Clinical Documentation Statistics

Clinical Documentation Statistics 2023: Facts about Clinical Documentation outlines the context of what’s happening in the tech world.

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Top Clinical Documentation Statistics 2023

☰ Use “CTRL+F” to quickly find statistics. There are total 18 Clinical Documentation Statistics on this page 🙂

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Clinical Documentation “Latest” Statistics

• After adopting CDI, over 90% of hospitals with 150 or more beds that outsourced clinical documentation services reported making over $1.5 million in healthcare revenue and claim reimbursement.^[1]
• Women comprise 84.8% of clinical documentation improvement experts, while males comprise 15.2% of this profession.^[2]
• The average clinical documentation improvement expert appreciates their employment for 1-2 years, which is a percentage of 30%, after reviewing the resumes of 476 candidates.^[2]
• It’s interesting to note that clinical documentation improvement experts make up 66% of the population and have an average age of 40 or above.^[2]
• Specialists in clinical documentation improvement often have a bachelor’s degree; clinical documentation improvement experts have that degree in 44% of cases.^[2]
• White people make up 66.7% of all clinical documentation improvement experts, making them the most prevalent ethnic group in this group.^[2]
• Spanish is the most often used foreign language among experts in clinical documentation improvement at 54.5%.^[2]

Clinical Documentation “Other” Statistics

• After introducing CDI tactics, Pennsylvania’s Heritage Valley Health System saw a 27% decrease in its anticipated mortality rate.^[1]
• The proper income and reimbursements have increased by over 2.1 million in more than 90% of hospitals with 150 beds.^[3]
• 35% of respondents are thinking about upgrading their outdated systems with CDI and coding software that can handle the analytical demands of the post.^[3]
• When just 24% of these firms hired CDI experts, this is quick and considerable growth.^[3]
• Because certain data components are irrelevant for all patients, it was impossible to predict that 100% of the necessary data elements would be captured.^[4]
• There was a reduced APH from 215 data components to 58 data elements because of this assessment, which is a 73% decrease in its APH ECD.^[4]
• Just 13.5% of CDI practitioners said that a solid technological platform was the most crucial aspect determining a CDI program’s success.^[5]
• 85% of hospital finance executives said that case mix index improvements brought about by CDI programs were the main source of the extra income.^[5]
• The clinical documentation improvement market is anticipated to expand at a CAGR of around 7.4% from 2022 to 2028.^[6]
• They have so far seen a 12.1% improvement in the surgical cardiology CC/MCC capture rate.^[7]
• 100% of at-risk dollars in the payer incentive program go to health.^[7]

Also Read

How Useful is Clinical Documentation

One of the primary purposes of clinical documentation is to ensure accuracy and consistency in patient care. By clearly documenting a patient’s medical history, current symptoms, essential signs, and treatments, healthcare providers can make informed decisions about the best course of action. This information helps to avoid errors and unnecessary treatments, ultimately leading to improved patient outcomes.

Furthermore, clinical documentation serves as a legal and ethical safeguard for both patients and providers. In the event of a malpractice claim or dispute, thorough documentation can serve as evidence of the care provided and decisions made by healthcare professionals. This documentation plays a crucial role in protecting the rights of both patients and providers and ensuring accountability in healthcare delivery.

In addition to its role in ensuring quality care and legal protection, clinical documentation also serves as a valuable resource for research and education. Medical students and residents rely on detailed documentation to learn about various medical conditions, treatments, and patient care techniques. Researchers also use clinical documentation to identify trends, patterns, and outcomes that can inform future practice and medical advancements.

Moreover, consistent and comprehensive clinical documentation is essential for the efficient management of healthcare organizations. Accurate documentation allows for proper coding and billing, ensuring that healthcare providers are appropriately reimbursed for their services. Detailed documentation also supports quality improvement initiatives within healthcare organizations, enabling providers to track performance, identify areas for improvement, and implement best practices.

Despite its obvious utility, clinical documentation is not without its challenges. The process of documenting patient encounters can be time-consuming and labor-intensive for busy healthcare providers. Additionally, maintaining consistent standards of documentation across different providers, specialties, and healthcare settings can be challenging. Furthermore, inaccuracies, omissions, and inconsistencies in clinical documentation can have serious implications for patient care, leading to errors, misdiagnoses, and adverse outcomes.

Given the critical role that clinical documentation plays in healthcare, it is essential for healthcare providers, administrators, policymakers, and other stakeholders to recognize its value and invest in strategies to improve documentation practices. This may involve implementing electronic health record systems, providing training and support for healthcare providers, streamlining documentation processes, and promoting a culture of excellence in documentation within healthcare organizations.

Ultimately, the usefulness of clinical documentation cannot be overstated. It is the foundation of quality care, legal protection, education, research, and healthcare management. By acknowledging the importance of clinical documentation and working towards improving its quality and consistency, we can enhance patient outcomes, ensure patient safety, and advance the field of healthcare in meaningful ways.

Reference

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1. ehrintelligence – https://ehrintelligence.com/news/realizing-the-benefits-clinical-documentation-improvement
2. zippia – https://www.zippia.com/clinical-documentation-improvement-specialist-jobs/demographics/
3. healthitanalytics – https://healthitanalytics.com/news/93-of-healthcare-execs-seeking-improved-data-analytics-cdi
4. lww – https://journals.lww.com/cinjournal/fulltext/2019/05000/changes_in_efficiency_and_quality_of_nursing.5.aspx
5. revcycleintelligence – https://revcycleintelligence.com/features/maximizing-revenue-through-clinical-documentation-improvement
6. globenewswire – https://www.globenewswire.com/en/news-release/2022/03/23/2408670/0/en/Clinical-Documentation-Improvement-Market-Size-to-Increase-by-USD-7181-66-Million-By-2028-According-Vantage-Market-Research.html
7. healthcatalyst – https://www.healthcatalyst.com/success_stories/clinical-documentation-improvement-allina-health