Rodenberg Howard, Shay Lynn, Sheffield Karen, Dange Yojanna
Baptist Health in Jacksonville, FL.
Perspect Health Inf Manag. 2019 Jan 1;16(Winter):1d. eCollection 2019 Winter.
The future of clinical documentation improvement (CDI) will require expanding the reach of CDI programs into new areas of expertise because the traditional realms of CDI work are increasingly becoming automated. CDI-based research and analytics can serve as a means for demonstrating continued value to an institution. We present four studies as examples of these efforts. We explored the use of claims data to determine whether a clinical condition meets the criteria for a secondary diagnosis and to evaluate whether a clinical problem should be elevated to the status of a comorbid or complicating condition. We demonstrated a way in which CDI professionals can evaluate the impacts of changes in clinical definitions, and we explored how CDI can work with other institutional programs to decrease length of stay. We believe that these models may serve as a springboard within institutions and among the larger CDI community to make research and analytics a foundation of future CDI activities.
临床文档改进（CDI）的未来将需要把CDI项目的覆盖范围扩展到新的专业领域，因为传统的CDI工作领域正日益自动化。基于CDI的研究和分析可以作为向机构展示持续价值的一种手段。我们给出四项研究作为这些努力的示例。我们探讨了利用索赔数据来确定一种临床状况是否符合二级诊断标准，以及评估一个临床问题是否应提升到共病或并发状况的地位。我们展示了一种CDI专业人员可以评估临床定义变化影响的方法，并且我们探讨了CDI如何与其他机构项目合作以缩短住院时间。我们相信，这些模型可以作为机构内部以及更大的CDI社区的一个跳板，使研究和分析成为未来CDI活动的基础。
