Clinical documentation
Electronic health record systems standardize clinical documentation so health IT tools can automate data entry and facilitate information exchange across healthcare systems. See how these technologies improve the accuracy, completeness and timeliness of clinical documentation.
Top Stories
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News
14 Sep 2026
Oracle Health expands Clinical AI Agent to nurses
Oracle Health's Clinical AI Agent for nurses will enable voice commands for chart documentation, AI patient summaries and voice-enabled charting. Continue Reading
By- Sara Heath, Executive Editor
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Feature
08 Sep 2026
After success with physicians, Mount Sinai Medical Center expands ambient AI to nurses
The Florida health system's nursing pilot offers an early look at ambient AI's potential to enhance documentation and patient communication at the bedside. Continue Reading
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News
13 Jul 2020
VA Seeks Feedback on Robotic Process Automation for Paper Records
The government agency is requesting information from vendors who can streamline and digitize paper records using a robotic process automation tool to integrate into its EHR system. Continue Reading
By- Christopher Jason
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News
27 May 2020
Epic Systems Takes the Leap to Remote, Virtual EHR Implementation
Following Cerner, add Epic Systems to the list of vendors that successfully launched a virtual EHR implementation. Continue Reading
By- Christopher Jason
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News
06 Apr 2020
Epic Systems Community Connect Users Completely Unsatisfied
Epic’s Community Connect platform garnered poor reviews by its customers in a recent KLAS survey. Continue Reading
By- Christopher Jason
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News
16 Mar 2020
How Professional Services Ensure Successful EHR Adoption
Professional services to support EHR adoption abound, but few are truly suited to the task. Continue Reading
By- Nuance
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Definition
04 Feb 2020
Project Nightingale
Project Nightingale is a controversial partnership between Google and Ascension, the second largest health system in the United States. The partnership, which began in 2018, has provided Google with access to the medical records of over 50 million people. Continue Reading
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News
14 Jan 2020
Allscripts, Northwell Health Extend Management Services Deal
Northwell Health and Allscripts’ 15-year working relationship will now extend to 2026. Continue Reading
By- Christopher Jason
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News
20 Dec 2019
Decade-Defining Moments in Healthcare Innovation, Reform
The 2010s have proved to be an important decade for healthcare innovation and reforms. Here are the top trends that defined the time. Continue Reading
By- Editorial Staff
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News
21 Oct 2019
How Cloud EHR Reduces Operating Costs, Increases Computing Power
Cloud EHR technology has the potential to reduce operational costs while increasing computational potential. Continue Reading
By- Deloitte
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News
23 Apr 2018
Why the Healthcare Cloud Holds the Key to Future Innovation
With the healthcare cloud, providers have the storage and computing resources necessary for enabling innovations in care delivery at scale for years to come. Continue Reading
By- Insight
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News
20 Apr 2018
Epic, Cerner Win Most EHR Contracts Among Community Hospitals
Epic won 72 EHR contracts with community hospitals in the last 12 months, while Cerner scored 65, according to KLAS research. Continue Reading
By- Kate Monica
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News
09 Apr 2018
Building a Basic Understanding of the Healthcare Cloud
When considering the healthcare cloud, organizations must address several technical and regulatory requirements required for both compliance and performance. Continue Reading
By- Insight
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News
16 Nov 2017
Shulkin Requests $728M in Funds for VA Cerner EHR Implementation
VA Secretary Shulkin asked a House appropriations subcommittee to redirect $782 million in funds toward the VA Cerner EHR implementation. Continue Reading
By- Kate Monica
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Feature
13 Nov 2017
3 Keys to a Successful Value-Based Care Implementation
Success in value-based care hinges on support for providers, long-term quality improvement, and alignment of resources and goals. Continue Reading
By- Kyle Murphy, PhD, Vice President of Editorial
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News
17 Aug 2017
MIT Implements Cerner EHR, Population Health Management
The Cerner implementation at MIT Medical will support care delivery improvements for over 20,000 patients. Continue Reading
By- Kate Monica
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Video
25 Jul 2016
Epic's EHR: Challenges and lessons learned at Mass General
MGH CIO talks about the hospital's recent move to Epic's EHR. The hospital has encountered EHR challenges including moving off homegrown systems and a staggered implementation. Continue Reading
By- Kristen Lee, News Writer
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News
02 May 2012
EHR Success story: a large California facility’s experience with EHR
With EHR, the record is available when and where I need it. Paper charts used to get lost; thats not a problem anymore. Continue Reading
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Definition
17 Feb 2011
ambulatory medical record (AMR)
An ambulatory medical record (AMR) is an electronically stored file of a patient’s outpatient medical records, which includes all surgeries and care that do not involve being admitted to a hospital. Continue Reading