Articles, HDM September 23, 2016

Why Unified Notes Can Lessen Documentation Time

by Barry P Chaiken, MD

Does increased documentation improve outcomes? Does it reduce costs? There exists scant evidence that either of these are true.

Perhaps to effectively leverage EMRs to better deliver care requires a reworking of clinical workflow and other processes. Or perhaps the EMRs themselves require a rewrite to better enable clinical workflows. Nevertheless, EMRs and their application as a documentation tool appears to interfere with direct patient care, reducing the time physicians have to interact with their patients.

As the use of EMRs in documentation requires intensive review, so does our approach to documentation itself. With our use of a variety of connected medical devices and sensors (i.e., IoMT – Internet of Medical Things) a plethora of patient information automatically becomes part of the EMR and documents care. The requirement of clinicians to document test results and other measurements now appears a redundant exercise as this information flows directly into the record via interoperability software.

Excerpts from: Why Unified Notes Can Lessen Documentation Time. Health Data Management, September 20, 2016

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