Health Information Management

Polish your profile by clarifying heart failure, pneumonia, and pressure ulcers

Medical Records Briefing, November 1, 2008

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As many of us know, various staff members regularly approach us to address the quality of care we deliver in our hospitals. And delivering quality care requires that we also cooperate with practice guidelines outlined in core measures for heart failure, acute myocardial infarction, pneumonia, and postoperative infections. Effective October 1, this list expanded to include patient safety measures, such as catheter-related urinary tract infections, central line–related septicemias, pressure ulcers, and others.

Various staff members often want us to clarify terminology to better reflect patients’ true severity of illness. The goal of accurate and complete documentation is to help hospitals look good.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Medical Records Briefing.

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