No Longer Beholden – Moving On from Elaborate Chart Notes

Author:  Jeffrey H. Millstein, MD (1)

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Abstract

Despite recent changes in Medicare billing documentation guidelines, physician chart notes remain far lengthier and more detailed than is required. This is worrisome, as documentation burden is a major contributor to physician burnout. Elements of medical culture which have contributed to the elaborate chart note standard may be used to transform notes, reduce charting burden and improve physician well-being.

Affiliation:

1. University of Pennsylvania