Q: What is CDE anyway?
A: CDE is a process used by hospitals that employ specialists who review clinical documents for gaps in documentation and provide feedback to physicians. It is a method of obtaining complete, accurate and compliant documentation.

Q: Why can’t you just tell me what to write in my note?
A: Just as an attorney cannot “lead” a witness into a statement, CDE nurses cannot lead physicians in their documentation. A physician may be contacted by a CDE RN during rounds or by a query (communication tool in I-Connect used to clarify documentation) in order to clarify documentation.

Q: So…What’s the point?
A: The primary purpose of accurate, specific and complete health record documentation is continuity of patient care. This serves as a means of communication among healthcare providers. It is also used to evaluate the adequacy and appropriateness of quality care, provide clinical data for research and education and support reimbursement, medical necessity, quality of care measures and public reporting of services rendered by a healthcare entity.

Remember: We’ve got your back (We are not looking over your shoulder)!! Look for our phone calls, emails, and queries. We’ll also be available during rounds for any questions. We want to help! Please feel free to contact (phone, pager, email) your designated CDE RN for any questions.

Clinical Documentation Excellence department:

Janeen Pierson, RN-Director                                                      Carrie Norwood, RN-SCU and PICU
Dr. Marsha Sturdevant-Physician Champion                          Lauren Shivers, RN-CCU and CVICU
Joni Barnett, RN-9H and NICU Harbert                                    Sandy Turk, RN-5D and 6D
Lisa Cochran, RN-10Q and NICU Quarterback                        Martha Walker, RN-7D and 10H
Jill Gray, RN-8Q and 9Q