The Pediatric Medical Record Opportunities For Documentation Improvement

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Electronic Documentation in Pediatrics: The Rationale …

https://publications.aap.org/pediatrics/article/146/1/00/37065/Electronic-Documentation-in-Pediatrics-The

Documentation supports the family unit and includes patient and family input: shared or linked mother-infant records to support perinatal care and documentation, …

Pediatric Documentation Templates | Digital Healthcare …

https://digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates

Under the Agency for Healthcare Research and Quality (AHRQ) funded grant Improving Pediatric Safety and Quality with Healthcare IT, the Partners Quality Improvement …

Improving clinical documentation: …

https://bmjopenquality.bmj.com/content/10/1/e000918

This quality improvement project improved clinical documentation on the paediatric wards and …

Best Practices to Achieve Clinical …

https://www.aapc.com/blog/48544-best-practices-to-achieve-clinical-documentation-improvement/

Clinical documentation improvement (CDI) is a process that continually seeks to answer, “How best …

Pediatric Documentation — It's Not Child's Play

https://www.fortherecordmag.com/archives/0215p10.shtml

Common pediatric conditions such as fractures and asthma require additional specificity in ICD-10. Fracture documentation must include information indicating laterality, type …

Pediatric CDI Essential Skills - hcmarketplace.com

https://hcmarketplace.com/pediatric-cdi-skills

This one-of-a-kind course offers those interested in expanding their clinical documentation (CDI) improvement efforts into pediatric and children's concerns an in-depth look at …

SMRT Doc | Pediatric CDI (Clinical Documentation Improvement)

http://www.smrtdocs.com/smrtdoc-pediatric-clinical-documentation-improvement.html

SMRT Doc brings years of experience implementing pediatric CDI at peer institutions giving you best practice knowledge of the opportunities your pediatricians and pediatric …

What Is Clinical Documentation Improvement (CDI)?

https://www.aapc.com/clinical-documentation-improvement/

The exchange of information between the CDI specialist and the medical coder — as well as the CDI specialist and the physician — is necessary to ensure the …

Children's Electronic Health Record Format

https://digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/childrens-electronic-health-record-ehr-format

The Children’s EHR Format contains portions of the Health Level Seven International (HL7®) Child Health Functional Profile Specification, release 1, and modifications …

Documentation Matters Toolkit | CMS

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation

Documentation Matters Toolkit Providers are responsible for documenting each patient encounter completely, accurately, and on time. Because providers …

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