Oubre Academy: The Practice Guide to Attending Documentation
Clinical Documentation
This enduring Internet activity takes a deep dive into closing gaps relating to clinical documentation. Challenges addressed include the following:
There is little to no educational training on notes.
Notes are lengthy, time consuming and, often, inaccurate.
EMR tools increase legal risk.
The objectives are to simplify notes in order to:
Improve efficiency.
Reduce medical errors.
Effectively bill for medical services.