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验证能力:临床文档改进从业者的新资质证书

Validating competence: a new credential for clinical documentation improvement practitioners.

作者信息

Ryan Jessica, Patena Karen, Judd Wallace, Niederpruem Mike

机构信息

University of Chicago Medical Center, Chicago, IL, USA.

出版信息

Perspect Health Inf Manag. 2013 Apr 1;10(Spring):1g. Print 2013.

Abstract

As the health information management (HIM) profession continues to expand and become more specialized, there is an ever-increasing need to identify emerging HIM workforce roles that require a codified level of proficiency and professional standards. The Commission on Certification for Health Informatics and Information Management (CCHIIM) explored one such role-clinical documentation improvement (CDI) practitioner-to define the tasks and responsibilities of the job as well as the knowledge required to perform them effectively. Subject-matter experts (SMEs) defined the CDI specialty by following best practices for job analysis methodology. A random sample of 4,923 CDI-related professionals was surveyed regarding the tasks and knowledge required for the job. The survey data were used to create a weighted blueprint of the six major domains that make up the CDI practitioner role, which later formed the foundation for the clinical documentation improvement practitioner (CDIP) credential. As a result, healthcare organizations can be assured that their certified documentation improvement practitioners have demonstrated excellence in clinical care, treatment, coding guidelines, and reimbursement methodologies.

摘要

随着健康信息管理(HIM)行业不断发展并变得更加专业化,越来越需要确定新兴的HIM劳动力角色,这些角色需要一定的专业水平和专业标准。健康信息学与信息管理认证委员会(CCHIIM)探讨了这样一个角色——临床文档改进(CDI)从业者,以确定该工作的任务和职责以及有效执行这些任务所需的知识。主题专家(SME)通过遵循工作分析方法的最佳实践来定义CDI专业。对4923名与CDI相关的专业人员进行了随机抽样调查,了解该工作所需的任务和知识。调查数据被用于创建构成CDI从业者角色的六个主要领域的加权蓝图,该蓝图后来成为临床文档改进从业者(CDIP)证书的基础。因此,医疗保健组织可以放心,其认证的文档改进从业者在临床护理、治疗、编码指南和报销方法方面表现出色。

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