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Clinical Documentation | CDI | News, Analysis, Insights

Nuance Study Reveals Rework Is Root Cause of Staff Burnout in Hospitals

by HITC Staff 03/06/2018 Leave a Comment

Nuance Artificial Intelligence

Nuance has unveiled new study data in an infographic about the importance of reducing rework. The healthcare system is built on the premise of rework with clinical documentation specialists and coders going back to the care team for specifications and clarity on clinical documentation, causing physicians to relive their day and rework documentation done previously. Rework is a root cause of staff burnout in hospitals and healthcare systems.As physicians and care teams face mounting pressure and
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Nuance Integrates with Epic EHR to Provide Real-Time Clinical Documentation to Physicians At Point of Care

by HITC Staff 03/24/2017 Leave a Comment

Nuance Artificial Intelligence

Nuance Communications and Epic recently announced that they have partnered to deliver computer-assisted physician documentation (CAPD) capabilities embedded within Epic to provide real-time clinical documentation improvement (CDI) feedback to physicians at the point of care.Nuance-Epic Integration DetailsBy electronically analyzing all relevant patient notes with AI technologies such as deep learning and natural language understanding, Nuance’s CAPD technology automatically identifies clinical
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4 Ways to Improve Clinical Document Capture

by Our Thought Leaders 07/30/2012 1 Comment

 Written by David McKanna, product marketing manager at Nuance “Business Week predicted the paperless office in 1975, when it was thought that computer records would completely replace paper.  In the next two decades after that pronouncement, paper use doubled.” This quote is taken from Persistent Paper: The Myth of “Going Paperless” from AMIA which provides a relevant list of reasons why paper is still widely used in healthcare.  Even fully electronic (Stage 7) hospitals still receive
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Medical Transcription & EHRs: Remaining Atop Technology and Industry Changes

by Fred Pennic 07/02/2012 1 Comment

A vital aspect of health care, medical transcription is a multi-billion-dollar industry, which is undergoing significant changes. Medical transcription has been a fundamental and necessary aspect of the healthcare industry for a long time. However, the continuing development of transcription-related technology is changing the way medical transcription works. To adapt and remain efficient, healthcare-affiliated institutions must adopt these new technologies as they come. Medical transcription
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Video: How to Fill Coding Documentation Gaps When Converting to ICD-10

by Fred Pennic 06/11/2012 Leave a Comment

Here is a recent ICD-10 Summit Wrap up video interview with Mary Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA, vice president of HIM consulting services at UASI talks about coding documentation gaps and the best ways to fill them in converting to ICD-10. Stanfill provides the following tips on addressing coding documentation gaps: Identifying high risk areas suchas surgical procedures for amputations must be coded as mid, high, or low in order code the case Improve physician/clinician
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Northern Virginia Regional Health Information Organization Inc. Launches Innovative Medication History Service

by Fred Pennic 06/23/2011

 In an emergency department (ED), where patients’ health and safety hang in the balance, every second counts. Now, Inova Alexandria Hospital ED clinicians can quickly access a patient’s prescriptions information, no matter where in the U.S. they were written, enhancing care quality and safety.The April medication history service launch in this busy Washington, D.C. suburb ED marks the first project milestone for the Northern Virginia Regional Health Information Organization (NoVaRHIO). This
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