# CDI-Clinical Documentation Improvement **URL:** \ **Category:** Open Forum\ **Tags:** quality-documentation, financial-reimbursement, patient-safety, cdi, dhw\ **Created:** [March 21, 2023, 8:46pm UTC](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053 "2023-03-21T20:46:59Z")\ **Posts on this page:** 5\ **Page:** 1
**Author:** ![Cheryl\_Fenwick\_Evans](https://ehealthforum.nz/user_avatar/ehealthforum.nz/cheryl_fenwick_evans/32/9758_2.png) [@Cheryl\_Fenwick\_Evans](https://ehealthforum.nz/u/Cheryl_Fenwick_Evans)\ **Post date:** [March 21, 2023, 8:46pm UTC](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053/1 "2023-03-21T20:46:59Z")
The Clinical Documentation Programme was implemented in Jan 2021 at Te Toka Tumai-Auckland. There are two main workstreams; education and concurrent record review. Essentially the programme’s objective is to optimise the quality of the health information available in the health record. Clinical coders turn health information is to data, which controbutes to around 30% of the health data generated in Aotearoa. In other parts of the world, and in some areas of NZ, CDI is used as a primary means of ensuring the healthcare providers receive the funding appropriate to the resources used. However, we have proudly led our programme with a consumer-focus and our reporting line is within Quality. Done well, a CDI-approach to clinical documentation has the potential to change documentation culture. There are many other opportunities where a CDI-approach could be used to improve consumer experience, as well as the well known areas of patient safety and data integrity. We currently operate at Auckland City Hospital, but Middlemore’s Surgical directorate also employees a CDS. As author and co-creator, my vision is to see the programme adopted by every hospital in Aotearoa. ---
**Author:** ![lara](https://ehealthforum.nz/user_avatar/ehealthforum.nz/lara/32/4056_2.png) [@lara](https://ehealthforum.nz/u/lara)\ **Post date:** [April 13, 2023, 10:07am UTC](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053/3 "2023-04-13T10:07:20Z")
HI not directly and i do wonder if they are the right team for you as there is quite a lot of massaging of data before [NMDS](https://www.tewhatuora.govt.nz/our-health-system/data-and-statistics/nz-health-statistics/national-collections-and-surveys/collections/national-minimum-dataset-hospital-events) is provided we are trying to move away from that model with the new National Data Platform but, i do like how you are thinking and wonder if we can find you a slot on the upcoming clinical digital academy to start expanding on this topic more widely! do you have any contact with Vanessa McGill at Waitematā? Lara ---
**Author:** ![Cheryl\_Fenwick\_Evans](https://ehealthforum.nz/user_avatar/ehealthforum.nz/cheryl_fenwick_evans/32/9758_2.png) [@Cheryl\_Fenwick\_Evans](https://ehealthforum.nz/u/Cheryl_Fenwick_Evans)\ **Post date:** [November 23, 2023, 3:57am UTC](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053/5 "2023-11-23T03:57:01Z")
_Poll ([view on site](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053/5))_ ---
**Author:** ![Cheryl\_Fenwick\_Evans](https://ehealthforum.nz/user_avatar/ehealthforum.nz/cheryl_fenwick_evans/32/9758_2.png) [@Cheryl\_Fenwick\_Evans](https://ehealthforum.nz/u/Cheryl_Fenwick_Evans)\ **Post date:** [November 23, 2023, 4:18am UTC](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053/6 "2023-11-23T04:18:56Z")
# eHRs will solve that; won’t it? _Learnings from a 3-year CDI programme - #dhw2023_ ## References > **[The Expanding Role of Clinical Documentation Improvement Programs in Research...](https://pmc.ncbi.nlm.nih.gov/articles/PMC6341414/)** > > The future of clinical documentation improvement (CDI) will require expanding the reach of CDI programs into new areas of expertise because the traditional realms of CDI work are increasingly becoming automated. CDI-based research and analytics can... > **[Innovations in clinical documentation integrity practice: Continual...](https://pubmed.ncbi.nlm.nih.gov/34937409/)** > > The HonorHealth case study can guide other CDI programs in adaptation of the CDI role and practices in response to changing organisational needs. > **[Clinical Coders' Perspectives on Pressure Injury Coding in Acute Care...](https://pubmed.ncbi.nlm.nih.gov/35719639/)** > > Pressure injuries (PIs) substantively impact quality of care during hospital stays, although only when they are severe or acquired as a result of the hospital stay are they reported as quality indicators. Globally, researchers have repeatedly... ---
**Author:** ![alastairk](https://ehealthforum.nz/user_avatar/ehealthforum.nz/alastairk/32/6631_2.png) [@alastairk](https://ehealthforum.nz/u/alastairk)\ **Post date:** [November 29, 2023, 10:56pm UTC](https://ehealthforum.nz/t/cdi-clinical-documentation-improvement/29053/8 "2023-11-29T22:56:09Z")
Nice presentation Cheryl - I learnt lots about CDI