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 »