The Centers for Medicare & Medicaid Services will continue using PSI-04, Death Rate among Surgical Inpatients with Serious Treatable Complications, in its Hospital Inpatient Quality Reporting program. Be advised. This affects your facility’s reputation and reimbursement through fiscal year (FY)2028.
Unlike other PSIs, PSI-04 does not exclude cases based on the Present on Admission indicator of the applicable secondary diagnoses that include shock/cardiac arrest, sepsis, pneumonia, gastrointestinal hemorrhage/acute ulcer, or deep vein thrombosis/pulmonary embolism. Unlike the other PSIs that focus on the prevention of the identified patient event, PSI-04 looks at the success of rescue steps that a facility takes, when presented with severe complications that may already be present on admission, to prevent the patient’s death.
During the next live edition of Talk Ten Tuesday, James S. Kennedy MD, president of CDIMD near Nashville, Tennessee, will outline documentation and coding strategies impacting PSI-04’s inclusions, exclusions, and risk-adjustment that can be implemented by any facility wishing to address any perceived shortcomings.
Invite your director of quality to join as to learn how they can partner with coding and CDI in this important initiative. They will thank you for it.
Other segments during the live broadcast include the following: