Clinical Documentation Improvement

Understanding EHR Documentation Assistants, Voice Assistants

by Christopher Jason

EHR documentation was originally devised to record clinical information as provider notes in real-time during a consultation, evaluation, imaging, or treatment, ultimately to share patient data between...

Strategies for EHR Documentation During Telehealth Visits

by Christopher Jason

Telehealth has become a widespread option for patient care. But with clinician burden — primarily due to excessive EHR use — quickly swelling, health IT experts are looking for ways to...

EHR Clinician Notes Offer Glimpse into Implicit Bias in Medicine

by Christopher Jason

A look at EHR clinician notes gives insight into implicit bias in medicine, with EHR documentation indicating clinicians have disbelief in Black patients over White patients, according to a study...

Implementing an Automatic Travel History EHR Extraction System

by Christopher Jason

An EHR extraction system could be the key for translating unstructured text about patient travel history into actionable health data, according to a study published in JMIR Publications. Without an...

EHR Flowsheet, Documentation Challenges Cause Clinician Burnout

by Christopher Jason

Optimizing and simplifying the EHR flowsheet to structured response fields rather than a text input dialogue could help reduce clinician burnout and aid EHR documentation, according to a study...

Clinicians Unable to Complete Tasks with an EHR Documentation Scribe

by Christopher Jason

Hiring an EHR documentation scribe does not improve the time for a clinician to complete out-of-visit tasks, such as answer patient portal messages, fill prescription requests, and send test results,...

KLAS Ranks EHR Clinical Documentation Improvement Tools, Vendors

by Christopher Jason

Iodine and ChartWise have separated themselves as the top EHR clinical documentation improvement tools and vendors based on technology and customer experience, according to a recent KLAS Research...

Expanded Patient Medical History Can Improve Clinical Notes

by Christopher Jason

Adding age and patient history can improve clinical notes to support both clinical and transitional research studies, according to a study published in BMC Medical Informatics and Decision...

How an AI Assistant is Advancing EHR Documentation, Decreasing Burden

by Christopher Jason

Clinicians at Providence, one of the country’s most extensive health systems, are feeling the clinical impact of COVID-19 and clinician burnout is becoming widespread across its 51 hospitals and...