Advance Communication, Ensure Quality of Care
The purpose of medical documentation and monitoring is to track the patient’s progress and plan their care accordingly. This documentation can include a complete medical history, physical examination, medical review, diagnosis, and medical treatment plan.
Proper medical documentation helps to ensure quality of care for patients by assisting with care coordination between multiple providers. Medical records help provide the right care to the right patient, which improves communication and reduces the risk of medical mistakes.
Accurate medical records can also improve compliance with federal regulations such as “patient right to privacy.” With proper evidence of adherence to quality standards, medical records can even help with reimbursement from third-party payers.
Increased Patient and Staff Safety
Digital recording of patient medical information, such as vitals, behaviors, and dietary restrictions, can help healthcare workers provide better care. This can improve patient safety by identifying patient risks or precautions and ensuring the correct medical treatment plan is in place.
For example, vital sign measurements are taken and recorded in order to monitor the patient’s health. The patient’s medical history is reviewed, along with other information in order to identify the best quality of care.
Without accurate medical records, teams may lack clarity about a patient’s treatment, medications, and allergies without accurate medical records. Making this data available in the patient’s records will guarantee proper knowledge and treatment from professionals.
Accurate medical documentation is essential for patient and staff safety in 2023 and will improve the healthcare process.
Digitally Improving Medical Documentation
For years, healthcare organizations have relied on a paper-based approach. This may include q15 observations, facility safety inspections, and other patient safety tasks. This approach may result in lower productivity, increased costs, and inadequate compliance.
ObservSMART’s proximity-based technology provides staff with a digital tool. It manages patient care and prioritizes safety, proper documentation of patient medical information, and helping to mitigate risk.
After the medical review, the data will import into your electronic health record EHR. ObservSMART timestamps and stores all documentation so that it can be used for real-time reporting and analysis. This provides a better overview of the patient’s experience and helps healthcare groups adopt value-based care models.
ObservSMART documents important medical information, where access to data on patient progress, facility compliance, and overall quality of care. Learn more about the technology by scheduling a demo today!