title: Impact of standardized trauma documentation to the hospital's bottom line.
abstract: BACKGROUND
  The dichotomy between clinical and hospital revenue generation for trauma care is well established. Many trauma programs require hospital support for fiscal survival. We evaluated the impact of standardized clinical documentation to the hospital's bottom line at our trauma center.
  
  
  METHODS
  Standardized documentation templates for evaluation and management were created with a focus on accuracy and efficiency. Documentation was completed jointly by residents and faculty following standard guidelines of linkage. Trauma service characteristics, case mix index, reimbursement rate, payer distribution, hospital charges, cost, and payments were compared before and after standardization. Professional revenue was not evaluated. Analysis was performed using a commercially available spreadsheet computer application.
  
  
  RESULTS
  A 24% increase in the hospital's net income for trauma care, constituting $1.45 million, was realized despite a 12% decrease in patient volume. Admission profitability increased by 42%. Collection rates and payer mix were unchanged. Increases in both injury severity score and case mix index were seen (P < .05) after implementation of the program. Length of stay was decreased significantly.
  
  
  CONCLUSIONS
  An effective standardized documentation strategy for trauma care results in significant fiscal gains in hospital reimbursement.
authors.affiliation: Department of Surgery, Division of Acute Care Surgery, University of Missouri Frank L. Mitchell, Jr, MD, Trauma Center, University Hospital, Columbia, MO, USA. barnesste@health.missouri.edu
authors.forename: Stephen L
authors.initials: SL
authors.lastname: Barnes
authors.forename: Matt
authors.initials: M
authors.lastname: Waterman
authors.forename: David
authors.initials: D
authors.lastname: Macintyre
authors.forename: Jeff
authors.initials: J
authors.lastname: Coughenour
authors.forename: James
authors.initials: J
authors.lastname: Kessel
mesh_terms: D000328:Adult; D003953:Diagnosis-Related Groups / Q000191:economics; D004282:Documentation / Q000191:economics*; D017722:Hospital Charges; D017721:Hospital Costs; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics; D008499:Medical Records / Q000191:economics*; D014193:Trauma Centers / Q000191:economics*; D014947:Wounds and Injuries