0131 Physician documentation and quality improvement matters


Learn from Susanne Burns, a Clinical Nurse Specialist, and Hanifa Ladhani, a Clinical Documentation Improvement (CDI) Specialist as they reflect on the collaboration of multiple clinical teams at Ridge Meadows Hospital (RMH), a site within Fraser Health authority in British Columbia. From acute care, regional support, coding, and informatics, Susanne and Hanifa share insights gleaned from their successful efforts to reduce the RMH ratio for a critical Canadian Institute for Health Information (CIHI) measure of inpatient average acute length of stay (ALOS) compared to the average expected length of stay (ELOS) or ALOS/ELOS.


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Hanifa Ladhani, CHIM, CCDIS Clinical Documentation Improvement Specialist, Coding and Informatics Services, Health Information Management Fraser Health

Hanifa Ladhani has a diverse background that spans over 25 years working as a coder, analyst, systems support, and electronic health record trainer in British Columbia across Lower Mainland Health Information Management, including Fraser Health Authority (FHA), Providence Health Care (PHC), Provincial Health Services Authority (PHSA), and Vancouver Coastal Health (VCH). This year, she is celebrating ten years working as a Clinical Documentation Improvement Specialist.

At Fraser Health, she is an active committee member for Patient Safety Priorities and Sensitive Adverse Events, utilizing her knowledge and experiences to accurately document patients’ clinical journeys for continuity of care and coding. She is passionate about engaging and supporting stakeholders and clinical and coding teams to improve patient quality and safety outcomes.

Hanifa assisted with developing the Canadian College of Health Information Management’s Certified Clinical Documentation Improvement Specialist (CCDIS) national certification examination. She is also a committee member for the Canadian Health Information Management Association (CHIMA) British Columbia and Yukon Chapter.


Susanne Burns, RN, MSN Clinical Nurse Specialist Fraser Health

Susanne Burns has 35 years of nursing experience in three lower mainland health authorities. She completed her psychiatric and general nursing diploma and a certificate in critical care nursing at the British Columbia Institute of Technology. She completed a Master of Science in Nursing (MSN) from the University of British Columbia, receiving a research fellowship from the Heart and Stroke Foundation and Canadian Institute of Health Research to complete her graduate research studies.

Susanne completed the BC Patient Safety Quality Council Quality Academy. She is an adjunct professor for the University of British Columbia School of Nursing. Susanne has extensive clinical and leadership experience in cardiovascular health care. She has worked in intensive/cardiac/surgical intensive care, interventional laboratory, acute cardiac medicine, surgery and cardiovascular risk reduction/prevention. She led specialty clinics in cardiac rehab, lipids, smoking cessation and developed and implemented the first metabolic syndrome program in Canada for Providence Health Care. Susanne has broad experience in informatics and professional practice. Susanne has worked with both local and regional community and acute teams, improving the patient journey across the health system.

Susanne is currently at Fraser Health Authority in British Columbia, Canada, as the regional Clinical Nurse Specialist for the Specialized Community Service Programs Complex Medically Frail. She has a passion for systems quality improvement and improving patient and provider satisfaction.

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