title: Is your clinical documentation improvement program compliant?
abstract: Hospitals and health systems should consider four strategies for improving documentation: Develop a short list of the most commonly underdocumented or incorrectly documented clinical conditions at the facility. Develop definitions for each of the conditions on this list. Ask the medical director of each specialty area to educate the clinicians in their group on these definitions. Measure and manage documentation performance.
authors.affiliation: ClinIntell, Inc, Seattle, Washington, USA. kenji@clinintell.com
authors.forename: Kenji
authors.initials: K
authors.lastname: Asakura
authors.forename: Erik
authors.initials: E
authors.lastname: Ordal
mesh_terms: D004282:Documentation / Q000592:standards*; D005377:Financial Management, Hospital; D019983:Guideline Adherence; D006801:Humans; D007344:Insurance Claim Reporting; D016347:Medical Records Systems, Computerized; D058996:Quality Improvement; D014481:United States; D014584:User-Computer Interface; D018875:Vocabulary, Controlled