IV Injection and Infusion Documentation Improvement Project

Because the medical center's lost charge capture related to IV injection and infusions totaled $80,000 per month, it established a goal of improving the process of IV injection and infusion charge entry. It educated its nursing staff and implemented a monitoring and tracking process through the Lean process and GEMBA boards. After these combined efforts from the health information management coding team, pharmacy, and nursing and information systems departments, the medical center reduced the lost charges by $60,000 per month.

Because the medical center's lost charge capture related to IV injection and infusions totaled $80,000 per month, it established a goal of improving the process of IV injection and infusion charge entry. It educated its nursing staff and implemented a monitoring and tracking process through the Lean process and GEMBA boards. After these combined efforts from the health information management coding team, pharmacy, and nursing and information systems departments, the medical center reduced the lost charges by $60,000 per month.

This case study is part of the Illinois Health and Hospital Association's annual Quality Excellence Achievement Awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals and health systems in continually improving and transforming health care in the state. These organizations are improving health by striving to achieve the Triple Aim—improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of health care—and the Institute of Medicine's six aims for improvement—safe, effective, patient centered, timely, efficient, and equitable. To learn more, visit https://www.ihaqualityawards.org/javascript-ui/IHAQualityAward/