Clinical Documentation Integrity Tips
Monthly CDI tips & friendly reminders from the e4health clinical documentation team — built for the realities of your day-to-day workflow.
CDI Tips: Pressure and Non-Pressure Ulcers
CDI Tips: Liver Failure
CDI Tips: Chronic Kidney Disease
CDI Solutions • Tips & Friendly Reminders • Chronic Kidney Disease Chronic Kidney Disease ◆ Definition A persistent and usually progressive, irreversible loss of kidney function. Duration Criteria Abnormalities are usually present > 3 months per KDIGO. Often...
CDI Tips: COVID-19
CDI Solutions • Tips & Friendly Reminders • COVID-19 COVID-19 ◆ Definition Coronavirus disease 2019 (COVID-19) refers to a group of respiratory illnesses caused by infection with the SARS-CoV-2 virus. Since the emergence of the initial Alpha variant, multiple...
CDI Tips: Diabetes Mellitus
Topic: Diabetes Mellitus Definition: Diabetes Mellitus (DM) is the body’s inability to process and regulate blood sugar. It is a chronic metabolic disease characterized by elevated levels of blood glucose, which leads over time to serious damage to blood vessels,...
CDI Tips: Rhabdomyolysis
Topic: Rhabdomyolysis Definition: Muscle necrosis with release of creatine kinase (CK), potassium, phosphate and myoglobin into the blood stream. The causes can be traumatic or non-traumatic Traumatic- any severe soft tissue/muscle trauma External causes-intense...
CDI Tips: Social Determinants of Health
Topic: Social Determinants of Health Definition: Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, worship, and age. Diagnostic Criteria: Codes describing...
CDI Tips: Intellectual Disability
Topic: Intellectual Disability Definition: Intellectual disability, formerly known as mental retardation, characterized by: Impairment of intellectual function (IQ< 70) Associated with adaptive behavior problems Begins prior to age 18 Disrupts abilities necessary...
CDI Tips: Adult Obesity
Adult Obesity Definition Obesity: Recognized as a BMI > 30. Morbid obesity: BMI > 40 or > 35 with at least one obesity related comorbid condition such as diabetes, heart disease, stroke, hypertension or arthritis. Drug-induced obesity (iatrogenic obesity):...
CDI Tips: Antimicrobial Resistance
Antimicrobial Resistance Definition The resistance of micro-organisms like bacteria, viruses, fungi, and parasites to one or more classes of antimicrobial drugs. Antimicrobial Resistance (AMR) can lead to the following: Infections that last longer, lengthen hospital...