Clinical documentation improvement (CDI) is fast-becoming a strategic imperative for hospital executives, that has been proven to deliver hard dollars by increasing an organisation’s casemix index.
It is well known that getting clinical documentation as accurate and as complete as possible, is good practice.
Benefits include improved patient care, improved communication between clinicians and also increased reimbursement since it has the potential to capture more of the activity that was provided. Hospitals who have implemented CDI Programs, typically employ Clinical Documentation Specialists (CDS) to engage with clinicians to improve the documentation while the patient in still admitted, a process commonly referred to as concurrent documentation review. The role of the CDS effectively acts like a conduit between clinicians and the coding department.
It is often difficult to know where to start when it comes to implementing a CDI Program. Depending on the current level of CDI focus, 3M™ DRG Assurance™ can assist with the following: