuracy of CDI-driven documentation. Which audit process best supports this goal?
Answer: Concurrent query audits comparing CDI queries to final coded data
Auditing CDI queries against final coded diagnoses reveals whether documentation improvements were appropriately captured in the final bill.
Which metric would BEST help a CDI manager identify which CDI specialists need additional training on sepsis documentation?
Answer: Sepsis-specific query rate and agreement rate by specialist
Tracking sepsis-specific query rates and agreement rates by specialist reveals individual performance gaps in recognizing and querying sepsis documentation opportunities.