{
  "abstract": "Background: Risk-adjusted quality metrics, including the mortality index and length of stay index, are central to evaluating cardiovascular care, yet documentation gaps can misrepresent institutional performance.\n\nProject Rationale: At our rural academic medical center, the Cardiology service line demonstrated a baseline mortality index of 1.40, indicating 40% higher-than-expected mortality. We identified documentation gaps in common cardiology diagnoses as contributing factors.\n\nProject Summary: This quality improvement study, with a retrospective preintervention comparison, analyzed 2,143 Cardiology encounters over 18 months (July 2024-December 2025). A resident-led intervention including resident training, peer review, and clinical documentation improvement specialist collaboration was associated with mortality index improvement from 1.40 to 0.97 (30.7% relative improvement) and length of stay index improvement from 0.91 to 0.85 (6.6%).\n\nTake-Home Messages: A resident-led clinical documentation improvement initiative improved documentation accuracy of patient risk, increasing expected values and correcting artificially elevated quality indices without changing clinical care or actual patient outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Internal Medicine, Guthrie/Robert Packer Hospital, Sayre, Pennsylvania, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Akshay Raut"
    },
    {
      "affs": [
        0
      ],
      "name": "Shubhendu Bajpai"
    },
    {
      "affs": [
        0
      ],
      "name": "John Pamula"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/705q6805nc5sw.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109869",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728373/",
  "id": "705q6805nc5sw",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109869",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "3605|Medical Coding and Health Information"
    ]
  ],
  "openalex": "W7213408677",
  "pdf_url": null,
  "pmcid": "PMC13728373",
  "pmid": "42752040",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/705q6805nc5sw.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:22Z",
      "native_id": "PMC13728373",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109869"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Resident-Led Clinical Documentation Improvement in Cardiology",
  "title_text": "Resident-Led Clinical Documentation Improvement in Cardiology",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:22Z",
  "url": "https://research.draconitic.com/paper/705q6805nc5sw",
  "venue": "JACC Case Reports",
  "versions": []
}