An Interdisciplinary Approach to Clinical Documentation across the Care Continuum

Abstract

The North Shore Long Island Jewish Health System (NSLIJHS) leveraged implementation of its system wide electronic health record (EHR) with a commitment to advance interprofessional collaboration and practice. An enterprise-wide team engaged leaders and clinicians from nine hos pitals in the path of implementation, with a focus on developing a patient-centered documentation framework that creates and builds the patient's story through the continuum of their health care encounter, and across future encounters...