Mastering Health Record Documentation: A Comprehensive Guide

Accurate and timely health record documentation is crucial in modern healthcare. The second edition of Documentation for Health Records by Cheryl Gregg Fahrenholz is a valuable resource that delves into the importance of health record documentation across various healthcare settings.

New Edition, Expanded Topics

This updated edition covers a range of essential topics, including:

• Data analytics and information governance
• Electronic health records and health IT
• Clinical documentation improvement

These new chapters provide healthcare professionals with a comprehensive understanding of the latest developments in health record documentation.

Key Features and Benefits

This textbook offers a range of benefits, including:

• Outlining basic healthcare documentation principles
• Providing sample record documentation and legal health record guidelines
• Updates to federal and state requirements and accreditation guidelines
• Incorporating documentation for acute-care as the practice model
• Covering documentation in ambulatory, home health, hospice, and long-term care settings

By mastering health record documentation, healthcare professionals can improve patient care, reduce errors, and enhance overall healthcare outcomes.

Publisher: AHIMA; Edition: 2nd edition (November 1, 2017); Language: English; ISBN-10: 158426554X; ISBN-13: 978-1584265542