Inside Angle

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  • Topic: Clinical Documentation Improvement

Differing perspectives of the medical record

January 21st, 2019 / By Sheldon Barlow

The medical record is unique because it is written for various reasons and looked at from various perspectives. It is not only a written representation of a face-to-face medical interaction […]

CDI New Year’s resolution: The keys to success

January 9th, 2019 / By Cheryl Manchenton, RN

Happy New Year everyone! I am terrible at New Year’s resolutions, but I did make one this year that I hope to stick to: I want to increase my intake […]

A tale of two worlds: Documentation versus clinical care

December 21st, 2018 / By Cheryl Manchenton, RN

Happy Holidays!  Sorry this is not a Charles Dicken’s Christmas story, but it does reflect an equally powerful story: A Tale of Two Cities. This Dickens novel has a well-known […]

Finding a common language: A key component of quality improvement

November 28th, 2018 / By L. Gordon Moore, MD

I think it’s reasonable to say that most people working in health care are motivated to deliver high quality care to the people they serve. Because humans are complicated organisms, […]

Strategies to avoid copy-paste abuse

November 19th, 2018 / By Sheldon Barlow

With the adoption of Electronic Health Records (EHRs), many healthcare organizations are seeing a dramatic increase in the use of the copy and paste feature. There are numerous tools and […]

Act on the front-end to reduce readmissions penalties

November 16th, 2018 / By Steve Cantwell

In my previous blog, I took a hard look at the impact of mental health and substance abuse on hospital readmissions, especially the torrent of patients with these issues coming […]

If you build it, they will come! Getting providers engaged with your CDI program

November 5th, 2018 / By Cheryl Manchenton, RN, Beth Wolf, MD

It is very easy to get aggravated with providers who do not appear to be engaged with CDI programs. But let’s hold on. Where should their focus be? Sorry, but […]

Collaboration: The key to successful CDI and coding of replacement devices

October 19th, 2018 / By Camille Ruiz, RHIA

We frequently discuss with clients the differences between Inpatient CDI versus Outpatient CDI such as time, volume, coding, regulation, etc. Despite these differences, both require collaboration between departments to be […]

Clinical validity…It’s not going away anytime soon

September 5th, 2018 / By Cheryl Manchenton, RN

It has been two years since AHIMA updated the Official Guidelines for Coding and Reporting with a statement about clinical validity. You would think with lessons learned plus time and […]

Outpatient CDI is the right idea, but the wrong label

August 27th, 2018 / By Kristine Daynes

As the volume of outpatient care has grown over the past several years, so has interest in outpatient clinical documentation improvement (CDI). Yet many organizations struggle to define what exactly […]

Physicians and documentation: Getting credit for great work

August 15th, 2018 / By L. Gordon Moore, MD

Why would an orthopedic surgeon develop expertise in documentation and coding? Eugene Christian, MD, Chief Medical Officer for St. Mary’s Bon Secours Hospital in Richmond Virginia describes his work on […]

Putting it together: Workflow design can improve quality outcomes

July 27th, 2018 / By Cheryl Manchenton, RN

As a rabid theater-goer, I love Sondheim.  Note the quote below: “Bit by bit, putting it together… Piece by piece, only way to make a work of art. Every moment […]