2021 Quick Start Guide to Inpatient CDI [IEM]
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Overview: 2021 Quick Start Guide to Inpatient CDI
Contrary to how providers use the medical record to communicate with other providers, outside agencies use the codes generated by provider documentation to account for resources utilized and grade the care provided to the patient.
This module is designed to help providers understand the Clinical Documentation Improvement (CDI) Program. Through examples and interactive exercises, the learner will be exposed to the key components of CDI as well as various Quality metrics.
Physicians and Advanced Practice Providers and Residents of the Baylor Scott & White Health System
After participating in this activity, the learner should be able to:
- Increase knowledge of CDI and Coding and how they play a role in clinical documentation.
- Discuss the importance of accurate documentation
- Identify how to add the Hospital Problem List (HPL) to their notes, and keep it updated.
- Recognize when they have a query and be able to answer the query.
- Krysten Longoria, PA-C, Clinical Documentation Program
- Sunita Varghees, MD, PhD, CHCQM, VP System Clinical Documentation Improvement
Elizabeth Aguirre, MD, Clinical Documentation Improvement Program, Inpatient Clinical Documentation Physician Lead
Disclosure of Relevant Financial Relationships:
- This content is not related to products or business lines of an ACCME-defined ineligible company.
- There are no relevant financial relationships with ACCME-defined ineligible company for anyone who was in control of the content of this activity.
No commercial support was received for this activity.
Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Maintenance of Certification:
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit
This CME activity type is an enduring material. Physicians who complete the enduring material may claim the full amount of credit designated for the activity, regardless of the amount of time it took the physician to complete the activity.
- 0.25 American Board of Internal Medicine (ABIM) MOC Part 2Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 0.25 AMA PRA Category 1 Credit™The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 0.25 Attendance