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Rethinking clinical documentation for the EHR era

from Healthcare IT News

Shaun Grannis, MD, can relate to the recent study in the Annals of Internal Medicine showing that physicians spend 37 percent of their time on clinical documentation in their electronic health records. "Eight years ago when I was seeing patients, I would dictate for 90 seconds after every patient in free text and communicate all care provided," said Grannis, interim director of the Center for Biomedical Informatics at the Indianapolis-based Regenstrief Institute. "Today, I fill out a five-page template for a sore throat that no one wants to read, with details that providers often miss," he said. more


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