My physicians use the term “bacteremia” frequently and are treating it. The patient may be febrile and receiving antibiotics, but they cannot figure out a source. What should they be calling it? Or, better yet, what query should I be sending?Read More »
We’re having a lot of discussions lately on whether we should query for pressure injuries when they’re only documented by nursing. Our wound care nurses determined that staff nurses identify pressure injuries correctly only 60% of the time. If we’re querying based on nursing documentation, our...Read More »
What are the requirements when it comes to a physician advisor asking for diagnoses to be added to the medical record? Based on the ACDIS/AHIMA “Guidelines for achieving a compliant query practice” brief, physician advisors follow the same requirement of a CDI specialist with a compliant...Read More »
Our query process currently creates a physician progress note when a query is answered which becomes part of the permanent medical record. We do keep the original query as well, which clearly identifies the query author and it is discoverable, but not as part of the medical record. We included...Read More »
Physician’s mental health and professional feelings of burnout represents an ongoing concern, according to The Physicians Foundation. Some 58% of physicians reported feelings associated with burnout in a...Read More »
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Queries are a daily part of the CDI specialist’s workflow and are often a very important key performance indicator for facilities to track. When it comes to those physicians who are not responding to queries, there are a few different ways an organization can choose to track, or not track, this...Read More »
