Skip to main content
Skip to main navigation
Skip to footer

Children's National Health System

Children’s National adds infusion documentation task, recovers lost revenue

Missed codes translate into missed revenue.

That’s the central thought behind an effort at Children’s National Health System to get nurses to manually document infusion stop-times.

In April 2014, Children’s National, the largest provider of pediatric care in the nation’s capital, identified an opportunity for improvement in its nurses’ infusion documentation.

During that time, leaders at the 313-bed hospital found that the organization’s compliance rate of infusion stop-time documentation for observation patients was zero percent.

This was in large part due to lack of a proper documentation field, and a traditional workflow that did not include a prompt for nurses to document infusion stop-times. This caused Children’s National to miss out on additional CMS revenue by not capturing exact infusion stop-times for observation status patients.

Charging for 12 additional codes

To address this issue, in June 2014, Children’s National added a new infusion stop-time task to its nursing workflow, and by September 2015, the stop-time documentation compliance rate soared to 77.1 percent.

“Implementing this task was an exciting opportunity to update nursing culture in the era of technology,” said Carolyn Jepsen-Brown, MSN, RN, with Children’s National nursing informatics. “It elevates nursing to a higher level and shows that using Cerner technology, nursing documentation can generate revenue for a hospital.”

The improved accuracy of infusion documentation enabled Children’s National to charge for 12 additional procedure codes for infusions services.

Between June and September 2015, Children’s National brought in an additional average revenue of $240,000 per month — a 409 percent increase when compared to baselines.

“It was a great thing to do,” said Dulcie Mahmud, director of revenue integrity. “Cerner worked with the Children’s National revenue integrity team and billing team to make it happen. It has been a fantastic value-add overall.”

Continuing to improve revenue, outcomes

With the success of the added task, Children’s National plans to automate this workflow by connecting the infusion pumps directly into the EHR, said Vice President and Bear Institute Executive, David Pierre. This is possible with CareAware® Infusion Suite, an offering from Cerner.

Currently, nurses must manually document an infusion stop-time for observation status patients. During high patient census, this manual documentation is not as easy as an automated task, contributing to a dip in compliance.

The addition of an automated workflow will streamline nursing time spent on infusions, increase patient safety, and decrease the chance of medical errors. Automating this documentation with CareAware Infusion Suite should help the organization achieve 100 percent compliance for documenting infusion stop-times.

Using Children’s National current financial figures, if the hospital achieved 100 percent compliance for observation patients, it could easily realize another $100,000 in additional revenue per month.

“We anticipate additional increases in revenue and improved efficiency,” Pierre said. “This automation will help us provide the best care for our patients and the best outcomes for Children’s National.”

Learn more about how Infusion Suite can help improve your organization’s finances here.

View All Client Achievement Stories
Client outcomes were achieved in respective settings and are not representative of benefits realized by all clients due to many variables, including solution scope, client capabilities and business and implementation models.