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Clinical Documentation Improvement: Principles and Practice (EPUB)
15 $
Format : EPUB
File Size : 4.5 MB
This book provides guidance on developing and improving a clinical documentation improvement (CDI) program in healthcare organizations. It covers the fundamentals of clinical documentation, program implementation, and process refinement. It also includes new material on CDI technology solutions, critical thinking, and CDI for APR-DRG and quality scoring. The book has 368 pages and was published by American Health Information Management Association in 2015. ISBN-10: 1584265027, ISBN-13: 978-1584265023.
Clinical Documentation Improvement: Principles and Practice (EPUB)
By Pamela Carroll Hess
“Clinical Documentation Improvement: Principles and Practice” is a comprehensive article that focuses on the importance of clinical documentation in the foundation of every healthcare record. The book’s definitions of clinical documentation are lucid and emphasize its significance to healthcare organizations, it provides a consistent and objective set of principles that can be applied to any form of clinical documentation improvement (CDI).
Key Benefits:
The book focuses on the primary users of clinical documentation, including patients, doctors, and code professionals. It focuses on the effects of a comprehensive CDI program on all of these participants.
Part 1 discusses the fundamental principles of clinical documentation, including evaluating the current quality of documentation and making informed decisions about a new program or enhancement of the existing program.
Part 2 discusses the implementation of a clinical documentation program, which includes staffing, training, questionning doctors, collecting data, and program compliance.
Part 3 offers suggestions and a comprehensive approach to implementing and enhancing a clinical documentation program that will lead to long-term success.
Key Changes and Addendums:
Discussing the transition to ICD-10, the process of coding is specifically discussed.
A new section on the critical thinking process for doctors, nurses, medical coders, and clinical documentation specialists. This section focuses on the importance of critical thinking in the CDI process.
Comprehensive instruction on the CDI program’s principles and their importance in maintaining a successful program.
More content on CDI technology options, an example query set, and plans for CDI implementation, including the APR-DRG CDI program, and denial management.
Increased guidance on CDI regarding APR-DRG and quality assessment.
Online appendices that contain useful information like the example of a presentation about the education of physicians and their engagement with CDI, as well as the strategy CDI employs.
“Clinical Documentation Improvement: Principles and Practice” is a beneficial resource for those involved in clinical documentation and coding. With its new content and practical advice, the book provides readers with the knowledge and strategies necessary to create and maintain successful CDI programs that enhance the quality of care and ensure accurate payment.
Product Details
- Publisher : American Health Information Management Association; 1st edition (May 28, 2015)
- Language : English
- eBook Digital : 368 pages
- ISBN-10 : 1584265027
- ISBN-13 : 978-1584265023
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