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Our New Healthcare Heroes: The Next Generation of Clinical Documenters
Dr Felicity Sinclair-Ford
February 11, 2022
It’s a frenetic time in Australian hospitals. After two years of COVID-19 suppression strategies, our borders, our country, and our lives, have..
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The Clinical Documentation Process has Become Longer, More Repetitive, and Less Informative
Dr Erica Remer
December 3, 2021
This insightful article from America shows that problems with clinicians using the "copy and paste" function in electronic medical records are not..
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I'm a CDS, Now What? - Transitioning into the CDS Role
Samantha Ryan
October 25, 2021
Experienced Clinical Documentation Nurse Consultant Samantha Ryan reflects on the leap from clinical nurse to CDS.
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Ignaz Semmelweis – An Unappreciated Visionary
Dr Felicity Sinclair-Ford
September 29, 2021
To grow into the future, we can start by looking at the past. It’s an exciting time in medicine. Treatments and diagnostics that we could only dream..
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CDI News USA: Texas hospital to pay $3 million in whistleblower case
ACDIS
September 10, 2021
A case from America illustrates the serious consequences of upcoding.
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Why CDI is here to stay
Dr David Tralaggan
September 2, 2021
Hesitant to invest in clinical documentation improvement (CDI) because you’re worried it’s only a temporary initiative? Discover why CDI is a..
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How to work with clinicians for better data
Dr Felicity Sinclair-Ford
August 18, 2021
Working with doctors and developing relationships doesn’t just get buy-in from clinicians – it ensures data is accurate.Nicole Draper is CDIA’s..
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Why “we need to get the coding right” is the wrong message
Dr David Tralaggan
August 6, 2021
Blaming your problems on clinical coding ignores the real culprit – your clinical documentation. “We need to get the coding right!” is a comment we..
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How to have productive clinical discussions
Nicole Draper
July 5, 2021
Clinical documentation improvement (CDI) is about having effective clinical discussions that change behaviours – it is NOT about telling doctors what..
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CDS - Scope Creep
Dr David Tralaggan
June 17, 2021
Are people in your hospital asking you to work beyond the scope of your clinical documentation specialist (CDS) role? You may be experiencing scope..
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What Is a Leading Query?
Cheryl Ericson
June 14, 2021
It is disheartening that there are still misconceptions about what a leading query is. In my last article, “The Query Conundrum,” I briefly talked..
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Junior doctors: paperwork lackeys or key allies for CDI? Part 2
Dr Felicity Sinclair-Ford
June 4, 2021
Junior doctors occupy a unique and sometimes strange position within the hospital. We are doctors. We’re called when people are sick and..
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Junior doctors: paperwork lackeys or key allies for CDI?
Dr Felicity Sinclair-Ford
May 20, 2021
It’s 6:30am on the general surgical ward. Three residents are preparing for the round. We’re looking up results, printing lists, and creating ward..
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The Query Conundrum
Cheryl Ericson
May 3, 2021
To query or not query that is the question. Querying is the lifeline of clinical documentation integrity (CDI) professionals and many coding..
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CDI is a journey, not an event
Dr David Tralaggan
May 3, 2021
If you think your hospital has “done” clinical documentation improvement (CDI), it may be time to think again. Improving your clinical documentation..
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