Videos

Beyond coding: a case study on leveraging clinical documentation audits for activity optimisation and quality

Written by Mike Kertes | Jun 4, 2024 12:45:31 AM

Join CDIA's National Director, Mike Kertes, as he presents an enlightening case study from a recent audit within the Southern NSW Local Health District. Learn more about the critical role of clinical documentation audits in enhancing healthcare quality and optimising funding. With up to 50% of patient records potentially harbouring documentation deficiencies, the shift from traditional coding audits to clinician-conducted documentation reviews is pivotal. These audits not only aim to optimise funding but also critically assess and elevate the quality of clinical records from a clinician's perspective.

This webinar will explore the audit's findings, its implications for healthcare delivery, and the steps towards establishing or refining a CDI program. Central to this discussion is the model of concurrent CDI and clinician engagement, which leverages audit results to develop targeted educational strategies for clinicians. This approach ensures the feedback and learning are directly relevant and impactful.

 

Originally aired by the Healthcare Financial Management Association (HFMA). 

 

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