Clinical Documentation

The Missing Accountability Layer Between Clinical Documentation and Revenue-Cycle Review

By Dafe Ofoh – Healthcare organizations often evaluate interoperability by asking whether data can move from one system to another. That is necessary, but it is not enough. A workflow is not complete when information arrives. It is complete when the right person can see the evidence, understand the current state, make the required decision, and hand the work forward with a traceable record.


Ambient AI Documentation Works. We’re Measuring the ROI Wrong.

By Ben Crocker MD – The debate over the return on investment (ROI) of ambient AI clinical documentation has reached a critical juncture. What began as a narrow question – Do AI scribes increase productivity enough to justify their cost? – has turned into something more revealing: a broader reckoning with how health systems define value in the clinical AI era.



Green Eggs, Ham, and the Health IT Innovation Adoption Curve

By Joe Petro – My son recently picked Dr. Seuss’ “Green Eggs and Ham” for his bedtime story. As we read it together, I was struck by how much the poem applies to health IT adoption. A few years ago, most healthcare organizations and physicians were extremely skeptical of the very technologies they now rely on each and every day to get the right information to the right place in a timely manner.


Wikipedia and Facebook for Clinical Documentation

Over the past several years I’ve written about the inadequate state of clinical documentation, which is largely unchanged since the days of Osler, (except for a bit more structure introduced by Larry Weed in the 1970s) and was created for billing/legal purposes not for care coordination.




Reengineering Clinician Documentation

Reengineering Clinician Documentation – Ergonomics and Human Factors in Healthcare   Dr. Nick van Terheyden Voice of the Doctor #VoiceoftheDr LinkedIn Profile, Twitter: @drnic1 Clinical documentation is…