PPT-Optimizing Clinical Documentation Efficiency

How to Get Home on Time for Dinner Wayne Kaniewski MD RECENT HISTORY HITECH Act of 2009 Clinicians given 5 years to implement Meaningful Use EHRs High stress High expense Partly our fault. . Lighthouse Development Team. Opportunities. Most hospitalized patients with cardiac arrest have. . abnormal physiological values recorded in the hours preceding. . the event. A patient’s baseline condition begins to deteriorate a mean of 6.5 hours before an unexpected critical event or actual cardiac arrest . Telana . Fairchild. Nurse Practitioner Students. UMass - Worcester, . Graduate School of Nursing. N/NG . 603B. 1. Narrative. Focused. Flow-sheet. By exception. Problem . oriented. Types of Documentation. 1. Please turn your cell phones off or to vibrate mode.. Welcome to.... ICD-10 Coding. No Recording of ANY TYPE allowed. . Mind expansion in process.... About Dr. Mario Fucinari, DC, CCSP, MCS-P. Certified Chiropractic Sports Physician (CCSP). For Charter Educators . Sara . Hardner. Leon. Powell & Leon, LLP. Austin, Texas. The Objectives of Effective Documentation. The primary objective for creating effective employee documentation is to:. ethical, legal and clinical issues. Margaret . BROWN. Research . Fellow, Hawke Research Institute, University of South . Australia. Ravi RUBERU. Geriatric . Registrar, Royal Adelaide . Dr. Andrew Wallace PhD . BEng. (hons) . EurIng. andrew@cs.umu.se. Overview. Documentation. Javadoc. More documentation. Documentation. Document your program. For others. For yourself. Programs change over time. California Department of Aging. Documentation Rule #1. Documentation. Utilizing the Participant Form Checklist. Official Document or . Business Record. Confirmation of . Signature and Date. Make sure that forms are . Physician Program Overview. Our CDI program works to ensure the documentation in the medical record captures the true acuity of our patients. Accurate documentation will reflect appropriate severity of illness and risk of mortality to support resource intensity and length of stay for our patients. . Jan Malone 8. th. floor Nurse Educator. Importance of Documentation. Helps us track our patient’s progress. Conveys information between disciplines and shifts. Can determine therapy. Is part of the permanent record. Adherence to clinical practice guidelines (CPGs) is key to quality of care delivery. . Evidence-based practices for rational antibiotic use are difficult to monitor in private primary healthcare facilities in LMIC settings. . Hospitalist . Presentation . 10/18/10. What is CDI?. BRIDGING THE GAP . Between what CMS (Center for Medicare & Medicaid Services) recognizes (technical terminology of the ICD-9 system) and the clinical language physicians use to describe the patient’s condition. Update CSS Guide for PeopleSoft Fluid User Interface May 2015 Oracle PeopleSoft PeopleTools 854 Product Documentation Update PeopleSoft Fluid User Interface Copyright 2015 Oracle and/or its aff DAIRY PLANT MANAGEMENT (DTT-421). A K JHA. INTRODUCTION. Operation of a dairy plant in a highly effective manner is possible only when all factors involved . are synchronized. . . It is difficult to Perfection . Mary Kouvas – Clinical Documentation Integrity Coordinator/Health Information Manager. 28. th. January 2021. Learning Objectives. Understand why accurate medical documentation is part of a good medical practice..