A survey that health information management vendor Nuance Communications commissioned in September 2013 finds only a quarter of 187 responding physicians were involved in evaluating or implementing new software, but all respondents think their involvement is important.

Research firm Survey Monkey conducted the online poll, split almost evenly by primary care and specialty physicians with 62 percent under age 40. Sixty-nine percent of those under 40 consider their involvement to be extremely important, compared with 21 percent of older respondents.

When evaluating new software for clinical documentation improvement, 88 percent said they would invest time, see fewer patients and earn less money for six to nine months if deeply involved a CDI initiative. They note that the technology is critical to delivering quality care, and they fear that they are pushed out by the HIM and finance departments, according to Nuance. Only two percent of respondents believe successful technology deployment can be achieved without physician buy-in.

All responding physicians say post-discharge coding queries are disruptive and that ICD-10 will make it worse.

Only two percent think the current process of responding to clinical documentation improvement queries is not disruptive to some degree. Seventy-one percent would be more responsive to CDI clarifications if they were delivered in real-time within their normal documentation workflow in the electronic health records.

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