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
Compare Clinical Documentation Software
Results: 22
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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.

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

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

    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.

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

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

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

    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.

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

    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.

    Web based EHR for ambulatory environments. Features include dashboards, e-prescriptions, and patient portals.

    MedSmart is a Cloud EMR that helps hospitals to run more efficiently and provide better care to patients. MedSmart offers workflow optimization;seamless interfaces with accounting; patient access to medical records through web portal.

    EMR and practice management software that includes patient portal, lab results management, e-prescribing, and referral management.

    The journey to clinical documentation excellence takes many paths—all leading toward one goal. Nuance CDE solutions offer industry-leading workflow management and analytics for CDI teams to drive quality care through better documentation because every patient counts.

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

    Cost-effective turnkey EMR workflow solution that fuses with any office. Features include patient portal and strict user permissions.

    Web-based clinical solutions for disease management, patient records keeping, nursing care planning, and lab results management.

    Remedi PM is a collaborative workflow-based practice management software with scheduling and patient management.It drives front-desk productivity with portal-based user interface and document management.

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

    tab32 is the only All-In-One Cloud-based (browser) dental software for your dental practice. It provides comprehensive patient communication and online booking system including real-time two way texting, Practice Management System, XRay Studio on Cloud, e-Claims and e-Attachments at one low cost - no surprises. No downloads, updates, backups or maintenance required; and get started immediately with expert onboarding trainer and support whenever needed.

    A mobile experience can have an enormous, positive impact on efficiency, quality of care, and patient safety. VH Chart provides clinicians with the ability to access real-time aggregated patient data, from their smartphone or tablet. Clinicians with appropriate rights can add notes and orders (i.e. mobile CPOE) wherever they are with their mobile device.