The Impact of Documentation Training on Performance Reporting.
With the advent of public reporting of clinical performance for physicians, the need for accurate documentation is essential. This study tested the hypothesis that a short tutorial on five key documentation tips for a group of colorectal surgeons could significantly improve their reported clinical performance. Data was collected on a total of 626 consecutive inpatients before and after the introduction of a short tutorial focusing on five key documentation tips to a group of colorectal surgeons. Quality metrics were compared between the two time periods. Significant improvements were observed for complications (p = 0.001), morbidity (p = 0.046), ileus (p = 0.027), and digestive system complications (p < 0.01). There was no difference in mortality (p = 0.569) or readmissions (p = 0.920). A short tutorial focusing on five key documentation tips is associated with improvement in the reported clinical performance of colorectal surgeons.
Care Management, Banner Health.
Terrence
T
Loftus
West Valley Colon & Rectal Surgery Center, Banner Boswell Medical Center.
Hadi
H
Najafian
West Valley Colon & Rectal Surgery Center, Banner Boswell Medical Center.
Sushil R
SR
Pandey
West Valley Colon & Rectal Surgery Center, Banner Boswell Medical Center.
Paravasthu
P
Ramanujam
clinical coding; clinical documentation; data quality; data reporting; documentation; performance improvement; quality improvement; quality indicators