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Slide Presentation from the AHRQ 2007 Annual Conference

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Designing the "Quality Health Record"

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  • Threats:
    • High cost of dictation and transcription, storage and retrieval/release of information
    • Fragmentation and case mix (lower productivity)
    • Continuity of care, handoffs, and communication
  • Ongoing "Quality Health Record" projects:
    • Concurrent quality documentation review and dialogue with physicians, coding and DRG assignment
    • Structured physician documentation templates (PN2G), including diagnosis
    • Standard terminology definitions for documentation and coding classification
    • Voice recognition and medical documentation quality review
    • Document management (scanning) and Imaging
    • "Virtual" environment—working remote and load balancing

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