Transcription of Clinical Documentation Improvement at UIHC
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Clinical Documentation Improvement at UIHC
1 Clinical Documentation Improvement at UIHC Clinical Documentation Improvement Deanna Brennan, RN BSN Quality & Operations Improvement Manager/Director 2 Clinical Documentation Improvement Clinical Documentation Nurses: Also known as CDI Nurses Help translate Clinical Documentation /patient hospital course into hospital coding language Sending queries Participate in rounds and huddles Provide educational resources or LIP teaching Cover all inpatient units except: NICU, inpatient psych, or Mother/Baby 3 Goal of CDI? Accurate reflection of severity of illness and intensity of service that results in appropriate MS-DRG assignment CDI Clinical Documentation Improvement 5 Limitations 6 Your Role in Documentation Improvement Accurate Documentation Drives.
Clinical Documentation Improvement • Clinical Documentation Nurses: – Also known as CDI Nurses – Help translate clinical documentation/patient hospital course into hospital coding language • Sending queries • Participate in rounds and huddles
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