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Advance for Health Information Professionals • January 2017

C O V E R S T O R Y Support Quality Initiatives Computer-assisted clinical documentation improvement has ramifications beyond reimbursement. By Jon Elion, MD, FACC Today, there is an increasing focus on quality in the delivery of medical care, along with an associated alignment of Medicare reimbursement to quality measures. Measuring quality can be directly impacted by clinical documentation improvement (CDI), as failure to fully document comorbid conditions can lead to unfavorable and less accurate quality scores. Most quality measures (complications, mortality) are reported using “Observed‐to‐Expected” rates (O/E ratio). A ratio greater than 1.0 means that the observed events are occurring more often than expected. Failure to document comorbidities results in a JANUARY 2017 THINKSTOCK 5 ADVANCE FOR HEALTH INFORMATION PROFESSIONALS


Advance for Health Information Professionals • January 2017
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