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The UCSD Documentation Improvement Program is aimed at improving how we document a patient s medical condition and treatment. It is a concurrent team effort between physicians, coders, and the clinical documentation specialists nurses to improve documentation in the medical record to accurately reflect severity of illness and risk of mortality which is used in profiling hospitals and physicians Profiling at the physician and hospital level is utilized by payers, employers, and quality improvement organizations to make decisions concerning healthcare. In addition, consumers can gain access to hospital and physician profiles via the Internet. Accurately reflecting the severity of illness of our patients justifies length of stay, cost and ensures correct mortality statistics