Advocate Physician Informatics

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 . . .

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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 . . .

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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 . . .

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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 . . .

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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 . . .

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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 . . .

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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% . . .

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August 12, 2015

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