Best Clinical Documentation Software

Clinical documentation software supplements and adds context to any patient information charted and reported during standard care visits. Clinical documentation software upholds the integrity of electronic health records and other forms of patient records. Effective clinical documentation software facilitates efficient clinical pathways and adherence to institutional workflow standards. This leads to improved health outcomes, a reduction in wasted time, and improved overall patient care. Clinical documentation solutions can be leveraged by physicians, medical administrative staff, and even health care insurance providers.

To qualify for inclusion in the Clinical Documentation category, a product must:

  • Integrate with and supplement EHRs
  • Automate the creation and generation of medical documents, forms, and necessary templates
  • Support clinical data exchange
  • Adhere to HIPAA compliance regulations
  • Result in a move toward a paperless office or practice
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    Phreesia provides a suite of robust applications to effectively manage the patient intake process. With customizable, scalable and cost-effective solutions, Phreesia engages patients in their care with a modern, consistent experience, while enabling healthcare organizations of all sizes to expand staff capacity and enhance clinical care.

    Aprima EHR offers a uniquely powerful solution designed to complement and simplify your workflow. Our innovative technology adapts automatically to a physician’s needs and sets the benchmark for ease-of-use, speed and flexibility.

    Emergency department information system that are simple to use and preferred by hospitals nationwide.

    EHR software providing practice management, PACS, patient portal, and transcription solutions for high-performance physicians.

    A complete, cloud-based EHR, practice management, and billing system designed specifically by and for behavioral health professionals.

    MyWinmed EHR is an integrated practice management solution that can be installed on-premise or accessed through the cloud. Its suited for mid to large practices in a variety of specialties, including Family Medicine, Pediatrics

    Chiropractic EHR hosted in the cloud, patient engagement portal, easy to customize, speech recognition, excellent and timely support.

    Functionality includes collaborative charting, automatic code capture, patient portal, and billing integration.

    Documentation, reporting and workflow management solution for neonatal clinics.

    Meaningful Use Certified EHR with e-prescribing, CPOE module, built-in specialty specific templates, and procedure documentation.

    Hint Health is a membership management, billing, patient communication and engagement platform for healthcare providers.

    A report-generating tool with build-in EHR system for ambulatory surgery centers, hospitals and private offices.

    MedgenEHR is easy to learn and use. It's full set of features and intuitive user interface make it a very powerful tool.

    Entrada is a cloud-based mobile platform for caregivers designed to streamline clinical documentation and collaboration.

    Our HealthyOUTCOMES suite of solutions empower physicians with the tools they need to enhance patient engagement, and create better outcomes for populations.

    Scribe Capture is a cloud-based technology that centralizes and streamlines aspects of patient documentation through one system by methods of digital dictation, speech recognition engine and dashboards, custom reporting and more.

    A hospital management system and integrated information system designed to manage the administrative, financial and clinical aspects of a hospital.

    EMR solution designed for solo practice or small group with e-prescriptions, document scan, lab connectivity, etc.

    Winscribe Text is an integrated, end-to-end medical report and documentation management solution for healthcare organizations that handles all steps in the documentation process , from creation to distribution, and every step in between.

    3M ChartFact is a software helps hospitals and clinics quickly review and track paper-based, electronic and hybrid medical records, regulatory standards and medical staff bylaws.

    3M ChartScan is a software turns paper-based workflows into electronic workflows by scanning at either the point of service or retroactively during other processes and eliminates the time and cost of chart assembly, transportation, and storage.

    Full-featured, scalable, web-based EMR with electronic appointment book, patient-access portal, and charge capture functionality.

    Better Day is a clinical operating system software platform that streamlines EHR data capture and data entry, significantly compressing the amount of time it takes physicians to document, code and complete the documentation and billing processes for their patients. As such, Better Day eliminates the need for scribes, transcriptionists, and burdensome administrative costs.

    HealthCollaborate is a software tool for automating health care coordination, health care transition, and patient engagement.

    Clinical charting software for fast, accurate and affordable clinical record keeping with customizable prescribing.

    ChartWise Medical Systems provides tools to healthcare that maximize efficiency, cost containment and income generation.

    CLINNEXT covers Database management software for medical clinicians and administrators to electronically manage and process patient health data.

    DOCISS EMR system Helps doctors manage their clinics in a smart and efficient way covering appointments scheduling, patient medical records, electronic consultations and prescriptions, Billing and reporting.

    DocManager is a robust, enterprise-wide software solution that automates the document management process from scanning, indexing, storing and sending mission-critical information to generating reports needed to perform system audits and workload analytics.

    Manage documentation of the entire patient visit, view cases at a glance, write prescriptions and bill your patients all in one system.

    Write your Pediatric OT and PT evaluation reports in a fraction of the time Double Time Docs is an online software that helps you write your functional and narrative Pediatric Occupational Therapy and Physical Therapy evaluation reports very quickly. You simply answer multiple choice, fill-in and short answer questions and your fully-written report is generated automatically.

    DSS complies with VA Office of Information & Technology (OI&T) standards, such as Enterprise Technical Architecture (ETA), Technical Reference Model (TRM), and Veteran-focus Integrated Process (VIP).

    DSS TeleCare Record Manager (TRM) Plus is a HIPAA-compliant, URAC-certified telephone liaison care management solution that provides easy and efficient access to telephone treatment protocols.

    Modular medical office document management solution with electronic forms, e-prescriptions, and document searching functionality.

    Electronic medical record (EMR) software that provides better case documentation and maintains patients' charts and clinical notes.

    Certified EMR solution that manages practice management workflow, prescription writing, note creation, faxing, order entry, and more.

    Enablemyhealth is a cloud-based platform that provides a suite of services including nationwide provider directory, patient appointment requests, referral management, an ONC ARRA certified electronic health record (EHR), practice management solution (PMS), appointment reminder service, secure messaging, patient portal, collaboration portal, Internet Fax, credit card processing, rules-driven care notifications, labs, eprescribe, and task management.

    In today's fast paced, busy and overburdened Emergency Departments, tools that support the physician's need to be more productive in the preparation of patient charts are essential. Forerun's FlexChart online EMR application includes many innovative tools that seek to: - Reduce the burden of charting - Improve the collection and presentation of clinically useful information - Help meet billing, medical-legal, and quality requirements.

    An EHR solution with patient medical progress tracking, operating cost capture, and a single database for clinical and financial data.

    Getinge ia a Hospital Planning Platform for better managing and planning even large-scale hospital project.

    Our EHR seamlessly tracks Meaningful Use measures allowing users to effortlessly apply for Medicare or Medicaid incentive programs.

    Enables a nurse in a hospital or a homecare environment to use iPad/iPhone or Android phone/tablet to capture the vitals using blutooth enabled medical devices.

    A centralized repository for storing and retrieving all clinical information, allowing you to capture any document such as patient charts, physician notes, EOBs, and deposit tickets, while simultaneously indexing the records automatically and making them available for immediate retrieval throughout the medical billing workflow process without the expense of high-priced storage.

    iMarsMed is a paperless electronic health records (EHR).

    Intelligent Medical Objects (IMO) develops, manages, and licenses medical vocabularies and software applications for health care organizations.

    Lexacom for healthcare is an advanced digital dictation and document creation system designed with the medical user in mind. With an easy to use work flow management, Lexacom helps you and your team work together, smarter, and is the ideal solution for organisations looking to replace traditional tape-based dictations or evolve current working practices.

    MD Docs is a web-based on-line HL7 documentation software system of the complete interface environment, aimed at managing the myriad of specifications and details associated with an integration infrastructure.

    HIPAA compliant loud based EHR designed to accelerate the exchange of up-to-date medical records throughout the medical community.

    MDSynergy EMR is certified to meet both security and government mandates with a patient's portal, ePrescription, coding, connectivity, document management, and more.

    Medfusion is a patient engagement platform designed to help enhance the relationship between patients and providers.

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