A Tale as Old as Time: Heart Failure & Fluid Overload Part 2
December 13, 2022
In the last instalment, Dr Felicity Sinclair-Ford went on a quest to find all the coding standards and advice relevant to heart failure and fluid..
"Due To" Methylene Blue: A CDS Goes Down the Rabbit Hole
December 2, 2022
Working as a CDS in the cardiovascular department, Cheryl Fenwick Evans saw a diagnosis she wasn't familiar with. Determined to know more, she dug a..
A Tale as Old as Time: Heart Failure & Fluid Overload
November 28, 2022
In a daring (yet pedantic) exploration, Dr Felicity Sinclair-Ford wants to dig deep into the coding rules around heart failure and fluid overload.
CDI: Documenting Diagnoses and Patient Safety
July 29, 2022
Documenting a diagnosis in the health record extends beyond its impact on reimbursement and quality-of-care measures. It is also critical to patient..
What does clinical engagement look like in practice?
July 19, 2022
The term of clinical engagement came to me very early in my safety and quality (S&Q) endeavour, my very first S&Q role almost 11 years ago. Two..
Our New Healthcare Heroes: The Next Generation of Clinical Documenters
February 11, 2022
It’s a frenetic time in Australian hospitals. After two years of COVID-19 suppression strategies, our borders, our country, and our lives, have..
The Clinical Documentation Process has Become Longer, More Repetitive, and Less Informative
December 3, 2021
This insightful article from America shows that problems with clinicians using the "copy and paste" function in electronic medical records are not..
I'm a CDS, Now What? - Transitioning into the CDS Role
October 25, 2021
Experienced Clinical Documentation Nurse Consultant Samantha Ryan reflects on the leap from clinical nurse to CDS.
Ignaz Semmelweis – An Unappreciated Visionary
September 29, 2021
To grow into the future, we can start by looking at the past. It’s an exciting time in medicine. Treatments and diagnostics that we could only dream..
CDI News USA: Texas hospital to pay $3 million in whistleblower case
September 10, 2021
A case from America illustrates the serious consequences of upcoding.
Why CDI is here to stay
September 2, 2021
Hesitant to invest in clinical documentation improvement (CDI) because you’re worried it’s only a temporary initiative? Discover why CDI is a..
How to work with clinicians for better data
August 18, 2021
Working with doctors and developing relationships doesn’t just get buy-in from clinicians – it ensures data is accurate.Nicole Draper is CDIA’s..
Why “we need to get the coding right” is the wrong message
August 6, 2021
Blaming your problems on clinical coding ignores the real culprit – your clinical documentation. “We need to get the coding right!” is a comment we..
How to have productive clinical discussions
July 5, 2021
Clinical documentation improvement (CDI) is about having effective clinical discussions that change behaviours – it is NOT about telling doctors what..
CDS - Scope Creep
June 17, 2021
Are people in your hospital asking you to work beyond the scope of your clinical documentation specialist (CDS) role? You may be experiencing scope..