The Clinical Documentation Process has Become Longer, More Repetitive, and Less Informative
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..
I'm a CDS, Now What? - Transitioning into the CDS Role
October 25, 2021
Experienced Clinical Documentation Nurse Consultant Samantha Ryan reflects on the leap from clinical nurse to CDS.
Ignaz Semmelweis – An Unappreciated Visionary
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..
CDI News USA: Texas hospital to pay $3 million in whistleblower case
September 10, 2021
A case from America illustrates the serious consequences of upcoding.
Why CDI is here to stay
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..
How to work with clinicians for better data
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..
Why “we need to get the coding right” is the wrong message
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..
How to have productive clinical discussions
July 5, 2021
Clinical documentation improvement (CDI) is about having effective clinical discussions that change behaviours – it is NOT about telling doctors what..
CDS - Scope Creep
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..