Clinical Documentation Improvement Software

CDiTrax - Product/Online Service

DCBA, Inc. has created clinical documentation improvement software, CDiTrax, to complement our service offering of clinical documentation improvement consulting engagements. CDiTrax is primarily responsible for tracking the results and outcomes of the concurrent documentation review and improvement processes implemented by DCBA.

To accomplish this, CDiTrax obtains data through a combination of electronic batch interfaces of organization demographics and patient-specific health information (PHI) as well as manual data entry.

Product Features

The following features are available in the latest release 1.3 of CDiTrax:

Core Features

• Manage Rounding List Settings
• Track Concurrent and Post-Discharge Cases
• Assign Cases to CDS by Unit Lookup
• Filter Cases for Review by multiple criteria
• Create Key Performance Indicators
• Track Physician Education

Concurrent Review

• Generate Daily Rounding List
• Track Reviewed Cases
• Track Clarification Reasons, Responses and Outcomes
• Track DRG Assignments by CDS

Creation of Key Performance Indicators

• Measurement of review rates, clarification rates, provider response rates, provider education rates
• Frequency of clinical conditions requiring clarification
• Detailed history of provider response and outcomes
• Changes in MS-DRG or severity of illness/risk of mortality
• Estimated financial impact of clarifications (If client elects to input MS-DRGs)

Data Exchange

Data Files Requested from Client:

• Initial Data Load
• Physician List
• Unit/Bed List
• Admission Data
• Discharge Data
• Transfer Data
• Census Data
• Reconciliation Data
• External Data Interface Specification

File Types Supported:

• CSV – ANSI with quoted identifiers
• TSV – ANSI with quoted identifiers
• XLS – All MS Excel versions
• XML – Schema can be provided

File Transfer & Encryption Methods Supported:

• HTTPS – Secure File Uploads & Web Services over Secure Sockets Layer (SSL)
• sFTP/SC – Secure FTP and Secure Copy
• Support for Common File Encryption Options