Clinical Documentation Improvement Education Day

Kathy Harkness, RN, BSN

Carlos Arredondo, MD, CHIM

Exploring Medical Documentation Divergences: Insights and Key Factors.

Explore divergences in medical documentation, physicians’ perspectives, and factors shaping their practices to improve coders’ accuracy, data quality, and healthcare outcomes.

Angelika Riksen, CCDIS, CHIM, RPN

Exploring how Clinical Nursing expertise and perspective enhances the CDI/HIM role as a unified effect to support organizational goals and elevate patient care standards. Bridging Nursing expertise and Clinical Insight to strengthen CDI and HIM roles:

Exploring how Clinical Nursing (RN and RPN) roles provide their unique patient healthcare expertise and their perspective to the roles of Clinical Documentation Improvement specialist and the Health Information Management. How the integration of these roles can not only improve documentation quality, compliance and decision-making but also supports organizational goals and elevates patient care standards.

Cheryl McCullagh, DipSci, BN, MHSM

This session will run through the results of three pilots, and the plan for autonomous coding for some episodes of care. This software is designed to support some of the work of clinical coders.