Q: The physician documented mild bronchitis treated with Zithromax in the progress note on day two of the patient’s hospital. I looked for clinical indicators and the only documentation I found in the nursing notes was that the patient had a non-productive cough on admission. ...Read More »
Q: Is it true that a CDI physician advisor/champion cannot be a direct patient care provider?
A: CDI departments are not required to have a physician advisor; however, it is beneficial to have a physician champion. I make a distinction between the two...Read More »
ACDIS CDI Leadership Council members have access to a dedicated thread on the ACDIS Forum to collaborate and share experiences with one another. Members are encouraged to visit the Forum and weigh in on any topic with which they have experience. In order to share the information more broadly,...Read More »
Q:We have a problem getting our physicians to understand what we are querying for (chronic respiratory failure) when a patient is on home oxygen continuously with documented supplementary oxygen (SpO2) of <90% or arterial blood gas (ABG) with hypoxemia documented....Read More »
Q: How are staffing needs expected to change in relationship to ICD-10?
A: I’m not aware of any benchmarks for CDI staffing in consideration for ICD-10. There is so much diversity among CDI departments and their responsibilities regarding ICD-10 that it is hard to establish any...Read More »
ACDIS CDI Leadership Council members have access to a dedicated thread on the ACDIS Forum to collaborate and share experiences with one another. Members are encouraged to visit the Forum and weigh in on any topic with which they have experience. In order to share the information more broadly,...Read More »
Q: I need help identifying the principal diagnosis for the following situation. The patient presented with shortness of breath and hypoxia, and had emergent dialysis which resolved his symptoms. However the patient’s international normalized ratio (INR) was sub therapeutic due...Read More »