Intermountain Health was confident in the high quality of care it delivered to patients. But it faced a significant challenge in ensuring that its clinical documentation fully and accurately reflected ...

Improving the documentation of medical treatment in electronic health records improves the quality of care patients receive and has a positive downstream effect on hospitals’ revenue. Traditional ...

Clinical documentation is the written record of a patient-physician encounter. Before the advent of electronic health records (EHRs), these encounters were often inadequately documented. While this ...