Medical Knowledge

Ethics Talk: How Do Street Clinicians Use EHRs?

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the evolution of electronic health records in street health care practice. The featured guest is Brett Feldman, the Director and…

EHRs, iPatients, and Clinician Well-Being

Electronic health records are now critical in day-to-day health care operations. A drawback to using them, however, is that they tend to divert clinicians’ focus from patients to a screen. This phenomenon has generated a colloquial reference to patient-screen pairings…

How to Teach Good EHR Documentation and Deflate Bloated Chart Notes

Since health care organizations implemented widespread adoption of electronic health records (EHRs), clinicians’ notes about patients’ care have become longer and more cumbersome, a phenomenon colloquially known as “note bloat.” Bulky templates and blocks of data take time to sort…

How Should We Think About Ambient Listening and Transcription Technologies’ Influences on EHR Documentation and Patient-Clinician Conversations?

This commentary on a case analyzes how integrating ambient listening and transcription technologies powered by artificial intelligence into the electronic health record documentation process influences documentation practices and clinical encounters. The commentary offers best-practice recommendations for informed consent processes and…

Is Advance Care Planning Required at Every Medicare Patient Visit?

Advance care planning is a billable, face-to-face service between a physician (or other provider) and a patient and/or surrogate to discuss and make known the patient’s health care wishes in case the patient becomes unable to make health care decisions…

Does CMS Prohibit the Use of Note Templates?

CMS defines a template as a “tool/instrument/interface that assists in documenting a progress note.” Physicians and other licensed independent providers routinely create their own and may even collaborate with other colleagues and care team members to develop effective templates. However,…