No matter how much the CDI industry grows, physician education and engagement remain one of its top concerns. A lack of physician buy-in will stymie even the most rigorous CDI efforts. While the problem remains front and center, CDI teams now have significantly more tools by which to tackle it....
The twin trends of patients using quality data to choose where to go for care and the popularity of value-based care purchasing programs to manage healthcare costs will only continue to grow. Healthcare organizations understand that if they can impact their quality scores, they are more likely...
We do many queries for malnutrition and are looking for a better way to get this essential diagnosis into the medical record without a query. I...Read More »
In giving choices for responses, our query templates include “other (please specify)” and “unable to determine.” We get many responses of “unable...Read More »
May a physician/provider, who does not take care of a patient during an episode of care answer a query for another physician who did take care of...Read More »
This sample clinical definition was provided by Dawn Miller, BSN, RN, CCDS, CPC-A, clinical documentation coordinator at Henry Ford Health System in Detroit, Michigan
