Emphysema
Improving Physician Documentation Specificity
Document type
- Unilateral
- Panlobular
- Centrilobular
- Other type
Document if oxygen-dependent
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
Please enter your comments below for us . . .
August 19, 2015
Chronic Obstructive Pulmonary Disease (COPD)
Improving Physician Documentation Specificity
- Document if present with an acute exacerbation.
- If present with an acute lower respiratory tract infection, list the causal organism if known (e.g., Pseudomonas)
- Document if present with respiratory failure and severity
- Acute respiratory failure
- Chronic respiratory failure
- Acute on chronic respiratory . . .
August 19, 2015
Bronchitis
Improving Physician Documentation Specificity
- Document severity (acute or chronic)
- If acute, document causal organism when known
- If chronic, document simple or mucopurulent
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
Please enter your . . .
August 19, 2015
Asthma
Improving Physician Documentation Specificity
Document severity and type
- Mild intermittent
- Mild persistent
- Moderate persistent
- Severe persistent
Document status
- Uncomplicated
- With acute exacerbation
- With status asthmaticus
Document if present with COPD
Adult (main)|Pediatrics (main)
Thanks to . . .
August 19, 2015
Medical Directors of Clinical Informatics August 2015
August 13, 2015, 0730-0830 hours
Attendees | ||
---|---|---|
Rich Baker (Good Shepherd) | Christopher Jamerson (Park Ridge) | Douglas Propp (Lutheran General) |
James Ferrel (Christ) | Tahir Khokher (South Suburban) | |
Anupam Goel (corporate) | Elliot Levine (Illinois Masonic) | |
Sakhawat Hussain . . . |
August 13, 2015
Medical Directors of Clinical Informatics July 2015
July 9, 2015; 0730-0830 hours CST
Attendees | ||
---|---|---|
James Ferrel (Christ) | Tahir Khokher (South Suburban) | Natalie Selk (Christ) |
Anupam Goel (corporate) | Elliot Levine (Illinois Masonic) | Pranjal Shah (Good Samaritan) |
Sakhawat Hussain (Trinity) | Robert Munson (Condell) | |
Christopher . . . |
August 13, 2015
Chronic Obstructive Pulmonary Disease (COPD)
Improving Physician Documentation Specificity
COPD severity is defined as a FEV1/FVC Ratio <70% post-bronchodilator
Assessment of airflow limitation
Stage | Definition | Recommended treatments |
---|---|---|
1 | FEV1 > 80% predicted | Flu and pneumonia vaccine and short acting bronchodilator (SABA) |
2 | 50% < FEV1 < 80% . . . |
August 12, 2015