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Coding Improvement Project: Resident Education on Documentation (DER)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04538196
Recruitment Status : Withdrawn (Study staffing constraints)
First Posted : September 4, 2020
Last Update Posted : September 4, 2020
Sponsor:
Information provided by (Responsible Party):
Panos Kougias, Baylor College of Medicine

Brief Summary:
Most General Surgery program directors have expressed the necessity to educate residents on the business aspect of medicine. However, the literature review did not produce any interventional studies directly addressing coding and documentation in General Surgery Residents. The purpose of this study is to address specific coding and documentation mistakes as identified by surgery coding analysts in the surgical department. Through this examination, we hope to provide residents with the necessary tools and framework for adequate documentation throughout their surgical careers.

Condition or disease Intervention/treatment Phase
Resident Education Other: Resident education on documentation and coding Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Other
Official Title: Coding and Documentation Education for General Surgery Residents
Actual Study Start Date : April 14, 2015
Estimated Primary Completion Date : September 1, 2020
Estimated Study Completion Date : December 1, 2020

Arm Intervention/treatment
Experimental: R Education
Invervention: Resident who receives education on documentation and coding at the beginning of the surgical rotation
Other: Resident education on documentation and coding
Surgery residents will receive education on documentation and coding at the beginning of a particular surgical rotation vs the control group who will receive no education on documentation

No Intervention: R no Education
Resident who does not receive information on documentation and coding at the beginning of the surgical rotation



Primary Outcome Measures :
  1. Coding Analyst Quota [ Time Frame: up to 72 weeks ]
    the number of charts translated into ICD-9 and CPT codes per day

  2. Coding Analyst Satisfaction [ Time Frame: up to 72 weeks ]
    This will be assessed by administering the Maslach Burnout inventory validated survey


Secondary Outcome Measures :
  1. Relative Value Unit [ Time Frame: up to 72 weeks ]
    RVU data reports will be generated on a monthly basis

  2. Diagnosis Related Groups [ Time Frame: up to 72 weeks ]
    DRG data reports will be generated on a monthly basis

  3. Resident self-efficacy [ Time Frame: up to 36 weeks ]
    Self-efficacy will be measured through a survey at the beginning and end of the surgical rotation



Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. All Surgery residents in the Baylor College of Medicine residency program rotating through a surgical rotation at the Michael E. DeBakey VA Medical Center between the months of November 2014 and November 2016.
  2. Coding analysts employed in the Surgical Coding department at the Michael E. DeBakey VA Medical Center between the months of November 2014 and November 2016.

Exclusion Criteria:

  1. Residents and coding analysts that do not wish to participate on the study,
  2. Residents rotating through the a particular surigcal rotation more than once after being part of the intervention arm.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04538196


Locations
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United States, Texas
Baylor College of Medicine
Houston, Texas, United States, 77030
Sponsors and Collaborators
Baylor College of Medicine
Investigators
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Principal Investigator: Panagiotis Kougias, MD Baylor College of Medicine
Publications:
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Responsible Party: Panos Kougias, Vascular Surgery Chief, Baylor College of Medicine
ClinicalTrials.gov Identifier: NCT04538196    
Other Study ID Numbers: H-35600
First Posted: September 4, 2020    Key Record Dates
Last Update Posted: September 4, 2020
Last Verified: August 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No