Monday, August 9, 2010

Healthcare Documentation Quality Assessment and Best Practices

The Association for Healthcare Documentation Integrity (AHDI) and the American Health Information Management Association (AHIMA) released "Healthcare Documentation Quality Assessment and Best Practices" as a toolkit for the transcription sector to improve clinical documentation quality.  As their press release highlights, the two associations felt it was important to take a closer look at the quality and integrity of clinical data capture as the final rules for "meaningful use" have been released.  As EHR adoption continues to progress, much of the information which is dictated, then transcribed will end up in an EMR either as a flat file or as structured/discrete data.

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