Clinical documentation
Electronic health record systems standardize clinical documentation so health IT tools can automate data entry and facilitate information exchange across healthcare systems. See how these technologies improve the accuracy, completeness and timeliness of clinical documentation.
Top Stories
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News
02 Dec 2024
EHR documentation of SDOH rising among family physicians
While structured EHR documentation of SDOH is on the rise, future efforts are needed to understand how often structured data elements are mapped to consensus-based standards. Continue Reading
By- Hannah Nelson, Assistant Editor
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Feature
27 Nov 2024
Supporting the patient experience during EHR implementation
EHR implementation can improve the patient experience by consolidating multiple systems and enhancing access to personal health data through a single portal. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
26 Jul 2021
Epic EHR Implementation Takes Aim at Interoperability, Coordination
An EHR implementation at the Healthcare District of Palm Beach County is set to enhance interoperability for streamlined care coordination. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
23 Jul 2021
VA Cerner EHR Implementation Paused Through 2021 to Ensure Readiness
On Wednesday, the VA announced a new deployment approach for its Cerner EHR implementation to ensure enterprise readiness at the next go-live. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
09 Jul 2021
OIG: VA EHR Implementation Cost Estimate Off by $2.5B
An OIG audit found that VA’s health IT infrastructure cost estimates for its EHR implementation were off by billions due to poor reporting practices. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
07 Jul 2021
CAH EHR Adoption Lags Behind in Advanced Use, Clinical Analytics
Critical access hospital EHR adoption falls short of non-CAH hospitals in terms of advanced functionalities, such as clinical data analytics. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
07 Jul 2021
Saint Vincent Delays Cerner EHR Implementation Due to Staffing Strike
As the staffing strike approaches the five-month mark, Saint Vincent announced that it will delay the hospital’s Cerner EHR implementation. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
06 Jul 2021
Google Updates API for Patient Access to Personal COVID-19 Data
Google has updated its Passes application programming interface (API) to provide patients access to personal COVID-19 data, like vaccination and testing information. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
06 Jul 2021
COVID-19 Drives Digital Health Transformation, Health IT Innovation
COVID-19 has advanced the digital health transformation, bringing executives to drive health IT innovation with urgency for business resilience. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
25 Jun 2021
UTHealth Enlists Health IT Firm for Epic EHR Implementation, Adoption
The academic health center hired a health IT consulting firm to aid physician adoption of its Epic EHR implementation through one-on-one sessions. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
14 Jun 2021
Employees Report Health IT Frustration Amidst Digital Transformation
As the digital health transformation continues, 37 percent of employees report frustration with health IT and 28 percent report inadequate training. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
08 Jun 2021
Execs Accelerate Health IT Innovation, Digital Health Transformation
More than nine out of 10 executives said their organizations are innovating health IT with urgency to accelerate digital health transformation. Continue Reading
By- Hannah Nelson, Assistant Editor
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News
19 May 2021
Epic Systems Dominates 2020 EHR Implementation Market Share
Only Epic Systems and Azalea Health had a positive net change in EHR implementation market share during 2020. Continue Reading
By- Christopher Jason
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Answer
18 May 2021
Why a Behavioral Healthcare Facility Transitioned to an EHR System
Prior to its recent EHR implementation, clinicians at Rogers Behavioral Health were forced to utilize a hybrid EHR model. Continue Reading
By- Christopher Jason
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News
07 May 2021
Understanding EHR Adoption, Use With Medical Specialties
From cardiology, neurology, and behavioral health, EHR adoption, use, and satisfaction vary between medical specialties. Continue Reading
By- Christopher Jason
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News
27 Apr 2021
DoD Launches MHS GENESIS EHR System Across 12 States
The Department of Defense (DoD) new EHR system is now live at over 600 facilities from the west coast to the Midwest. Continue Reading
By- Christopher Jason
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News
23 Apr 2021
How Regenstrief Built an Emergency EHR System During COVID-19
Regenstrief researchers developed an emergency EHR system within two weeks to help Indianapolis first responders during COVID-19. Continue Reading
By- Christopher Jason
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News
16 Apr 2021
VA Pauses EHR Implementation Until Strategic Review Completed
The VA entered its fourth EHR implementation pause since 2019, and it will not restart until the agency completes a strategic review. Continue Reading
By- Christopher Jason
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Answer
07 Apr 2021
Are Virtual, Hybrid EHR Implementations Here to Stay?
The virtual EHR implementation occurred as a direct result of COVID-19, but the hybrid EHR implementation could be the future of implementations. Continue Reading
By- Christopher Jason
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News
31 Mar 2021
EHR Performance and Execution Issues Result in VA EHR Pause
A lawmaker said the Department of Veterans Affairs (VA) relies too much on its EHR vendor, Cerner, to fix its health IT infrastructure issues. Continue Reading
By- Christopher Jason
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News
29 Mar 2021
DoD Set to Launch MHS GENESIS EHR System in Midwest
Following its recent west coast wave, the Department of Defense will implement its new EHR system, MHS GENESIS, in Kansas. Continue Reading
By- Christopher Jason
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News
23 Mar 2021
VA Launches ‘Strategic Review’ of EHR Modernization Program
VA will deploy a “strategic review” following EHR Modernization program concerns from its initial go-live location in Washington. Continue Reading
By- Christopher Jason
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News
12 Mar 2021
WA Hospital Implements Epic EHR to Support Rural Health Network
Following its Epic EHR implementation, a rural hospital in Washington state will soon be able to boost its interoperability between its 15-member healthcare network. Continue Reading
By- Christopher Jason
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News
09 Mar 2021
PA Health System Completes Epic Systems Virtual EHR Implementation
Health IT professionals conducted a fully remote, virtual Epic Systems EHR implementation to launch the new EHR platform. Continue Reading
By- Christopher Jason
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News
16 Feb 2021
US GAO Recommends VA Pause EHR Modernization Project
GAO said VA needs to address critical and high severity test findings before launching the EHR Modernization project at future sites. Continue Reading
By- Christopher Jason
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News
04 Feb 2021
Substance Use Disorder Facilities See Low EHR Adoption Rates
EHR adoption rates at substance use disorder facilities have fallen behind mental health facilities across the country. Continue Reading
By- Christopher Jason
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News
22 Jan 2021
Major Health System Taps MEDITECH for Virtual EHR Implementations
The largest private healthcare network in the country will now be on one connected MEDITECH EHR system because of 18 virtual EHR implementations during COVID-19. Continue Reading
By- Christopher Jason
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News
22 Jan 2021
University of Arkansas Taps Epic EHR to Enhance Interoperability
All nine University of Arkansas for Medical Sciences clinical locations intend to get an interoperability boost on the Epic EHR platform. Continue Reading
By- Christopher Jason
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News
18 Jan 2021
12 Behavioral Health Facilities Tap Cerner EHR for Interoperability
Twelve behavioral health facilities in Virginia will implement Cerner EHR during 2021. Continue Reading
By- Christopher Jason
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News
06 Jan 2021
UVM Health Delays Epic EHR Implementation After Cyberattack, COVID-19
One of 2020’s worst cyberattacks resulted in UVM Health delaying its Epic EHR implementation schedule. Continue Reading
By- Christopher Jason
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News
04 Jan 2021
VA EHR Modernization Project Receives Internal Backlash
Union members and VA groups are voicing their opinions about the VA EHR Modernization platform’s lack of strong patient data sharing and the new patient portal. Continue Reading
By- Christopher Jason
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News
06 Nov 2020
4-State Health System Taps Epic to Boost Interoperability
Ballad Health said it increased interoperability between its 21 hospitals that span over four states with its recent Epic Systems EHR implementation. Continue Reading
By- Christopher Jason
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News
18 Sep 2020
Top EHR Implementations of 2020, So Far
From remote, virtual EHR implementations, to giant health systems transitioning away to other EHR vendors, 2020 has sparked a bevy of major EHR implementations. Continue Reading
By- Christopher Jason
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News
13 Jul 2020
VA Seeks Feedback on Robotic Process Automation for Paper Records
The government agency is requesting information from vendors who can streamline and digitize paper records using a robotic process automation tool to integrate into its EHR system. Continue Reading
By- Christopher Jason
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News
27 May 2020
Epic Systems Takes the Leap to Remote, Virtual EHR Implementation
Following Cerner, add Epic Systems to the list of vendors that successfully launched a virtual EHR implementation. Continue Reading
By- Christopher Jason
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News
06 Apr 2020
Epic Systems Community Connect Users Completely Unsatisfied
Epic’s Community Connect platform garnered poor reviews by its customers in a recent KLAS survey. Continue Reading
By- Christopher Jason
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News
16 Mar 2020
How Professional Services Ensure Successful EHR Adoption
Professional services to support EHR adoption abound, but few are truly suited to the task. Continue Reading
By- Nuance
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Definition
04 Feb 2020
Project Nightingale
Project Nightingale is a controversial partnership between Google and Ascension, the second largest health system in the United States. The partnership, which began in 2018, has provided Google with access to the medical records of over 50 million people. Continue Reading
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News
14 Jan 2020
Allscripts, Northwell Health Extend Management Services Deal
Northwell Health and Allscripts’ 15-year working relationship will now extend to 2026. Continue Reading
By- Christopher Jason
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News
20 Dec 2019
Decade-Defining Moments in Healthcare Innovation, Reform
The 2010s have proved to be an important decade for healthcare innovation and reforms. Here are the top trends that defined the time. Continue Reading
By- Editorial Staff
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News
21 Oct 2019
How Cloud EHR Reduces Operating Costs, Increases Computing Power
Cloud EHR technology has the potential to reduce operational costs while increasing computational potential. Continue Reading
By- Deloitte
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Definition
29 Aug 2018
registered health information technician (RHIT)
A registered health information technician (RHIT) is a certified professional who stores and verifies the accuracy and completeness of electronic health records. Continue Reading
By- Tayla Holman, Site Editor
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Definition
30 Jul 2018
Cerner Corp.
Cerner Corp. is a public company in North Kansas City, Mo., that provides various health information technologies, ranging from medical devices to electronic health records (EHR) to hardware. Continue Reading
By- Tayla Holman, Site Editor
- Kristen Lee, News Writer
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Definition
22 Jun 2018
Health IT (health information technology)
Health IT (health information technology) is the area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry. Continue Reading
By- Scott Wallask
- Alex DelVecchio, Content Development Strategist
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News
23 Apr 2018
Why the Healthcare Cloud Holds the Key to Future Innovation
With the healthcare cloud, providers have the storage and computing resources necessary for enabling innovations in care delivery at scale for years to come. Continue Reading
By- Insight
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News
20 Apr 2018
Epic, Cerner Win Most EHR Contracts Among Community Hospitals
Epic won 72 EHR contracts with community hospitals in the last 12 months, while Cerner scored 65, according to KLAS research. Continue Reading
By- Kate Monica
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News
09 Apr 2018
Building a Basic Understanding of the Healthcare Cloud
When considering the healthcare cloud, organizations must address several technical and regulatory requirements required for both compliance and performance. Continue Reading
By- Insight
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Definition
26 Mar 2018
RHIA (Registered Health Information Administrator)
An RHIA, or registered health information administrator, is a certified professional who oversees the creation and use of patient health information, including analyzing that data. Continue Reading
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News
16 Nov 2017
Shulkin Requests $728M in Funds for VA Cerner EHR Implementation
VA Secretary Shulkin asked a House appropriations subcommittee to redirect $782 million in funds toward the VA Cerner EHR implementation. Continue Reading
By- Kate Monica
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Feature
13 Nov 2017
3 Keys to a Successful Value-Based Care Implementation
Success in value-based care hinges on support for providers, long-term quality improvement, and alignment of resources and goals. Continue Reading
By- Kyle Murphy, PhD, Vice President of Editorial
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Definition
17 Aug 2017
Allscripts
Allscripts is a vendor of electronic health record systems for physician practices, hospitals and healthcare systems. Continue Reading
By- Shaun Sutner, News Director
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News
17 Aug 2017
MIT Implements Cerner EHR, Population Health Management
The Cerner implementation at MIT Medical will support care delivery improvements for over 20,000 patients. Continue Reading
By- Kate Monica
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Definition
24 Feb 2017
PHI breach (protected health information breach)
A PHI breach is unauthorized access, use or disclosure of individually identifiable health information that is held or transmitted by a healthcare organization or its business associates. Continue Reading
By- Shaun Sutner, News Director
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Definition
25 Jul 2016
Meditech (Medical Information Technology Inc.)
Meditech (Medical Information Technology Inc.) is an electronic health record vendor that holds a 19% market share in the hospital industry, but faces intense competition. Continue Reading
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Video
25 Jul 2016
Epic's EHR: Challenges and lessons learned at Mass General
MGH CIO talks about the hospital's recent move to Epic's EHR. The hospital has encountered EHR challenges including moving off homegrown systems and a staggered implementation. Continue Reading
By- Kristen Lee, News Writer
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News
02 May 2012
EHR Success story: a large California facility’s experience with EHR
With EHR, the record is available when and where I need it. Paper charts used to get lost; thats not a problem anymore. Continue Reading
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Definition
17 Feb 2011
ambulatory medical record (AMR)
An ambulatory medical record (AMR) is an electronically stored file of a patient’s outpatient medical records, which includes all surgeries and care that do not involve being admitted to a hospital. Continue Reading
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Tip
16 Apr 2010
Products meeting CCHIT ARRA certification standards
Using products that meet the preliminary certification standards of the American Recovery and Reinvestment Act of 2009 is required for reimbursement under the ARRA legislation. Continue Reading
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News
04 Mar 2010
National health IT policy coordinator ready to implement rules
David Blumenthal, the national coordinator for health IT policy, said at HIMSS10 that his work is starting to shift from drafting regulations to implementing and supporting them. Continue Reading