The pendulum has swung too far. Penalizing falls in the hospital has resulted in patients who aren’t allowed to get out of bed. They get weaker, depressed, constipated, pressure ulcers and ultimately need SNF placement. Ambulation should be viewed as a key to healing.

All over the world

Dying a slow death by a thousand clicks....

Looking at you, the OG, #CPRS How many OKs are needed for a single order?!

If number of clicks per encounter were a CMS quality metric this already would have happened. Maya Babu MD, MBA Brian Gantwerker, MD, FAANS, FACS 🟧🇮🇱 Anish Koka, MD

I know one hospital system that “upgraded and improved” their EMR discharge function by changing a 3 click process to 9 clicks

Rightfully so...due to "normal templates" I now have as much disinformation in my overall medical chart than I have "correct" information.

Acute kidney injury and its many causes can be confusing. But from a clinical validation standpoint - it’s pretty straight forward. The KDIGO criteria were published in 2012 and they sought to simplify and address some of the issues with RIFLE and AKIN criteria. There are

"I just feel because I did all of these things I should bill a level 5." Your feelings were actually correct! You did all the work for a level 5! But... You can't bill based off feelings. Auditors need PROOF of that work. If you're RVU-based, auditors down coding your

This change was really astonishing when it happened. The reaction was disbelief - there was an administrative rule change that makes our job easier? Someone did something that actually makes sense?!

Thank God for these rule changes. Imv the old rules were the major cause of note bloat & errors in the medical record.

Want your CDI program to be successful? Stop hating physicians. I've seen CDI professionals who have an obvious disdain for physicians. 💩 It comes out when they "educate." 💩 It comes out in the "solutions" they create. 💩 It comes out in their lack of welcoming physician

You're scared as a new attending and now it's worse: You opened an email and all you saw was red. The data shows that more of YOUR patients are dying than should be. How can this be? You went to a good residency. You got outstanding evaluations. You know you're a good