The CDI profession often focuses on engaging providers and other medical staff members in documentation improvement efforts. However, CDI managers also need to examine productivity standards, accountability, and staff engagement. Assessing the quantity of staff reviews does not gauge whether a...Read More »
A physician admits a patient with dementia, yet provides no further definitive diagnosis. The CDI specialist recognizes the scenario as similar to a case reviewed the week before, so she reaches out to the case management (CM) team to see whether they have additional insight. The CDI...Read More »
CMS continues to transition from volume-based to value-based payments and Alternative Payment Models (APM), including bundled payment models, with the goal to have 30% of its payments tied to APMs by 2016 and 50% by 2018. In 2011, CMS sought out providers to test four broadly defined bundled...Read More »
by Valerie Bica, BSN, RN
Providers often document “global devel dopmental delays” in pediatric charts. The phrase is used to describe when a child takes longer to reach certain development milestones than other children the same age, such as walking or talking. Children with...Read More »
The advent of the electronic record (EHR) changed how CDI specialists work with providers and coders. Gone are the days of misplaced paper queries and handwriting woes. As more and more healthcare organizations take on the arduous process of implementing an EHR, new challenges and considerations...Read More »
When Claudine Hutchinson, BSN, RN, started working as a pediatric staff nurse at the Children’s Hospital at Saint Francis in Tulsa, Oklahoma, she didn’t know the first thing about clinical documentation improvement. In medical/surgical, orthopedics, hematology-oncology, and pulmonology, she...Read More »
One of the greatest pleasures of my role as the Associate Editorial Director for ACDIS is work- ing alongside such an amazing group of talented, knowledge- able, and generous members. Those working as CDI specialists hunger for education and information, and they are equally hun- gry for...Read More »