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How Electronic Messages Can Lead to Legal Issues

Need more convincing to consider using an electronic query in your CDI program? Barbara Hinkle-Azzara, RHIA, chief product strategist for Meta Health Technology, a HIM software developer based in New York, outlined her top 10 incentives to move ahead with an electronic query format.

1. Streamlined queries: Implementing an electronic system necessitates an analysis of your facility’s current query procedure. This presents the opportunity to identify and prioritize bottlenecks and move to eliminate query process issues. electronic stores jayanagar

2. Improved documentation legibility: Ever struggle with illegible physician notes? With an electronic query process, physicians answer queries electronically so the response is legible instead of hand-written communications that are often difficult to read and interpret.

3. Stepping into the electronic medical record (EMR) era: An electronic query process takes you one step closer to a complete EMR system. In it, the physician can provide any clarification or specificity on the case by creating an electronic document that you can link to the patient’s EMR and make it available as a permanent part of the medical record.

4. Growing physician satisfaction: Physicians often complain about time constraints. They’re too busy with patients to handle duties such as documenting in the medical record. Allowing physicians to respond to queries electronically requires a lesser time commitment, and increases their satisfaction with the overall clinical documentation improvement process. Additionally, sending the queries electronically allows the physician to answer the query remotely, saving him/her a trip to the facility to answer the query and/or document in the record.

5. Reduced manual follow-up responsibilities: Electronic systems allow you to automate reminders to physicians. This reduces the amount of time staff members spend tracking down physicians by phone or in person.

6. Increased staff productivity: By reducing the time staff members spend on the query process, an electronic system allows CDI professionals to focus on performing additional daily record reviews.

 

 

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