Key Performance Indicators Revisited

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses how clinical documentation improvement teams measure performance and argues for broader, quality-focused indicators tied to documentation completeness, clarity, and clinical communication. It references professional guidance, a hospital medicine quality-improvement study, and a documentation quality instrument as context for reconsidering CDI metrics. The piece is intended for CDI specialists, coding and documentation professionals, and revenue cycle leaders interested in documentation quality measurement.

Why This Topic Matters

It helps readers understand why common CDI metrics may not fully capture documentation quality and why alternative measures may be more meaningful for assessing improvement efforts.

Article Sections

  1. Current CDI Processes-The Necessity for Reengineering

    Discusses the limitations of reimbursement-centered CDI processes and the need to focus on broader documentation quality and clinical communication. It also references professional documentation principles and the role of progress notes in supporting patient care.

  2. Encompassing Key Performance Indicator for Progress Notes

    Describes a quality-improvement study from multiple academic medical centers and introduces a documentation quality instrument as a possible performance measure. It also outlines broad characteristics associated with stronger progress note documentation.

  3. Time to Rethink Our KPIs

    Concludes with a call to reconsider CDI performance indicators so they better reflect documentation quality and positive clinical communication outcomes. The section emphasizes the broader role of documentation in care quality and CDI success.

What You Will Learn

  • Why CDI performance metrics focused only on reimbursement activity may be incomplete
  • How documentation quality can be framed as a performance indicator
  • What kinds of broad documentation characteristics are emphasized in the article
  • How a hospital medicine quality-improvement study relates to progress note measurement
  • Why CDI teams may want to revisit their measurement approach

Who Should Read This

  • Clinical documentation improvement specialists
  • Medical coders
  • Revenue cycle professionals
  • Health information management professionals
  • Physician advisors and documentation leaders

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