What are the drivers of clinical documentation improvement?
CDI is about performing reviews of health records for conflicting, incomplete, and/or nonspecific provider documentation related to diagnosis(es) and intervention(s). The overall purposes of a CDI program are multifaceted and relate to all areas that the chart supports, including:
- Legal
- Clinical
- Continuity of care
- Research
- Education
- Utilization: resource use, basis for funding, workload, case volumes, planning, and research and education
