Overview
With the advent of modern EMR/EHR systems, note cloning, copy & paste, and note bloat have become serious issues in most hospital systems. This issue identifies negative behaviors that lead to reduced quality of patient care and increased compliance risk. EMR/EHR systems do not provide an adequate solution to this problem. At Agility Medical Technologies, we have developed CloneAware, an easy to implement, easy to manage note cloning detection solution that helps hospital systems manage the health of their medical records. Used in combination with system-wide policies & procedures, education and training, CloneAware can be an effective tool in mitigating risk to patient care and compliance.
CloneAware quickly enables you to identify the notes in your EMR system that do not accurately reflect the active medical care of patients. This can reduce the quality of care and may even be considered fraudulent by governmental regulators. Once integrated with your organization’s EMR, CloneAware’s rapid and efficient data analysis tools can quickly identify where problems exist. Compliance officers, physician leaders, quality and risk management personnel, CMOs, and administrative staff can easily obtain actionable information that highlights potential risk areas where corrective action needs to be taken.
What does it do?
CloneAware provides a proactive approach to the note cloning problem. Most EMR systems today have at-risk notes. CloneAware is your insurance policy to identify and cure those at-risk notes, improving the quality of your organization’s healthcare in the process.
Improve Patient Care
The core purpose of CloneAware is to improve patient care. Patient care suffers when clinical documentation does not accurately reflect patient conditions and ongoing care. Most healthcare organizations are left powerless to combat this systemic problem. CloneAware allows physician leaders and quality department staff to get ahead of these issues by using software to pinpoint potentially at-risk notes (cloned notes) and addressing the behavior causing it early in the process. This leads to higher fidelity medical documentation and therefore improved patient care.
Risk Mitigation
In addition to patient care, legal and compliance risks due to cloned notes are major blind spots in most healthcare organizations. Hospitals are witnessing untoward outcomes due to lack of accurate contemporaneous documentation with the associated staff confusion. This can place organizations at risk for malpractice and other potentially avoidable legal claims. CloneAware puts meaningful information in the hands of healthcare compliance and legal teams so that problem areas can be addressed internally before external allegations of fraud or non-compliance are surfaced.
How does it work?
CloneAware integrates with the clinical documentation data contained inside your EMR system. CloneAware’s powerful algorithms then determine which notes are most likely to be at-risk and then present those at-risk notes in a way that allows you to focus your attention on the most severe cases first. This provides the ability to immediately begin addressing risky clinical behaviors and realize value right away.
Want to hear more?
Contact us today.