Effect of an Electronic Health Record-Based Intervention on Documentation Practices.

ABSTRACT:

Background

 Documentation burden is one of the largest contributors to physician burnout. Evaluation and Management (E&M) coding changes were implemented in 2021 to alleviate documentation burden.

Objectives

 We used this opportunity to develop documentation best practices, implement new electronic health record (EHR) tools, and study the potential impact on provider experiences with documentation related to these 2021 E&M changes, documentation length, and time spent documenting at an academic medical center.

Methods

 Five actionable best practices, developed through a consensus-driven, multidisciplinary approach in November 2020, led to the creation of two new ambulatory note templates, one for E&M visits (implemented in January 2021) and another for preventative vi

SUBMITTER: Shah S 

PROVIDER: S-EPMC11424194 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature