Tanzania
Research Article
Impact of Electronic Health Record Documentation and Clinical Documentation Specialists on Case Mix Index: A Retrospective Study for Quality Improvement
Author(s): Timothy James Stacy, Gail Washington, Paula K Vuckovich and Sunny BhatiaTimothy James Stacy, Gail Washington, Paula K Vuckovich and Sunny Bhatia
Background: The implementation of hospital electronic health records software is considered a significant modernization in healthcare. Objective: The objective of this study was to evaluate the impact of electronic health records and the addition of clinical documentation specialists as a clinical support group on hospitalist documentation using case mix index (CMI) as a measurement tool.
Methods: A two-group pre/postimplementation retrospective research design was used to evaluate the impact of electronic health records and clinical documentation specialists on CMI in a single 125-bed full-service community hospital in the greater Los Angeles area. All hospitalist medical records were reviewed in the pre/postphases. A total of 3,536 records were reviewed over the two phases. Phase one included a review of 1,712 hospitalist medical records bef.. Read More»
DOI:
10.4172/2157-7420.1000154
Journal of Health & Medical Informatics received 2128 citations as per Google Scholar report