1 Victorian Agency for Health Information, Australia.
Health Inf Manag. 2018 Jan;47(1):3-5. doi: 10.1177/1833358317712312. Epub 2017 Sep 27.
Clinical documentation improvement (CDI) roles are being increasingly created in Australian hospitals. It is important to understand what good clinical documentation is and who is responsible for it as well as what these roles potentially offer our health system. This article explores the role of a CDI specialist, the benefits and pitfalls of clinical documentation improvement programs, and mounts an argument that health information managers and clinical coders are uniquely placed to fill these roles in Australian hospitals.
临床文档改进（CDI）角色在澳大利亚医院中越来越多地被创建。了解什么是良好的临床文档以及谁对此负责以及这些角色对我们的医疗系统可能带来什么益处是很重要的。本文探讨了 CDI 专家的角色、临床文档改进计划的好处和陷阱，并提出了一个论点，即健康信息经理和临床编码员在澳大利亚医院中非常适合担任这些角色。
