You have requested access to content created exclusively for the ACDIS Leadership Council.

Member insight: Do health system defined diagnoses make a difference?

by Pamela Stence, RN, BSN, MSN, CCDS

I first heard about diagnosis definitions a few years ago on an ACDIS Quarterly Membership Conference Call, when Deanne Wilk, BSN, RN, CCDS, CCS, the CDI manager at Penn State Health in Hershey, Pennsylvania, mentioned that her organization had developed diagnosis definitions to assist in defending against downgrades and denials.

This conference call was about the time that UnitedHealthcare issued a statement that they were defining sepsis using the Sepsis-3 definition. At Sharp Healthcare, we were wrestling with the issue of sepsis, and I felt that developing a definition would help our organization to agree on how we would define the levels of sepsis based on clinical indicators.


This is an excerpt from content created exclusively for the ACDIS Leadership Council. If you’re a Council member, please log in to access the full post. If you’re not a Council member, please visit to learn more about the Council, how to apply if you're a current CDI leader, and how to take advantage of the Council resources developed for the broader ACDIS community.

Not an ACDIS member? Let's fix that!

ACDIS is the nation's only association dedicated to the clinical documentation improvement profession. Whether you're a veteran CDI specialist or new to the position, or a physician advisor or HIM/coding professional, you'll want to take advantage of all the benefits of ACDIS membership including a career center, CDI Journal, CDI Forum, sample forms and tools, and much more.

For questions and support, please call ACDIS customer service: 800-650-6787.