AHIMA, AHA Connect ICD-10, Clinical Documentation Improvement with Better Care | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

AHIMA, AHA Connect ICD-10, Clinical Documentation Improvement with Better Care

August 8, 2014
by John DeGaspari
| Reprints
Two healthcare leaders share strategies for clinical documentation improvement at AHIMA CDI Summit

There is significant value in Clinical Documentation Improvement (CDI) in and of itself, according to Sue Bowman, senior director, coding policy and compliance at the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen, director of coding and classification at the American Hospital association (AHA). Their comments were delivered this week at AHIMA’s annual Clinical Documentation Improvement Summit in Washington, D.C. Both said that, paired with the greater specificity of ICD-10, CDI can promote better patient care and lead to more accurate captures of acuity, severity and risk of mortality.

Bowman and Leon-Chisen noted the important effect ICD-10-CM/PCS has on CDI, as well as other external forces such as healthcare reform, electronic healthcare record adoption and pay-for-performance standards. Quality documentation and data are foundational to national healthcare initiatives aimed at improving care and lowering costs, including meaningful use, accountable care organizations, and value-based purchasing. A good clinical documentation improvement program can ease the transition to ICD-10, they said.

EHR documentation prompts and templates can be used to facilitate complete and accurate documentation, including capture of increased specificity needed for ICD-10 codes, accordfing to the speakers. “These templates will let physicians spend more time on patient care and less time on clinical documentation,” Bowman said. “EHR templates will ease the ICD-10 transition for all involved and provide greater coding accuracy, productivity and coder and physician satisfaction.”

The pair also shared strategies for healthcare organizations looking to initiate CDI programs. They emphasized the overarching goal is not a greater volume of clinical documentation but better and more efficient documentation. Strategies include:

  • Identify documentation improvement opportunities that could affect various initiatives including ICD-10, Meaningful Use, value-based purchasing, present on admission and hospital acquired condition reporting.
  • Determine the best solution for addressing each documentation gap – one size doesn’t fit all.
  • Prioritize - start with ‘low hanging fruit’ or issues with greatest potential to make a difference.
  • Educate medical staff.
  • Demonstrate to physicians the value of high-quality documentation.


Get the latest information on ICD10 and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



NewYork-Presbyterian, Walgreens Partner on Telemedicine Initiative

NewYork-Presbyterian and Walgreens are collaborating to bring expanded access to NewYork-Presbyterian’s healthcare through new telemedicine services, the two organizations announced this week.

ONC Releases Patient Demographic Data Quality Framework

The Office of the National Coordinator for Health IT (ONC) developed a framework to help health systems, large practices, health information exchanges and payers to improve their patient demographic data quality.

AMIA, Pew Urge Congress to Ensure ONC has Funding to Implement Cures Provisions

The Pew Charitable Trusts and the American Medical Informatics Association (AMIA) have sent a letter to congressional appropriators urging them to ensure that ONC has adequate funding to implement certain 21st Century Cures Act provisions.

Former Michigan Governor to Serve as Chair of DRIVE Health

Former Michigan Governor John Engler will serve as chair of the DRIVE Health Initiative, a campaign aimed at accelerating the U.S. health system's transition to value-based care.

NJ Medical Group Launches Statewide HIE, OneHealth New Jersey

The Medical Society of New Jersey (MSNJ) recently launched OneHealth New Jersey, a statewide health information exchange (HIE) that is now live.

Survey: 70% of Providers Using Off-Premises Computing for Some Applications

A survey conducted by KLAS Research found that 70 percent of healthcare organizations have moved at least some applications or IT infrastructure off-premises.