Clinical Documentation Improvement: Problems and Strategic Plan

Part 1: Discussion Board

Part 1: Discussion Board A short post from nThrive, a revenue cycle management company, states that there are four problems with CDI: • Incomplete or inaccurate documentation • Physician fatique • Communication gaps between CDIs, coders and auditors • Prioritization of work Source: Are There Hidden Clinical Documentation Improvement (CDI) Problems Crushing Your Bottom Line? discuss with some of the reasons that these problems occur. Provide at least one outside resource other than those that are given to you. Part 2: Strategic Plan You have convinced your administrator that your clinical documentation program has stagnated. Review the 2016 AHIMA Clinical Documentation Toolkit. You will need to be a student member of AHIMA in order to access the materials. Based on the information in the Toolkit, and the discussions with your peers, formulate a high level strategic plan for rejuvenating your program. Include in your plan the following: a. Departments and key personnel to be involved. b. Three main goals of the program. c. Your plan for identifying the first 5 diagnoses that you will investigate. Be specific. Cite some on-line resources. d. The metrics and benchmarks that you will use to evaluate success or failure. e. Timeline for implementation and follow-up.