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CKD documentation was defined as a presenting diagnosis of CKD by a primary care physician or nephrologist using ICD-9 event codes.
This apparent inconsistency in our findings may be ascribable to the fact that adequate therapy in patients without bacteriological documentation was defined in our study as compliance with guidelines.
CKD diagnosis documentation was defined by an in-patient or out-patient diagnosis of CKD by primary care or subspecialty physician (both internal Kaiser physicians and external contracted physicians were included).
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After the announcement of the incentive, every affiliate in six of the seven ICUs documented greater than 75% patient-care time, with patient-care time documentation being defined as the combination of billable time and nonbillable but equally important zero-charge time (range, 70%to89%9%; Table 2).
Documentation of regimen/indication was defined as the documentation of antimicrobial agent by name and indication (for example, ceftriaxone, 2 g IV, for suspected meningitis).
'Documentation of dehydration status' was defined as any text recorded in the patient's clinical record, either at triage or ward review, considered to be relating to assessment of severity of dehydration.
Non-adherence was defined as documentation of a report of non-adherence by a patient, parent or healthcare provider that was recorded in the patient's legal medical record.
The presence of alcohol abuse was defined by documentation in patient medical record or by history.
Documentation of a risk factor was defined as being found in the EHR at least once within the study period.
17 Prior antidepressant therapy was defined as documentation of antidepressant treatment prior to the date of diagnosis of depression.
This was defined as documentation of at least one activity of daily living or a summary statement of current or pre-admission functional status.
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