Sandeep Wadhwa and Terri McCubbin 3M
Tuesday, January 17th 2012 Pre Conference Workshops 1:45p.m. – 2:45p.m.
Sandeep Wadhwa, MD, MBA, FACP Chief Medical Officer, 3M
Terri McCubbin, RN, CPP, CPUR, CMC, Director, 3M Consulting
Health Information Systems Clinical performance determines patient outcomes, but the data used to describe outcomes is ultimately determined by a hospital’s clinical documentation and coding functions. Accurate capture of patient severity, risk of mortality, and post-admission complications in physician documentation impacts payment, regulatory compliance, case mix index, and performance ratings. Quality outcomes data is even more critical under ICD-10 since the new coding standard will enable higher quality information for evaluating healthcare service, quality, and safety. Learn an effective approach for ensuring the accuracy of quality outcomes data in the face of changing regulations and new reimbursement models that align payment incentives with high performance.
Terri McCubbin, RN, CPP, CPUR, CMC, is a Director within 3M Consulting and is responsible for business development and ICD-10 Services. Responsibilities include design of consulting service offerings and content development for educational programs and software supporting services, such as the ICD-10 Claims Impact Analysis, ICD-10 Modeling and Translation Services, ICD-10 Comprehensive Assessment and Roadmap Service, ICD-10 Documentation Assessment Service, Clinical Documentation Improvement System software and data monitoring tools that provide comprehensive Case Mix Index and profiling analysis to assist hospitals in improving quality outcomes, ensuring the accuracy of performance reports, and achieving appropriate reimbursement. She has more than 32 years in health care and has been heavily involved in the development of new consulting service offerings, including services for MS-DRGs, Recovery Audit Contractor, 3M™ APR DRGs, and APCs, as well as physician profiling services to identify cost and LOS reduction. She is a certified AHIMA ICD-10 trainer and responsible for managing the overall operations and delivery of 3M’s ICD-10 Services.
Dr. Sandeep Wadhwa oversees the development, marketing and sales of health care payment methodologies and software systems designed to align financial incentives, promote health outcomes and improve efficiency. These solutions are used for decision support, quality measurement, research and reimbursement. Dr. Wadhwa has more than 20 years experience in healthcare management and as a clinician. He most recently served as State Medicaid Director of the Colorado Department of Health Care Policy and Financing. Dr. Wadhwa has spoken and published extensively on care management, healthcare services, and health reform. He has delivered testimony to the U.S. Congress, served on numerous healthcare task forces, and most recently, on the Institute of Medicine Committee on the Determination of Essential Health Benefits. He is also board certified in both internal medicine and geriatrics and an associate clinical professor of medicine at the University of Colorado Denver.
