09 June 2011, Modesto, CA – A paper released by the Clinical Documentation Industry Association (CDIA) and the Association for Healthcare Documentation Integrity (AHDI) reveals that clinical narrative is both the most widely used and the preferred method for capturing patient data. Clinical narrative is also the most effective way for physicians to capture the complexity and detail of information-rich patient stories.
Currently, the US healthcare industry produces 1.2 billion clinical records each year of which 60% are narrative notes captured via dictation or entered as free text.
The value of the information in patient stories is often compromised and/or lost because of input restrictions placed on the user by the forms and templates in existing Electronic Medical Record (EMR) systems. Read more