Literature DB >> 28952382

What do we really want from clinical documentation improvement programs?

Jennie Shepheard1.   

Abstract

Clinical documentation improvement (CDI) roles are being increasingly created in Australian hospitals. It is important to understand what good clinical documentation is and who is responsible for it as well as what these roles potentially offer our health system. This article explores the role of a CDI specialist, the benefits and pitfalls of clinical documentation improvement programs, and mounts an argument that health information managers and clinical coders are uniquely placed to fill these roles in Australian hospitals.

Keywords:  clinical coding; clinical documentation improvement; clinical documentation specialist; clinical truth; health information management

Mesh:

Year:  2017        PMID: 28952382     DOI: 10.1177/1833358317712312

Source DB:  PubMed          Journal:  Health Inf Manag        ISSN: 1833-3583            Impact factor:   3.185


  1 in total

1.  MedCDI: A technology-based documentation and quality improvement initiative in neurosurgery.

Authors:  Mokshal H Porwal; Christina N Feller; Devesh Kumar; Julie Kolinski; Grant P Sinson
Journal:  Surg Neurol Int       Date:  2022-06-23
  1 in total

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