Health Information Management

Membership Update: CDI Journal released

CDI Strategies, April 24, 2014

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This quarter’s CDI Journal includes new guidance from the ACDIS Advisory Board regarding the roles and responsibilities of CDI professionals. Although no one expects new CDI staff to come to the table completely versed in every coding and record review task, the position paper asserts that CDI program leaders should set certain expectations such as licensure/certification, computer and certain software skill, clinical and coding acumen, as well as an awareness of ethical guidelines for the field.

As CDI program growth continues and diversifies, the ACDIS position paper provides standards that new CDI programs can use set standards. It “seeks to promote a level of professional consistency to safeguard the role and reputation of the CDI [specialist] and promote its value within the healthcare system,” the paper states. ACDIS members can read the complete guidance as well as a discussion about the position paper in the April edition of the Journal.

Also in this edition, ACDIS Director Brian Murphy discusses the implications of the ICD-10-CM/PCS delay in his "Director's Note," Robert S. Gold, MD, tackles ICD-10 documentation trouble spots such as pneumonia, cardiomyopathy, and respiratory failure, and guest columnist Andrea Clark, RHIA, CCS, CPC-H, makes the case for using ICD-10-PCS for hospital outpatient coding.

As previously discussed in CDI Strategies, CDI outpatient efforts are increasing—by about 25% since 2008. The CDI Journal talks with several industry experts about how their outpatient CDI efforts fared and why outpatient and physician practice documentation improvement could be the next avenue of growth for the profession.

These are just a few of the highlights of this edition of the Journal. Inside members can also learn about diagnosis sequencing, quality implications of improving documentation for pneumonia complications, how foreign medical graduates improve documentation review efforts, and read our regular "Meet-a-Member" interview with Skagit Valley Hospital CDI staff. If you are not currently a member, considering joining the only resource devoted to the clinical documentation improvement profession—ACDIS.

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