Abstract
Timely, accessible, and comprehensive charting of medical care is a complex issue that has clinical, legal, regulatory, and financial implications. Documentation, along with the rise in other administrative tasks, is a factor contributing to physician burnout. We posit that difficulties with charting are multifactorial and can stem from physician, patient, and environmental factors. Physician leaders have a responsibility to enforce charting standards and deadlines and are best positioned to lead charting-related solutions. To assist physician leaders, we propose a charting performance model as a tool to assess charting difficulties within their organizations.
Published Version
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