What is ambient documentation?
The continuous, detailed documentation of a client or patient’s medical history, containing the disease, symptoms, physician’s activity, and effects of his/her treatment within a particular medical facility. This information includes clinical notes, test results, treatment plans, medications, and everything else concerning the care plan of a specific patient.
It is used as a major channel of communication among healthcare workers in facilitating correct billing and reimbursement in cases of insurance. It also forms an integral part of the legal repository and sustains quality improvement and analysis endeavors. In recent years, proper clinical documentation has been considered a crucial factor in facilitating excellent, integrated, and safe patient care.
What are the benefits of using ambient documentation in healthcare?
- Documentation accuracy: Standardized Systems with the help of AI, help enhance documentation accuracy, reduce errors, and structure the records.
- Efficiency: The usage of Artificial Intelligence helps save time and money on documentation, enabling providers to manage patients well and streamline workflows.
- Improved public health: Biomedical informatics can track the spread of diseases, identify risk factors, and develop new interventions to improve public health.
- Real-time clinical decision support: It provides instant evidence-based suggestions and alerts which promote adherence to best practices.
- Work-life balance for clinicians: Healthcare providers help save time and maintain work-life balance with reduced after-hours charting and burnout focusing more on patient care.
- Coding and billing accuracy: Through automatic code suggestions, there’s an enhancement in the accuracy of coding and billing, resulting in reduced claim denials and improved revenue management.
- Research and analytics: Data structured with the aid of AI supports research & analytics, supporting population health management and clinical research.
- Patient experience: With the reduced wait time, patients benefit more from attentive care and personalized treatment plans.
