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Four tips for clinical documentation improvement

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Jonathan Elion, M.D., a cardiologist and associate professor of medicine at Brown University, has four tips for clinical documentation improvement in ambulatory settings.

They are:

  • “Define the exact patient and visit categories that you think merit inclusion in a CDI workflow.
  • “Determine how these patients can be identified by information in the HIS {hospital information system} and its associated electronic messages.
  • “Make sure that you can define your facility’s use of account numbers in open or recurring visits.
  • “Be specific about what you want to accomplish and how you will measure your progress.”

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