Take a holistic documentation approach

by Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI
Some common disease processes require certain types of care. Healthcare specialties often create such standard care intervention checklists to increase efficiency in overall treatments, and to drive notable decreases in morbidity and mortality while decreasing costs and increasing value.

These “bundles of care” exist for serious disease processes with tendencies toward greater mortality rates; the Surviving Sepsis Campaign, for example, defines bundles as “a selected set of elements of care distilled from evidence-based practice guidelines, [which], when implemented as a group, have an effect on outcomes beyond implementing the individual elements alone.”