--- title: "Targeting complexity: Real-time clinical documentation improvement in a tertiary hospital" description: Real-time clinical documentation enhancements at Gold Coast Health improve patient safety, clinical coding accuracy, and funding through proactive, concurrent reviews by the CDS team. image: https://www.cdia.com.au/hubfs/Nov%2021%2c%202025%2c%2011_20_33%20AM.png --- [![Enquire about the Pursuit Program](https://no-cache.hubspot.com/cta/default/7743902/interactive-198623012014.png)](https://www.cdia.com.au/hs/cta/wi/redirect?encryptedPayload=AVxigLIAMYFp%2F4tcuM0CiNIlbt%2BA5gSp4ygHcrDKLDYNdcC7WMrDTlHCTMunVQN%2FuFXJKKUomJf6bMprmSbFnRclHQFXZzSbW%2BGUdkNveKC29XRYtl3m0Sll2hZirWQjQ3KC%2Fq4aYr7rGIuC1Qun488GpnZ7IXlHH9trp2clT%2BLouk%2FJnvBxW5c%2FhF957jLLF5d3qjiYzK4c8asV1iyVG9idRLI%3D&webInteractiveContentId=198623012014&portalId=7743902) [Saudi Arabia](https://www.cdia.com.au/cdi-specialist-training-certification-course-for-saudi-arabia) [![CDIA](https://www.cdia.com.au/hubfs/Imported%20sitepage%20images/logo.svg "CDIA")](https://www.cdia.com.au/) - [About](https://www.cdia.com.au/about-us/) - CDI Consulting - [CDI Audits](https://www.cdia.com.au/clinical-documentation-audits/) - [CDI Training & Education](https://www.cdia.com.au/pursuit-program/) - CDI Courses - [Foundations of CDI](https://www.cdia.com.au/foundations-of-cdi-course) - [CDS training program](https://www.cdia.com.au/pursuit-program/) - [Certification Course for Saudi Arabia](https://www.cdia.com.au/cdi-specialist-training-certification-course-for-saudi-arabia) - [CDS Certification](https://www.cdia.com.au/cds-certification/) - [CDIA Assessment Portal](https://cdia.app.axcelerate.com/learner/login) - [Level 1 Certification](https://www.cdia.com.au/level-1-certification) - [Level 2 Certification](https://www.cdia.com.au/level-2-certification) - [Level 3 Certification](https://www.cdia.com.au/level-3-certification) - [CCDS Reference Guide](https://cdia.app.axcelerate.com/showDoc.cfm?DocID=339364) - [Contact](https://www.cdia.com.au/contact-us/) - [About](https://www.cdia.com.au/about-us/) - CDI Consulting - [CDI Audits](https://www.cdia.com.au/clinical-documentation-audits/) - [CDI Training & Education](https://www.cdia.com.au/pursuit-program/) - CDI Courses - [Foundations of CDI](https://www.cdia.com.au/foundations-of-cdi-course) - [CDS training program](https://www.cdia.com.au/pursuit-program/) - [Certification Course for Saudi Arabia](https://www.cdia.com.au/cdi-specialist-training-certification-course-for-saudi-arabia) - [CDS Certification](https://www.cdia.com.au/cds-certification/) - [CDIA Assessment Portal](https://cdia.app.axcelerate.com/learner/login) - [Level 1 Certification](https://www.cdia.com.au/level-1-certification) - [Level 2 Certification](https://www.cdia.com.au/level-2-certification) - [Level 3 Certification](https://www.cdia.com.au/level-3-certification) - [CCDS Reference Guide](https://cdia.app.axcelerate.com/showDoc.cfm?DocID=339364) - [Contact](https://www.cdia.com.au/contact-us/) MENU # Articles and Blogs # Targeting complexity: Real-time clinical documentation improvement in a tertiary hospital HIM-I November 24, 2025 [mailto:?body=https://www.cdia.com.au/category/articles-blogs/targeting-complexity-real-time-cdi-tertiary-hospital](mailto:?body=https://www.cdia.com.au/category/articles-blogs/targeting-complexity-real-time-cdi-tertiary-hospital) ![](https://www.cdia.com.au/hubfs/Nov%2021%2c%202025%2c%2011_20_33%20AM.png) ## Rationale Standardised and reliable best practice in clinical documentation improves the quality, completeness and accuracy of the medical record. Clinical documentation in patient medical records is used for multiple purposes by the hospital and health service; two key purposes include effective communication of the care provided and determining the correct Diagnosis Related... ### Want to read and view more? This content is available to CDIA Community members only. 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