Using E-Clinical Documentation to Enhance and Facilitate Reporting of Core Measures and Other Regulatory Requirements

2.50
Hdl Handle:
http://hdl.handle.net/10755/149582
Type:
Presentation
Title:
Using E-Clinical Documentation to Enhance and Facilitate Reporting of Core Measures and Other Regulatory Requirements
Abstract:
Using E-Clinical Documentation to Enhance and Facilitate Reporting of Core Measures and Other Regulatory Requirements
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Scroggins, Heather, RN, BSN
P.I. Institution Name:John Peter Smith Health Network
Title:Nursing Informatics
Co-Authors:Stephanie Gaworski, RN
[Clinical session research presentation] JPS Health Network (JPS) is a public teaching health network. We have over 95,000 patient days and 628,000 outpatient visits a year. Both nurses and physicians are challenged every day to manage patients and complete their thorough documentation. Our quality staff was spending hours abstracting data from our paper records. Utilizing technology to enhance compliance is absolutely the answer. Documentation is performed for various reasons including record keeping, communication, and regulatory agencies such as JCAHO, CMS, and local health departments. In addition, hospitals are now reimbursed based on pay for performance. Although clinicians do an excellent job of performing these tasks, we are continually searching for efficient ways to document and report these measures. Our objective is to make documentation of these requirements embedded in the patient care process and seamless or invisible to the clinician. We will discuss the changes made within our facility and how they promote e-documentation as well as reporting required data elements in a more streamlined and efficient manner. In addition, we will give examples of JCAHO and CMS measures entrenched in our Hospital Information System. We will review how we implemented rules to prompt clinicians for our documentation standards. Finally, we will discuss the use of our data repository and its role in enhancing computerized audits and reports.We will share some statistics of pre and post implementation displaying our improved compliance with ORYX core measures and other regulatory agency required documentation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing E-Clinical Documentation to Enhance and Facilitate Reporting of Core Measures and Other Regulatory Requirementsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149582-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using E-Clinical Documentation to Enhance and Facilitate Reporting of Core Measures and Other Regulatory Requirements</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Scroggins, Heather, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">John Peter Smith Health Network</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Informatics</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hscroggi@jpshealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Stephanie Gaworski, RN</td></tr><tr><td colspan="2" class="item-abstract">[Clinical session research presentation] JPS Health Network (JPS) is a public teaching health network. We have over 95,000 patient days and 628,000 outpatient visits a year. Both nurses and physicians are challenged every day to manage patients and complete their thorough documentation. Our quality staff was spending hours abstracting data from our paper records. Utilizing technology to enhance compliance is absolutely the answer. Documentation is performed for various reasons including record keeping, communication, and regulatory agencies such as JCAHO, CMS, and local health departments. In addition, hospitals are now reimbursed based on pay for performance. Although clinicians do an excellent job of performing these tasks, we are continually searching for efficient ways to document and report these measures. Our objective is to make documentation of these requirements embedded in the patient care process and seamless or invisible to the clinician. We will discuss the changes made within our facility and how they promote e-documentation as well as reporting required data elements in a more streamlined and efficient manner. In addition, we will give examples of JCAHO and CMS measures entrenched in our Hospital Information System. We will review how we implemented rules to prompt clinicians for our documentation standards. Finally, we will discuss the use of our data repository and its role in enhancing computerized audits and reports.We will share some statistics of pre and post implementation displaying our improved compliance with ORYX core measures and other regulatory agency required documentation.</td></tr></table>en_GB
dc.date.available2011-10-26T10:05:19Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:05:19Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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