“Note Bloat” – The Growing Evil inside Your Electronic Health Records

 AdamDenySmith Tags: , , , , , , Practice Management

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“ Going ‘Digitalized’ with your electronic health records system doesn’t mean your documentations are immaculate. Take heed ! You may need to take a complete ‘U – turn’ to safeguard your patient information  ! ”

                                       – S. Shiva Kumar, CEO, BillingParadise.

Beyond a shadow of a doubt, it is true that the implementation of U.S. healthcare reforms in the form of The Health Information Technology for Economic and Clinical Health (HITECH) Act and The Health Insurance Portability and Accountability Act (HIPAA) is beneficial and empowered the healthcare data management with enhanced patient data protection, rapidity in documentation, flexibility in data migration, improved insurance processing and hassle-free data recovery – at a good cost: benefit ratio.

 Is Your Swollen EHR About to Rupture ?

Despite the mammoth benefits of Electronic Health Records system, many healthcare organizations are confronting frequent pitfalls with the healthcare data management. Among the downsides, the burning issue is ‘Note Bloat’ – the simple insertion of all pathology and other lab results, radiology reports, and the across-the-board copying of patient history and other clinical information from earlier progress notes may lead to an explosive amplification of the note bulk – making it almost unfeasible to glean significant data in a jungle of narrative innards. 

Espouse “Best Practices” for Your Clinical Data Management

Implementing a state-of-the-art data management system is not a tough task. The counteractive measures to overhaul your data system are listed as underneath:

1. Electronic Health Records (EHR) – The Prime Tool:

            The EHR must be designed in harmony with the hospital/ clinical specialty and setting:

  • Redesign templates to steer clear of pointless replication artifact.
  • Curtail adding patient data presented somewhere else into the clinical dataset.
  • Create patient history and clinical encounter modules that can be revised and reclaimed.
  • Improve the crisis catalog utility instead of copy-text catalog.
  • Redefine programmed techniques to competently check the perilous contents.
  • Be vigilant over the staffs to avoid overuse of superfluous copying to amplify productivity.

2. Your Organizational Staffs – The Driving Factor !

            Just inanimate gizmos like machines, systems tools and structural design alone could make the practice business efficient. To add fuel to run the practice business, the organizational staff members must be alert and proficient to put the effective data management into practice:

  • Train the medical practitioners and allied staff members to avert lackadaisical copying – that results in inappropriate or futile medical records preparation.
  • Appoint instructors to monitor the documentations of the staff members with automated processes.
  • Enlighten all the staffs in the practice regarding the vulnerabilities of superfluous documentation and bloated notes.

Contact BillingParadise to thwart or refresh your EHR at your practice. 

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