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Clinical Documentation Integrity (CDI) plays a critical role in supporting accurate patient records, appropriate reimbursement, and quality reporting. This self study continuing education activity introduces nurses and other health professionals to the foundational concepts and practices of CDI. Participants will learn how complete and precise documentation reflects the true severity of illness, supports continuity of care, and strengthens data integrity across the health system. The activity provides a step by step understanding of key CDI principles, documentation best practices, and the role of collaboration between clinical and coding teams in improving patient outcomes and organizational performance.
Target Audience
- Nurses
- Physicians
- Physician Associates
- Other Healthcare Professionals
Learning Objectives
- Define the purpose and importance of clinical documentation integrity in health care settings.
- Identify common documentation elements that influence coding accuracy, quality metrics, and reimbursement.
- Recognize documentation gaps and inconsistencies that can impact patient outcomes and organizational reporting.
- Apply strategies for improving the completeness and clarity of clinical documentation using current best practices.
- Explain the role of nurses and interdisciplinary team members in supporting accurate and compliant documentation.
- Demonstrate understanding of how effective CDI practices contribute to regulatory compliance, data accuracy, and patient safety.
- Collaborate with respiratory therapists and other members of the health care team to optimize patient outcomes and prevent complications.
- Educate patients and caregivers on maintaining adequate hydration and understanding how medications may affect fluid balance.
- Collaborate with the health care team to develop and carry out individualized care plans that address both medication and hydration needs.
Disclosure
As an accredited provider of continuing education, Vizient, Inc. is dedicated to ensuring this activity presents learners with only accurate, balanced, scientifically justified recommendations, and is free from promotion, marketing, and commercial bias. In accordance with The Standards for Integrity and Independence in Accredited Continuing Education, all planners, faculty, and others in control of the educational content have disclosed the absence or existence of all financial relationships (of any dollar amount) with ineligible companies within the past 24 months.
Ineligible companies – those companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
It is Vizient’s policy that owners and employees of ineligible companies, and any individuals who refuse to disclose the absence or existence of financial relationships with any ineligible companies are disqualified from participating as planners or faculty.
Disclosure Statements
Absence of Relevant Financial Relationships
None of the planners, faculty, or others in a position to control content for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Statement of content validity
Vizient, Inc. educational activities are intended to assist healthcare teams advance their professional responsibilities in accordance with the definition of continuing education. It is the policy of Vizient, Inc. to review and ensure that all content and recommendations for patient care within accredited CE is evidenced-based, based on current science and clinical reasoning while ensuring the content is fair and balanced. All recommendations must conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation. Vizient, Inc. does not permit accredited continuing education if it advocates for unscientific approaches to diagnosis or therapy, or if the education promotes recommendations, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients.
FDA off-label/unapproved usage
Faculty/Presenters are required to identify any new and evolving topics for which there is a lower/absence of evidence base. This is to ensure that our content does not advocate for, or promote, practices that are not, or not yet adequately based on current science, evidence, and clinical reasoning. Faculty/Presenters are required to disclose any discussion of (1) off-label/unapproved or investigational uses of FDA approved commercial products or devices and/or (2) products or devices not yet approved in the United States.
Disclaimer
The education provided through this activity is for continuing education purposes only. The views and opinions expressed in this activity are those of the faculty/presenters and do not necessarily reflect the views of Vizient, Inc.
In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses (CNE)
Vizient, Inc. designates this live activity for a maximum of 43.00 ANCC contact hours.
Physicians (CME)
Vizient, Inc. designates this live activity for a maximum of 43.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physician Associates (AAPA)
Vizient Inc. has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 43.00 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Other Healthcare Professionals (General CE Attendance)
Vizient, Inc. will award a maximum of 43.00 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.
Many state licensing boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.
Available Credit
- 43.00 AAPA CMEVizient Inc. has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria.
- 43.00 AMA PRA Category 1 Credit™
- 43.00 ANCC
- 43.00 General CE - Attendance
Select the Obtain Credit button to access the activity.