Queries

Unknown

There is certainly some excellent discussion here on appropriate non-leading queries of late on the list-serve. One area that is missing in this discussion is the focus upon educating the physician on the merits of including all relevant clinical documentation in the record, how the physician's clinical judgement and medical decision-making as well as complexity of coming up with diagnoses and associated plan of care is best captured through reporting of accurate and complete diagnoses reflective of the physician's work performed from both a cognitive and physical perspective (time and effort). To this end, the physician will hopefully understand the "what is in it for me" concept and practically speaking the number of queries that need to be generated for clinical clarification should trend down over time.

I see the role of the CDIS more in line with educating physicians on best practices of clinical documentation, carried out through a multitude of different mechanisms, complemented by queries.

Just some food for thought and consideration.

Thanks