Documentation Effectiveness

Quality Health Based Care

This article titled Quality-based health care is based on false assumptions that appeared in the web e-mail brings up several interesting points including the fact that physicians do not possess total control over quality and patients are not one hundred percent compliant.

The following statement really caught my attention: “Failure to recognize the difference between […]

By |February 17th, 2015|Documentation Effectiveness|0 Comments

Insufficient documentation

Insufficient medical record documentation is pervasive in the medical community regardless of healthcare setting or clinician. This environment of persistent insufficiency in clinical documentation exists for a variety of reasons, a major contributing factor being the increased use of the electronic health record mandated by Medicare under meaningful use. The electronic health record’s current structure […]

By |February 15th, 2015|CDI, Documentation Effectiveness, Medical Neccessity|0 Comments

When used effectively, discharge summaries reduce hospital readmissions

YaleNews | When used effectively, discharge summaries reduce hospital readmissions.

For heart failure patients making the transition from hospital to home, a discharge summary that gets to their primary doctors quickly and contains detailed and useful information can mean the difference between recovering quickly or returning to the hospital, according to two new studies from Yale […]

By |February 10th, 2015|Documentation Effectiveness, Uncategorized|1 Comment