Clinical Documentation Trends in the US: New study available to download

At the AHIMA (American Health Information Management Association) conference in Atlanta this week I presented a summary of findings from a new Health Business Group report, Clinical Documentation Trends in the US, 2013-2016. The report documents the results of a large-scale survey and interview program we undertook this summer to understand how hospitals and physician practices are documenting clinical encounters today and how the methods will evolve over the next three years.

The study –available for free download on the Health Business Group website– includes six recommendations to help provider organizations develop successful clinical documentation strategies as they navigate health care reform, ICD-10 implementation, EHR optimization, consolidation into integrated delivery networks, and changing documentation technologies.

The research was sponsored by Nuance Communications, Inc.

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