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    Clinical Documentation

    Paper Seeks to Standardize Definition of Documentation Burden

    David Raths
    Nov. 1, 2024
    Review authors say a clear standardized definition is crucial for aligning efforts aimed at reducing documentation burden

    Clinical Documentation

    Allscripts
    Mdrx Tablet
    Dreamstime Xl 146261262
    Dreamstime Xl 38207216
    Doctor Working Computer
    Corona Virus
    Patient Doc Notes
    Clinical Documentation

    OpenNotes Helps Physicians Work on Writing Better Notes

    David Raths
    Oct. 11, 2019
    One suggestion: ‘Discuss what you write and write what you discuss’
    Cdi
    Clinical Documentation

    Automating the Physician Query Process: One Organization’s Quick Turnaround

    Rajiv Leventhal
    Oct. 10, 2019
    Fixing a “broken” physician query process became a top priority for the clinical document improvement team at Western Maryland Health System
    Clinical Documentation

    CMS Issues New RFI for Patients over Paperwork Initiative

    Rajiv Leventhal
    June 6, 2019
    The Centers for Medicare & Medicaid Services (CMS) has issued a request for information (RFI) on how to evolve its “Patients over Paperwork” initiative that was initially launched...
    Clinical Documentation

    CAQH CORE Outlines Five Areas to Improve Medical Documentation Attachments

    Rajiv Leventhal
    May 6, 2019
    About 84 percent of attachments are currently being sent manually, leading to misinformation and delays
    Clinical Documentation

    Sutter Health to Pilot Voice-Enabled Digital Assistant for Physicians

    David Raths
    March 26, 2019
    Goal is to maximizing the amount of time clinicians spend with patients while reducing the documentation burden