Over the course of the past year while conducting severe malnutrition audits, I've found some cases where severe malnutrition and morbid obesity co-occur in the documentation. So far, I have observed seven cases where this has happened...Read More »
The first key to mounting a successful documentation improvement initiative is to understand the most valuable commodity to all providers: time. This is true within both the inpatient and outpatient realms. Anything that increases a...Read More »
Five years ago, I was excited and nervous to enter a new phase of my nursing career: CDI. I had no idea what a clinical documentation specialist was responsible for, but regardless, I knew I was equipped with the necessary medical knowledge. After...Read More »
by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
Perhaps because my main focus is education, I am always impressed with our CDI and coding community’s enthusiasm for seeking out professional development opportunities. We take pride in our certifications and seize any...Read More »
FEATURES 5 Understanding the landscape of SDOH 10 Case study: Tracking and reporting quality impact of CDI efforts 13 Case study: CDI reporting structure ...Read More »
When asked, most CDI professionals will say that the primary goal of CDI is improved patient care. The idea that CDI is “all about the money” is, as all CDI professionals know, inaccurate and reductive. Yes, CDI efforts can lead to more accurate (and often...Read More »
Health status does not exist in a vacuum, and it can be easy to forget that social and environmental factors can substantially impact a patient’s health status and eventual outcomes. However, strides have been made to recognize this fact and act accordingly: To...Read More »