Every Journey Starts
in the Harbor

What is Clinical Documentation Integrity?

Clinical Documentation Integrity, (CDI), is a process that ensures accuracy and completeness of the medical record. While it is sometimes called Clinical Documentation Improvement, we prefer to think of it as capturing the integrity of data collected by the physicians and the multidisciplinary teams.

Why Do You Need Clinical Documentation Integrity?

Through improved physician engagement, process improvement, optimized technology, and collaborative program structure, Clinical Documentation Integrity promotes quality of care and enhanced financial outcomes.

Our Process

We offer a complimentary assessment to better understand the benefits for each organization if they were to optimize their CDI program components. Together we will develop a work plan that is specific to your organization’s needs.

No Cost, No Commitment
We offer a complimentary assessment to determine the overall benefit for our potential clients.

Resources Required
CDI program metrics and select individuals to participate in interviews.

Assessment Findings Include

Revenue Impact
Gap analysis between current and projected future state
Opportunities to advance the current CDI program
Road map of improvement and sustainability
Length of Implementation
Professional Fee

Project Kickoff
Alignment with our Subject Matter Experts (SME's) and client stakeholders to outline project objectives, deliverables, and establish project steering committee.

Physician Advisor and Physician Engagement
Our SME's work collaboratively with your physician leaders to develop and implement documentation feedback, establish performance metrics, and customize training for all specialties.

Tools and Technology
Harborside SME's work collaboratively with your CDI leadership team in optimizing tools and technology to support processes, communication, and performance measurements. Our experience spans across a multitude of technology platforms and we remain vendor agnostic.

Program Structure
There is significant variation in CDI models. Our team will work collaboratively with your CDI leadership team to create a tailored plan to improve program structure utilizing best practices in staffing, processes, and technology.

Final Reporting
Harborside delivers a final report which includes developed methodologies and outlines program achievements. In addition, a comprehensive transition and sustainability plan will be provided to support leadership and ensure ongoing program success.

Review
Our results are aligned and reviewed by your CDI leadership team from a financial and quality perspective with compliance, integrity, and financial improvement always being the driver of our success.

Results
Harborside’s CDI program delivers measurable and impactful financial results. Our clients typically see a 3% to 5% increase in their case mix index (CMI). Additional results include, but are not limited to, significant improvement in capturing complications and co-morbidities (CCs), major complications and co-morbidities (MCCs), hierarchical condition categories (HCCs), severity of illness (SOI), and improved documentation for risk of mortality (ROM).

Sustainability
Our team will customize a sustainability program specific to the needs of your organization to ensure optimal ongoing performance of your CDI program.