How do medical documentation affect support and management of health services?
There are 5 critical aspects that are enhanced by the use of true clinical documentation.
Extensiveness: Clinical documentation allows healthcare professionals to obtain details of patients’ medical condition, history, allergies and any other related facts in electronic records. This document therefore becomes a permanent part of the patient’s medical record.
Safety: Clinical documentation improves patient safety by making patient care travel available to any healthcare professional, clinician or physician at any time. These records are also accessible through various care settings or geographical locations.
Timeliness: Access to a patient’s extensive medical history also increases the timeliness of care delivery. In addition it improves compliance, and helps caregivers with time-sensitive interventions.
Cost Effectiveness: Records available at the click of a button saves considerable time and effort as every time a patient visits a healthcare professional it is necessary to fill in the paper records and fill in the manual documents.
Analytics: The biggest advantage of clinical documentation is that it provides for data analysis and insights into a patient’s medical history. Data can be leveraged to perform predictive analysis using genetic, lifestyle, and social circumstances that may enable preventive as well as hyper-individual care.
W.Clinical documentation is the main focus hat of improvement?
The main focus of clinical documentation is to capture and follow up extensively relevant medical information at the time of patient visit or admission. This is an established practice in Western countries and helps healthcare professionals understand the patient’s current and prevalent health problems, drug history, reports, etc. The practice is in its infancy in India, where there are only a handful of large health systems and states that it has made it mandatory to use these electronic health records.
CWays and means to improve clinical documentation
Medical documentation is becoming a significant challenge for healthcare professionals and organizations as they dedicate significant time to direct care for physicians and practitioners. Additional hours are required from medical professionals to complete such detailed clinical documentation. There are also possible errors when creating these documents. Studies have shown that clinical documentation creates administrative burdens for physicians and clinical staff that can lead to burnout.
Adoption of digital health records has improved both the quality of records and the care provided to patients. As more and more hospitals and health systems adopt digital health records, the focus can be on leveraging well-trained virtual workforce backed by technology and automation to help reduce the burden of clinical documentation.
W.The hat plays a role IKS Health Play in the improvement of clinical documentation for patient care?
IKS Health is a provider-enabled platform that is taking healthcare from digitization to digitization, ultimately towards digital transformation. We work with provider enterprises in the US to enable the delivery of better, safer and more efficient care to their patients. This is achieved through a variety of solutions for physicians and practitioners during the patient’s journey to remove the burden on them from administrative work. And that is our main focus, including the basic philosophy with which we work – if it doesn’t need to be done by a therapist, it shouldn’t be done and if it doesn’t need to be done personally, it shouldn’t be done. The healthcare industry is looking for technology solutions to find answers to the rising cost of physician burnout, patient access and care. The advent of new and emerging technologies that could pave the way for mitigating some of these challenges is the confidence that healthcare institutions are looking at. IKS Health is able to deliver these solutions and enable this transformative journey towards improving patient care delivery.
