Clinical Documentation Improvement CDI
Clinical Documentation Improvement: raising the quality and completeness of clinical documentation, drafting physician queries, and the impact of documentation on coding, diagnosis groups and quality.
About the program
What you will learn
- Review the medical record and identify documentation gaps
- Draft a compliant query for the physician
- Link documentation to ICD-10-AM coding and diagnosis groups
- Measure documentation program performance indicators
- Communicate with the clinical team to change practice
Target audience and requirements
- Target audience
- Health information specialists, coders, nurses and physicians
- Prerequisites
- Basic knowledge of medical terminology
- Simulation modality
- Computer-based simulation
- Level
- Intermediate
Course content on the platform
Pre- and post-program materials open in the learner portal after registration is confirmed.
- 1Program introduction and learning objectivesReading · 8 min
- 2Step-by-step skill demonstrationVideo · 12 min
- 3Scientific reference for the programFile · 20 min
- 4Checklist of skills to masterSkills checklist · 10 min
- 5Short pre-testQuiz · 10 min
- 6After the program: workplace application planReading · 6 min
Learner feedback
- لالطيفة · Medical education specialist 5
The first time I led a resuscitation team with confidence. The program is well worth it.
- شاشهد · Emergency medical technician 4
القاعة مجهزة والمانيكانات حديثة، لكن عدد المتدربين في المجموعة كان كبيرا.
- زازياد · Medical education specialist 5
القاعة مجهزة والمانيكانات حديثة، لكن عدد المتدربين في المجموعة كان كبيرا.
Program provider
Accredited by the Saudi Commission for Health Specialties (SCFHS) · Jeddah
University of Jeddah offers, through the platform, its training programs for healthcare practitioners in simulation and clinical and operational skills, with equipped halls and certified instructors, following the Society's standards for scenario design, debriefing, and learner assessment.
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