The document discusses medical documentation and records. It defines key terms like medical documentation, medical records, and charting. It describes the purposes of documentation like good patient care, legal protection, and cost control. It outlines characteristics of proper documentation such as being complete, concise, legible, and signed properly. It provides guidance on correcting errors and making documentation immediately after patient care.
Meaningful use is really mandated use of clinical systems and applications that may or may not fit into today’s delivery of care. Is it possible to achieve the desired outcomes of healthcare IT’s significant investments in transformation without addressing the dramatic workflow impact on clinicians? Are we forgetting the patient safety initiative that is driving meaningful use due to the technological roadblocks? This session will focus on possible best practices and related outcomes when implementing meaningful use and meaningful workflow.
Meaningful use is really mandated use of clinical systems and applications that may or may not fit into today’s delivery of care. Is it possible to achieve the desired outcomes of healthcare IT’s significant investments in transformation without addressing the dramatic workflow impact on clinicians? Are we forgetting the patient safety initiative that is driving meaningful use due to the technological roadblocks? This session will focus on possible best practices and related outcomes when implementing meaningful use and meaningful workflow.