Author Archives: Julie Clements
PDCA Quality Principles for Clinical Documentation
As the healthcare system in the U.S is shifting from paper-based to electronic health records (EHRs), it has become very important to focus on the quality of patients’ records for improved and consistent patient safety outcomes. This has made the … Continue reading
Read MoreQuality Assurance for Health Care Documentation
Quality in health care documentation is crucial when it comes to ensuring proper and timely health care. In view of this, the Association for Healthcare Documentation Integrity (AHDI) has paid down best practices to assure quality, timeliness and security in … Continue reading
Read MoreNeed for Accurate Documentation While Prescribing Drugs for Insomnia
Proper diagnosis of insomnia is important to prescribe appropriate drugs. Insomnia or sleeplessness may be due to a mental disorder, or a medical condition; it may be psycho-physiologic insomnia, idiopathic insomnia and so on. Unless the nature of the actual … Continue reading
Read MoreUse of HIT in Physician Offices Will Significantly Reduce Future Demand for Physician Services
A Commonwealth Fund-Supported study published in Health Affairs in November 2013 says that the proliferation of health information technology (HIT) across physician offices will substantially reduce the future demand for physician services in the U.S. Health information technology adoption includes … Continue reading
Read MoreEHR Deficiencies in HIMSS Survey and the Need for Medical Transcriptionists
Most providers are transitioning to EHR technology owing to the EHR incentive program, and they must be sure of their clinical documentation integrity. A 2014 survey by the Healthcare Information and Management Systems Society (HIMSS) found severe deficiencies with EHR … Continue reading
Read MoreRecent Trends in Telemedicine
Telemedicine, the actual delivery of remote clinical services using technology, is growing rapidly. According to a report by Research and Markets, the global telemedicine market is expected to increase by a compound annual growth rate of 18.5% through 2018. The … Continue reading
Read MoreEHR for Reducing Hospital-acquired Infections in Pediatric Care
A complete and accurate reporting of all hospital-acquired infections (HAIs) is critical in pediatric care as HAIs are associated with longer hospital stays, longer ventilation times, increased cost and adverse neuro-developmental outcomes in children. Electronic health records or EHRs are … Continue reading
Read MoreCollaborative Depression Care for Pregnant Women, What’s the Role of Documentation?
Untreated depression during pregnancy can lead to poor nutrition, drinking, smoking, and suicidal behavior in mothers and also result in premature birth of the baby, low birth weight and developmental problems. A study published in Obstetrics & Gynecology (June 2014 … Continue reading
Read MorePhysicians and EHR – How to Save their Relationship
As the adoption of the electronic healthcare system gathers pace, healthcare providers are adopting EMR/EHR to achieve meaningful use objectives. The main benefits of electronic health records are easy sharing of patient information, improved security of protected health information (PHI) … Continue reading
Read MoreBetter EHR Systems and Documentation for Ebola and Other Infectious Diseases
With the Ebola outbreak, the efficiency of electronic health records (EHRs) in handling infectious diseases has been questioned. This October, representatives from the Centers for Disease Control (CDC) and the Office of the National Coordinator for Health IT (ONC) co-hosted … Continue reading
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