According to a new study published in PLOS One, hospital care teams frequently use handwritten notes and verbal comments to communicate patient information in order to bypass design and...Read More »
FEATURES 7 EHR’s troubled path 14 Working with CAC and NLP 22 DIY outpatient tracking tools 42 Guidelines for Achieving a Compliant Query Practice—2019...Read More »
by Angie Curry, RN, BSN, CCDS
Achieving documentation integrity—which results in positive outcomes for everything from quality and Patient Safety Indicators (PSI) to hospital ratings and scores—means actively involving CDI specialists in organizational documentation initiatives....Read More »
Technology changes at what can seem like light speed. ACDIS released a white paper on the topic of electronic health records (EHR) in 2013, and anyone working in CDI knows that, though some things remain constant, a lot has changed since then.
The three issues that CDI professionals most...Read More »
by Jill Dressler, RN, BSN, CCDS and Sandy Frey, RHIT, CCS
CDI has many parts: documentation analysis, provider engagement, program infrastructure, and performance monitoring. One way to monitor staff’s effectiveness is to audit their query practices. This ensures CDI staff capture...Read More »
More than half of the respondents to the 2018 CDI Week Industry Survey use computer-assisted coding (CAC) and/ or natural language processing (NLP) software, and another 6% intend to implement the technology in the next year. While many of those respondents said software has improved aspects of...Read More »
Many outpatient CDI professionals stepped into their roles blind—not knowing where to begin or how to tell if they were successful. However, as programs mature, they need to be able to track their progress for a number of reasons, including focusing physician education and justifying continued...Read More »
