The attached Hospitalist Inpatient Progress Note will help hospitalists document patient assessment and the care plan. It was submitted by Kathy Shumpert, RN, Howard Regional Health System.
Courtesy of Ina Corley, clinical documentation specialist for Tulane Medical Center, this device associated infection documentation flowchart provides tips for accurate and consistent documentation.
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that, should you use this resource, the CKD stages require more specification; in particular, this resource ought to be updated to include criteria for CKD 3A ad 3B. Jeanie Bellamy Director...
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. Physicians won't forget to link the underlying cause of the infection after they've seen this educational poster created by Jeanie Bellamy Director Documentation Improvement & RAC Coordinator at Skyline...
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The attached tip sheet for acute kidney injury, acute tubular necrosis, and acute interstitial nephritis was donated by Heidi Hillstrom MS, MBA, RN, CCDS, Clinical Documentation Management at St. Luke's...
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. Should you use this resource, the committee noted that this resource mainly utilizes the terms of ICD-9, and needs to be updated to reflect ICD-10 coding practices. The attached physician report card,...
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that, should you use this resource, the reference to RW in the 2nd column must be removed, as it is too confusing for providers and technically inaccurate. Additionally, the relative...
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that, should you use this sample, this resource needs to be updated to reflect current ICD-10 Coding procedures; in particular, the last three slides. Glenn Krauss, BBA, RHIA, CCS, CCS-P,...
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. In this PowerPoint presentation, JoAnn Czech, RN, CDI specialist at St. Cloud (MN) Hospital shares information regarding Acute Renal Failure and Acute Kidney Injury including information regarding acute...
