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EHR Burdens Leave Docs Burned Out, in Critical Condition

Improving Patient Care, Doctor Performance and Quality Measures Scores

Patient code Software has a decision support application aiding physicians in accurately detecting patient diagnoses called Real-Time Dx. It is a solution which allows for efficient documentation of diagnoses while improving quality of patient care, quality measure scores, risk adjustments, revenue; as well as decreasing mortality rates.

Physicians care for patients with great understanding of their overall health status resulting in quality patient care and outcomes.

What does this mean for Hospitals?

  • Improved quality of patient care
  • Higher provider satisfaction
  • Higher quality measure scores
  • Increased reimbursements

About half of all adults suffer from one or more chronic health conditions and 25% have two or more. The issue at hand is the omission of diagnoses at the time of admission, as well as not seeing the complete picture of the patient status.

A pilot study with Real-Time Dx produced a 61% increase in the number of properly diagnosed comorbidity conditions. 44% of the comorbid conditions were pre-existing.

Why Current Documentation Methods Cost Providers and Hospitals

While CMS revises the reimbursement payment structure from a fee for service to a pay for performance model, the risk-standardized mortality rate is heavily assessed under the fee for service program to measure the quality of patient care. This measure, along with other quality core measures, are the center focus for all healthcare organizations. Without the appropriate and accurate diagnoses documented, the information within the EMR will not reflect the patient’s true severity of illness and predicted risk of mortality leading to a cascading set of effects ultimately affecting patient outcomes, decreases in revenues and decreased quality ratings for both physicians and the hospital.

Real-Time Dx reduces manual processes which lead to documentation errors where:

  • Physicians identify issues and manually enter information into the EHR system. This process is very time consuming and generates errors.
  • Utilization of standardized notes, cut and paste techniques, or use previously saved notes increases the risk of missed and/or erroneous diagnoses.
  • Patients may not report every illness or symptom in the hospital and/or they may not know the extent of their chronic problems.
  • Medical records may not “connect the dots,” leaving pre-existing symptoms undocumented in current documentation which in turn could lead to allegations of hospital negligence.