info@anovahealth.sa

CERTIFIED Clinical
Documentation SPECIALIST

CCDS

Training Program

40

Hours course
Provided by CDIA & ANOVA
Endorsed by CHI

Program

Overview

The Clinical Documentation Specialist CDS is responsible for facilitating the overall quality, completeness, timeliness, and accuracy of clinical documentation in the patient record.

The Clinical Documentation Improvement Australia CDIA CDS credential has been designed to meet the needs of the CDI industry in Saudi Arabia.

There are three levels of certification.

Participants who successfully complete this course will be eligible to take CDIA credentialing exam to obtain the professional credential of CCDS.

About

CDIA

CLINICAL DOCUMENTATION IMPROVEMENT AUSTRALIA (CDIA) strives to empower clinicians to deliver safer care to every patient. By partnering with hospitals, we create a documentation culture that reflects the clinical truth, ensure hospital funding reflects patient complexity, and enhance the integrity of health care data.

CDIA was born out of a group of doctors and nurses who observed how the quality of clinical documentation was impacting patients from a safety, quality and communication perspective and hospitals from a reimbursement perspective. Disillusioned with the mantra to “write more”, CDIA sought a better way. CDIA’s eye opening and unique approach has led to partnerships with hospitals right across Australia, New Zealand and the Middle East.

Lessons:

1.1 – International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification (ICD-10-AM)
1.2 – Australian Classification of Health Interventions (ACHI)
1.3 – Australian Refined Diagnosis Related Groups (AR-DRGs)
1.4 – Episode clinical complexity
1.5 – DRG versions
1.6 – Casemix management

2.1 – Australian Coding Standards (ACS)
2.1.1 – ACS 0001 – Principal Diagnosis
2.1.2 – ACS 0002 – Additional Diagnoses
2.1.3 – ACS 0012 – Suspected Conditions
2.1.4 – ACS 0048 – Condition Onset Flag
2.2 – Documentation queries – verbal
2.3 – Documentation queries – written
2.4 – CDI ethics

3.1 – Selecting patients
3.2 – Review process
3.3 – Efficiency

4.1 – Workflow processes
4.2 – Communication strategies
4.3 – Personal reflection

5.1 – Privacy and confidentiality
5.2 – Safety and quality
5.3 – Health Information Managers (HIMs)/Coder relationships
5.4 – Hospital Acquired Complications (HACs)

6.1 – Data collection
6.2 – Data manipulation
6.3 – Data analysis
6.4 – Data application

7.1 – Clinical sciences
7.2 – Clinical signs and symptoms
7.3 – Clinical examination
7.4 – Diagnostic procedures
7.5 – Investigation results
7.6 – Management
7.7 – Understanding clinical scenarios

8.1 Delivery
8.2 Engagement
8.3 CPD