What to know before talking to physicians about clinical documentation improvement

It's important for physicians to understand the value and importance that improving clinical documentation accuracy has on patient care.
By
Dr. Feghali CMO CQO

“Physicians don’t act on business motives, they act on patient care motives,“ advises an expert on a technology panel focused on regaining “The Art of Medicine. ” Experienced administrators know that regardless of whether the underlying reason for change is driven by electronic health records (EHRs), ICD-10, or something else, telling physicians to modify how they practice or what they document in patients’ charts is likely to fail unless you approach it from a physician’s standpoint.

EHR Intelligence recently spoke to Dr. Georges Feghali, chief medical officer and chief quality officer at TriHealth Medical, a health system in Ohio, about how to make some of these important changes by getting physicians on board, and the clinical and financial gains of clinical documentation improvement (CDI).

 

 

“In clinicians’ minds, a term they commonly use may translate to a very, very sick patient who is in the ICU and has a one-in-four chance of dying, but the coders may be interpreting this as somebody who has a bladder infection, is walking around and should take two days of antibiotics,” says Dr. Georges Feghali, as he explains how to help physicians understand the value and importance improving clinical documentation accuracy has on patient care.

Check out the full story “CDI Produces Financial, Clinical Benefits Apart from ICD-10,” or to learn more about the value of implementing a CDI program, read the Top 5 reasons to implement clinical documentation improvement.

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