Download - Amdis documentation panel shoolin
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The Future of Clinical Documentation
AMDIS Panel
2013 Annual Physician-Computer Connection Symposium
June 27, 2013
Facilitator: Joel S. Shoolin, DO
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∗Panelists ∗ Claus Hamann, MD (Accenture) ∗Nick vanTerheyden, MD (Nuance) ∗ Tom Ormondroyd (Precyse) ∗ Jonathan Handler, MD (M*Modal)
AMDIS Documentation Panel
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After a lot of hard work, "American Medical Directors of Information Systems Consensus on Inpatient Electronic Health Record Documentation“
is published!
AMDIS Documentation Panel
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Without taking away the thrill of your reading the entire article, some takeaways: ∗ Optimize EHR note functionality ∗ Identify coded diagnoses ∗ Keep privacy top of mind ∗ APSO vs. SOAP
∗ Focus on note quality and avoid excessive details ∗ Limit copy and past
∗ Medical education must model best practice
AMDIS Documentation Panel
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What is documentation’s future ?
AMDIS Documentation Panel
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The history and future of documentation
AMDIS Documentation Panel
Paper
SmartText Voice Typing
Dictation
.probl : brings up problem list with comments .cmed : current medications
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