Poor Documentation: Why It Happens and How to Fix It
Health care documentation is created by any person who documents within the health record. When documentation is accurate and complete, it works wonders at telling a patient’s story and can even improve patient care, it facilitates effective continuum of care. However, no person or process is perfect. It turns out various factors play a part in the creation of “poor documentation,” including compliance concerns and time constraints. Provider education seems to be another big piece of the puzzle. On the plus side, that’s a problem with a fairly straightforward solution.
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