Beyond Hospital Walls: CDI Enters Outpatient Settings, Population Health Initiatives

Leadership research survey indicates rapid expansion, despite operational obstacles

Clinical documentation integrity (CDI) was born in the acute care inpatient setting, with most CDI departments focusing on diagnosis clarifications impacting MS-DRG assignment, present on admission status, Patient Safety Indicators, and other metrics vital to IPPS reimbursement and quality outcomes.

But with declining admissions and care increasingly covered in outpatient settings, as well as the realization that social determinants of health play a major role as a predictor of costs, CDI efforts in response are moving “beyond hospital walls.”

This paper is a summary of the discussion of several CDI leaders evaluating the results of a nationwide CDI Research Series survey on CDI beyond hospital walls. They discuss their best practices from moving CDI beyond familiar inpatient settings into hospital clinics, physician practices, and postacute settings.

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