Clinical Documentation Excellence

Michael Larson, Manager, CIS Practice, and Todd Manion, Manager, Strategy & Operations, Deloitte Consulting. Many organizations have or are in the process of implementing electronic clinical documentation technology. While the design of clinical content is very important to capture appropriate assessment details, other aspects of clinical documentation are often left for later stages of an implementation. Electronic documentation tied to quality measures and charges not only enhances functionality, but further allows the automation of reporting and billing functions. Michael reviews the necessary components of a clinical documentation system in order for documentation to meet quality measures and allow point-of-care billing, answers the question of how to implement a complete clinical documentation solution, and provides industry leading examples.