HCPro, JustCoding Outpatient - 2017 Issue 23 (June)
Hospital brings outpatient focus to CDI
June 6th, 2017
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Article Overview
This article profiles an outpatient clinical documentation excellence initiative at a large Louisiana health system and explains how the program was structured, staffed, trained, and expanded over time. It is relevant to CDI leaders, outpatient documentation teams, and revenue integrity professionals who want to understand how ambulatory workflows can be organized to support risk adjustment and documentation improvement across a large delivery network.
Why This Topic Matters
As more organizations move CDI principles beyond the inpatient setting, this article shows how outpatient documentation efforts can be scaled across regions, specialties, and provider groups. It offers a practical view of program design, education, review workflows, and operational growth for teams working in risk-adjusted environments.
Article Sections
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Determining the scope and structure of the program
Explains how the organization defined the ambulatory documentation effort, organized staff by region, and built relationships with providers to support education and review activities.
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Educating outpatient CDE staff
Describes the training and onboarding approach for outpatient documentation staff, including shadowing, system education, and guidance on query practices.
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Retrospective starting point
Covers how retrospective chart review was used to launch the program, support education, and transition into a pre-visit review workflow.
What You Will Learn
- How an outpatient clinical documentation program can be organized within a large health system
- What staffing and leadership roles can support ambulatory documentation work
- How training and shadowing can prepare staff for outpatient CDI responsibilities
- How retrospective and pre-visit review workflows can fit into an ambulatory documentation program
- How outpatient CDI efforts can expand into specialty-focused areas over time
Who Should Read This
- CDI professionals
- Outpatient documentation teams
- Revenue integrity leaders
- Clinical documentation improvement managers
- Physician advisors and physician leaders
- Ambulatory operations leaders
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