Clinical Documentation Improvement Program - Using Ready Templates

With the use of technology in all the field of health care, a clinical documentation improvement program too is not an exception. With the introduction of the Electronic Health Reports and the Electronic Medical Reports in the process of documentation, the total process has been simplified and systemized and thus has proved to be a boon. The ready templates that comes with the Electronic Health Reports and the Electronic Medical Reports not only saves up the time of the doctors and the nurses, but at the same time provides them with more cleaner and legible reports which are accurate and concise thereby making it easy for the health care professionals to decide the next course of action.

The ready templates that are used in the EHR or the EMR help in saving the physicians' time and thus they can concentrate more on the areas they should. The main purpose of the clinical documentation improvement program is communication and thus when you are using the ready templates, the options and check boxes are already provided to you - all you have to do is to check on the correct boxes. The ready templates have definitely made the work of the health care professionals and the physician easy and are thus enabling them to spend more time on giving quality care.

CARE IMPROVEMENT

The use of the ready templates and the electronic record keeping system has made the system more systematic and most importantly error free. All the data collected in the clinical documentation improvement program and processed are accurate and purely dependable thus helping in correct diagnosis and thus effective treatment. As it has been seen that the electronic gadgets reduce the medical errors and helps better communication and thus enhances the quality of treatment. The documentation also plays an important part in billing and the legal requirements.

But there is a mixed view among the health care providers and the physicians who often complain that the modern method of electronic clinical documentation improvement program poses a problem as they are often not being able to assess the exact health condition of the patient within the options and the check boxes provided and thus leads them to do a more general record keeping which may prove dangerous in the long run as the course of treatment depends on these records. It may prove to be a disaster is wrong treatment is done based on these data. Though most of the physicians agree that the records are very systematic, concise and legible, but the vital flaw must not be overlooked.

The electronic ready templates for the clinical documentation improvement program should provide more options and should not be so close ended and in many cases it has been found out that the doctors often copy paste the details that is definitely not an ethical practice. The template needs to be more streamlined and at the same time varied to be more useful than the paper documentations.

Clinical Documentation Improvement Program - Using Ready Templates

CARE IMPROVEMENT