Here are 5 goals to consider when writing your notes: 1. Describe behavior or write down statements made by patients or family members, rather than characterizing the behavior or statement. For ...

Did you know that some of the earliest “medical records” date all the way back to around 1600 BC? Those of us who have either been around long enough or know our history recognize that healthcare ...

Documentation is critical for every aspect of employee management, legal compliance, and risk mitigation, including performance and conduct issues, hiring and firing, promotion and demotion decisions, ...

The state of documentation and why it’s failing IT and users Your email has been sent Because of what I do, official documentation is something I have to depend on daily. Given the bulk of my writing ...

Art Documentation: Journal of the Art Libraries Society of North America, Vol. 36, No. 2 (fall 2017), pp. 191-203 (13 pages) Typically, arts information professionals are concerned with the ...

Paying attention to the documentation required to apply for and sustain Medicaid coverage in New York is more important than ever under President Donald Trump's tax cut and government spending bill.

AI in mental health helps with charting, easing paperwork so providers can focus on patients. It should support care but ...