Blog From Author

A New Year, A New Approach to CDI

  • Dr. Terrance Govender
  • January 10, 2018

As we move full speed ahead into 2018, I want to take this opportunity to wish everyone a prosperous New Year! While I am personally not a fan of New Year’s resolutions, I do take time to reflect on my previous year, as many do, and set goals for the upcoming year. [...]

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Why Physician Engagement And Education In CDI Is Crucial Now More Than Ever

  • Dr. Terrance Govender
  • December 20, 2017

Physician engagement has long been recognized as a pain point in CDI for many facilities. Organizations have struggled with not only getting buy-in from physicians, but also with being able to articulate the “why” for physicians in a manner that appeals to them. There are many reasons for why this is the case, and they range from lack of [...]

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Blog From Author

Physician Accountability In CDI

  • Dr. Terrance Govender
  • December 13, 2017

The concept of focusing on people, process, and technology also holds true for CDI. The people category includes focusing on the individuals that make up the CDI program, but all too often, physicians are not included in [...]

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Points To Consider For CDI Data And Metrics

  • Dr. Terrance Govender
  • November 15, 2017

Organizational CDI metrics have been a hot topic of late, as many realize that looking at CMI alone, especially in the short term, can be misleading. It does not tell the full story about how complete documentation impacts HCC scores, quality metric risk adjustment, SOI, etc. [...]

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Common Physician Gripes In CDI

  • Dr. Terrance Govender
  • November 09, 2017

Physician engagement in CDI continues to be an obstacle for many organizations, including those that have strong clinical leadership. It is important to take a step back every now and then to listen carefully or observe what frustrates some physicians with the CDI process. [...]

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Blog From Author

CMEs For CDI Physician Education

  • Dr. Terrance Govender
  • October 25, 2017

As we continue our journey of getting physicians engaged, trained, and then sustaining a positive change in their day-to-day documentation practices, the topic of offering CMEs for physicians comes up frequently. Often, this is usually the first thing that comes up, even by non-clinical leaders when considering a CDI physician education program. [...]

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Blog From Author

To MEAT Or Not To MEAT?

  • Dr. Terrance Govender
  • October 18, 2017

I recently got back from an ACDIS chapter conference and managed to engage in an interesting conversation with one of the speakers. During the presentation, the speaker mentioned “No MEAT, please!” when presenting to the attendees. If I understood correctly, the speaker was basing this on the fact that there is no official guideline to using MEAT when documenting for HCC-relevant diagnoses, or really any other viable diagnoses for a patient’s stay. Of course, I disagreed, and below are my reasons for doing so.[...]

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Blog From Author

Physician Education For CDI

  • Dr. Terrance Govender
  • October 11, 2017

It is common knowledge that the reason CDI programs exist is to bridge the gap between the language physicians speak versus what can be accurately captured and coded to represent true patient severity that is communicated to the outside world. In addition, [...]

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How CDI Programs Contribute To Waste In Healthcare

  • Dr. Terrance Govender
  • August 31, 2017

There is no doubt that healthcare is rife with waste: Processes that do not directly contribute to patient care and outcomes and that interfere with our work, can be, according to LEAN principles, considered waste [...]

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Could This Be Worse Than Poor Physician Engagement?

  • Dr. Terrance Govender
  • August 23, 2017

When considering what could be detrimental to a CDI program achieving its goals, there are not many factors that I believe can be worse than having poor buy-in or engagement from physicians. Of course, there are many factors that could sabotage the efforts of your program [...]

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Are Academic Medical Centers Better Performers In Clinical Documentation?

  • Dr. Terrance Govender
  • August 07, 2017

The inner workings of a successful clinical documentation initiative will depend on many factors, including leadership, physician engagement, internal culture, technology, and clinical documentation specialist competency (just to name a few). Many Academic Medical Centers (AMCs) have branding that associates them with clinical excellence, prestige, and innovation. One might assume e [...]

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Blog From Author

What’s In It For Me?

  • Dr. Terrance Govender
  • July 25, 2017

In one of our recent blog posts (‘Should We Incentivize Physicians In CDI’), I outlined my thoughts on incentivizing physicians for the contribution to an organization’s CDI initiative. If you have been in the CDI space for a considerable amount of time, there is no doubt that you have come across the phrase “What’s in it for me?” [...]

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Blog From Author

Who Should CDI Report To?

  • Dr. Terrance Govender
  • July 12, 2017

As the CDI industry continues to grow and take a more prominent position in a healthcare organization’s goals and mission, I think that it’s important to take a closer look at the reporting structure of the CDI function. I believe this can be an all-important step to take, especially if one wants to be a truly effective CDI function that [...]

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