Clinical Documentation

Reducing Elective Early-Term Deliveries: One Hospital’s Groundbreaking Optimization Work

September 14, 2013     Mark Hagland
article
The issue of unnecessary elective early-term deliveries of babies is receiving increasing attention in patient care organizations nationwide. One patient care organization in which active work to make such changes has been taking place is the four-hospital, Springfield-based Baystate Health. There, the medical director of obstetrics, the chair of the department of obstetrics and gynecology, and the organization’s clinical research director, are engaged in groundbreaking work in this very important area.

SCIPing Forward Together: Revelations from One Six Sigma Perioperative Project

August 19, 2013     Mark Hagland
blog
It was fascinating to read a recent account in the July/August issue of “Patient Safety & Quality Healthcare” about a Six Sigma project around improving perioperative outcomes and processes. Not only was the case study a worthwhile read in itself, it clearly had implications for healthcare IT leaders.

How Do Consumers View EMRs?

August 5, 2013     John DeGaspari
news
A recent online consumer survey found that electronic medical records (EMRs) are an important factor in patient satisfaction with their doctors, as well as their choice of healthcare providers. The survey was conducted by Deerfield, Ill.-based Aeffect, Inc., a research and consulting firm, and 88 Brand Partners, a marketing firm in Chicago.

Managing Transitions of Care, with Results: An Experience in Oklahoma

August 5, 2013     Mark Hagland
article
Brian Yeaman, M.D., CMIO at Norman Regional Health System in Norman, Oklahoma, has been involved in helping to lead a transitions of care initiative in his area. Dr. Yeaman was named principal investigator, and the Norman Regional Health System was awarded a federal grant from the ONC. The results have been impressive—and are worth pondering.

New Tool Uses EHR Data to Advance Towards Personalized Healthcare

July 29, 2013     Rajiv Leventhal
news
Researchers at the University of Notre Dame have developed a computer-aided method that uses electronic health records (EHRs) to assess personalized disease risk and well-being.

MGMA Asks HHS Secretary Sebelius to Reverse Course and Reinstate External ICD-10 Testing

July 25, 2013     Mark Hagland
news
On July 23, the leaders of the Englewood, Colo.-based Medical Group Management Association (MGMA) sent a letter to HHS Secretary Kathleen Sebelius, asking her to reverse a newly announced policy regarding testing for the implementation of the ICD-10 coding system later this year.

Where the Rubber Meets the Road in MD Documentation: An Emergency Physician Perspective

July 20, 2013     Mark Hagland
article
Reid Conant, M.D. of the Tri-City Emergency Medical Group, a 23-doctor emergency physician practice in Oceanside, California, shares his perspectives on the role of speech recognition solutions in optimizing physician documentation processes in the emergency medicine sphere. One key point: it’s not about typing ability.

A Physician-First Approach to Clinical Documentation Improvement

July 16, 2013     Rajiv Leventhal
article
As clinical documentation improvement (CDI) has become a strategic imperative at hospitals and health systems, one patient care organization has deployed a unique approach to CDI, using a physician-first technique at the point of care to help providers ensure financial integrity, reduce risk, and improve patient outcomes.

Of Physician Documentation--And Disaster Recovery

July 13, 2013     Mark Hagland
article
Brian Yeaman, M.D., CMIO of the 500-bed Norman Regional Health System in Norman, Oklahoma, has important thoughts on where physician documentation needs to go, and on the role of speech recognition in optimizing the documentation process. He also shares lessons learned from the Moore tornado disaster of this spring.

Post-CPOE Optimization at Adventist Health: a Conversation with Kshitij Saxena, M.D.

June 30, 2013     Mark Hagland
article
During the Physician-Computer Connection Symposium 2013, sponsored by AMDIS, in Ojai, Calif. June 25-28, HCI’s Mark Hagland sat down for a conversation with Kshitij Saxena, M.D., regional medical director, medical informatics, at the Altamonte Springs, Fla.-based Adventist Health System. Dr. Saxena and his colleagues are deeply involved in post-CPOE system optimization these days.