Book Description:
Master clinical documentation with Debra D. Sullivan’s guide. Perfect for healthcare professionals, this book delves into electronic health records and regulatory compliance, ensuring accurate, clear, and complete patient data capture to enhance care and communication.
Guide to Clinical Documentation
Author: Debra D. Sullivan
Publisher: AHIMA Press
ISBN: 978-0803666627
Introduction:
This comprehensive guide provides a step-by-step approach to clinical documentation, guiding healthcare professionals through the complexities of electronic health record systems and the latest regulatory requirements. Focused on accuracy, clarity, and completeness, it empowers clinicians to effectively capture patient information, enhancing communication, reducing risks, and improving patient outcomes.