Clinical documentation provides the framework for all clinical care and all medical reimbursement flows from it. Healthcare facilities must not only successfully adopt EHRs and demonstrate their meaningful use of technology but must prepare for the looming transition to ICD-10 — all while improving efficiency of systems and productivity of people.
Many providers are discovering that successful EHR adoption and Meaningful Use is not as simple as checking boxes in point-and-click templates. Physicians want an easy way to capture the complete patient story — narrative and structured data — without workflow disruption or time-consuming processes. Their managers want to be able to easily turn this documentation into actionable, understandable knowledge that can drive smarter and more efficient clinical and business decisions.
Studies have shown that EHRs actually slow physicians down. The solution? Speech recognition.
Stage 1 criteria for meaningful use include capturing health information electronically in a coded format. This requirement allows organizations to keep such clinical information as medication lists and problem lists up-to-date. Another criterion, using clinical decision support, is designed to guide appropriate use of high clinical priority tools such as diagnostic tests and implement CPOE. Nuance solutions help organizations achieve meaningful use with…
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