With paper exam notes, the doctor and staff record information and the note reflects what they recorded. Unfortunately, EHR based notes may not be as direct.
Many EHR systems store the information that you enter in one way, and offer a variety of presentation and reporting options. The ability of the EHR to offer multiple presentation options is a powerful tool. For example,
You may generate an exam note, referral form, and a …
Clinical content refers to the various checklists, documents, and forms that address an area of medicine when using an EHR. For example, a pediatric practice would be interested in documentation tools for a newborn visit. Not all EHRs have clinical content for all areas of medicine. For example, some EHRs have clinical content for internal medicine, but lack the details needed for dermatology or cardiology.
A disturbing number of practices …
The transition from paper to EHR is a major policy decision that can have repercussions on patient service, your operations and even your medical professional liability (MPL).
Unfortunately, many practices are not taking the time to analyze their options and responsibilities from a patient care and compliance standpoint. In order to set the correct framework for your effort, you should think …
From Medicare/Medicaid incentives to EHR industry ads, it is hard to cut through the hype and determine if your practice is even ready to try to select and implement an EHR.
Implementing an EHR is a transformational exercise for any practice that requires redesigning every aspect of charting, clinical workflow and interaction with patients. However, in too many cases, practices approach EHR …
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