Editor's note: Kerry Termaat, RN, MSM, CCDS, is the supervisor of CDI at ProHealth Care—Waukesha Memorial Hospital. Termaat will be presenting a poster at the 2018 ACDIS Conference entitled “Eight-day process to improve physician query response rate,” with Sara Neitzel, RN,...Read More »
It’s easy to pick on physicians. As CDI specialists, we joke about the physician who still writes “urospesis” in the record, or the provider who consistently answers queries with “unable to be determined.”
If you incorporate the practices and tenets below into your query development, you will find your queries are clearer, more direct in intent (but not directing in terms of response desired from the provider), and to the point, with...Read More »
Q: I have a number of questions related to strokes, but essentially, can you describe the clinical definitions of stroke and explain what CDI professionals should be looking for in the medical record?Read More »
