CDIs tell the story behind the patient record
I came across this article from HealthLeaders Media the other day. It talks about the importance storytelling in healthcare. I don’t think they were talking about the “once upon a time” kind of storytelling, but more about the kind of storytelling that represents what we writer-types like to call the “narrative arc.” Simply put, everything has a cause and effect whether it’s how some story-book character’s childhood upbringing comes to bear on their philosophical outlook or, in the case of clinical documentation improvement, how a particular patient’s clinical indicators come to bear on his or her inpatient stay.
CDI professionals try to get all the story particulars from all the various characters as they each play their role in the development (and resolution) of a patient’s healthcare plot.
According to the article, facilities in the United States and the United Kingdom are using storytelling to enhance patient history information to get a better sense of how to treat the patient. Storytelling also helps providers develop a relationship with the patient and form a better understanding of an individual case, writes Sarah Kearns.
While I’m not suggesting that we rename clinical documentation improvement specialists “storytellers” I am suggesting CDI professionals take a second to consider the health record as if it represents the “story” of the patient’s life, the story of his or her care. Furthermore, I am suggesting that perhaps expressing your documentation improvement efforts in that way may actually resonate with the physicians and help them understand the important role you also play.


Sylvia Hoffman | Jun 25, 2009 | Reply
melissa
I loved this article. I printed it up and put it on my desk. This is very much how I apprach a chart. Sometimes the “Story” doesnt make sence , and I know I have to Query to fill in the missing pieces. Thanks
Melissa Varnavas | Jun 25, 2009 | Reply
Thanks Sylvia!
Laurie Prescott | Jul 1, 2009 | Reply
I enjoyed this. The title caught my eye as I had written an article for our physician newsletter several months ago entitled “Progress Notes- You are the author of your patient’s story”. I often tell physicians to “tell the story” when discussing their documentation.
Sometimes I will ask the question to them, “what is the patient’s story?” and they will often explain in detail the history and identify possible/ probables and concerns etc. Usually this discussion is in much more detail then their written notes. When they are done “telling the story” I will say that is exactly what I want in your progress notes..
Joan Kloster | Jul 9, 2009 | Reply
We ask our physicians to “paint the picture” of our patients condition – I like “telling the story” even better!