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Does your patient have CHF?

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Presentation on theme: "Does your patient have CHF?"— Presentation transcript:

1 Does your patient have CHF?
If so, don’t forget to document Acuity acute, chronic, acute on chronic Type systolic, diastolic, combined systolic and diastolic  Provided By: Clinical Documentation Improvement

2 Does your patient have Pneumonia?
If so, please specify in the medical record if it is due to: Aspiration Gram negative/ gram positive Pneumonitis Candida H. Influenza Proteus Chlamydia Histoplasmosis Pseudomonas Coccidoidomycosis Influenza Salmonella E. Coli Klebsiella Staphylococcus/ MRSA Enterobacter Legionella Streptococcus Mycoplasma Viral Was it present on admission? Provided By: Clinical Documentation Improvement

3 Does your patient have Malnutrition?
If so, don’t forget to document the type. Examples include: Cachexia Specific Eating Disorder Mild/Moderate/Severe Malnutrition Protein Calorie Malnutrition Muscle Wasting Syndrome Severe Protein Calorie Malnutrition To meet the criteria for a reportable secondary diagnosis, the malnutrition would need to have some bearing or relevance in terms of patient care. Consider if this condition required: Clinical evaluation Therapeutic treatment Diagnostic procedures Extended length of hospital stay Increased nursing care and/or monitoring Provided By: Clinical Documentation Improvement

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