| Duration | 2, 10, 4 |
|---|---|
| Sessions | 5 Sessions , 7 Assessments |
| Course Location: | Recorded |
|
Topic |
Duration |
Speaker |
|
Pre-Course Assessment |
30 minutes |
Mr. Mohammad Assiri |
|
Session One |
16 minutes |
|
|
Session Two |
15 minutes |
|
|
Session Three |
21 minutes |
|
|
Session Four |
18 minutes |
|
|
Session Five |
11 minutes |
|
|
Post-course Assessment |
30 minutes |
1) To demonstrate Clinical Documentation Improvement.
2) To analyze and identify Policies and Procedures for Clinical Documentation Improvement.
3) To define the Importance of physician training in Clinical Documentation Improvement.
4) To apply training for nurses on clinical documentation improvement.
5) To demonstrate the mandated standards in Saudi Arabia for CDI and Coding compliance and national \ international Patient Safety Guidelines.
6) To illustrate the clinical documentation improvement auditing process.
7) To apply clinical documentation improvement Key Performance Indicators.
The main responsibility of all health care providers to
ensure that each patient encounter within the health care system is documented
in an accurate and timely manner. For a facility to develop a successful CDI
program, there must be strong leadership and support from professional staff.
This course aims to improve the clinical documentation in the patient's medical records including (diagnosis, treatment, and progress notes) to standardize the documentation process and enhance clinical compliance, support for coding levels.
CDI's primary purpose is to support quality patient care and
to ensure that all healthcare providers caring for patients during current or
next episodes of hospitalization have access to the necessary records. It must
be accurate, up-to-date, and understandable.
This will enable healthcare facilities to provide
high-quality and safe care to patients by ensuring safe and effective
communications between healthcare providers.
upon completing this activity, the participant will be able to:
1- Develop a good understanding of the Clinical Documentation Improvement
objectives.
2-Assist the physicians and nurses in Ambulatory Care
Centers in understanding the definition and importance of Clinical
Documentation Improvements and the impact on patient safety and quality of
care.
3-Learn and be able to apply the rules for Clinical
Documentation and coding.
You have to complete the pre and post course assessment and attend the recorded lecture to obtain the certificate.
