Inadequate attention to the quality and integrity of clinical documentation could compromise electronic health records use for patient care, care coordination, quality reporting, business, compliance and legal purposes, according to the American Health Information Management Association.
That’s the message AHIMA brought to an HIT Policy Committee hearing on Feb. 13 on clinical documentation issues. Michelle Doughty, director of research and development at AHIMA, laid out three core challenges with clinical documentation and record management in EHRs:
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