Health Information Technology Medical Record Documentation Issues in the Electronic Era

被引：3

作者：

Dacey, Bill ^{[1
]}

Bholat, Michelle Anne ^{[2
,3
]}

机构：

[1] Dacey Grp Inc, Palm Harbor, FL 34683 USA

[2] Univ Calif Los Angeles, Dept Family Med, Los Angeles, CA USA

[3] Ctr Hlth Sci, Los Angeles, CA 90095 USA

来源：

PRIMARY CARE | 2012年 / 39卷 / 04期

关键词：

Cloning; Medical necessity; Auditing; Quality;

D O I：

10.1016/j.pop.2012.08.001

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This article outlines the regulatory movement propelling physicians into the electronic health record environment and the subsequent emergence of quality issues in the medical record. There are benefits and downside risks for implementing electronic health records as part of the desire of a practice or institution to build patient-centered medical homes. The intersection of how a practice or institution collects and reports quality metrics using health information technology and subsequently submits claims for services rendered has created unforeseen challenges for which leadership must be aware and address proactively.

引用

页码：633 / +

页数：11