This comes from Family Medicine Smart Brief:

Best practices can aid computer-assisted physician documentation

Computer-assisted physician documentation is an artificial intelligence tool that handles routine queries, potentially alleviating a source of physician burnout and freeing clinical documentation support and coding staff to handle advanced practice strategies and complex case reviews, write Mel Tully and Robert Budman, M.D., of Nuance Communications. Certain best practices, oversight and monitoring activities ensure the CAPD query process is in compliance with applicable laws and coding guidelines

See what you are missing out on? Do you understand any of this? Me either. Any chance this crap will help with physician burnout? LOL.

Well, here’s what it does:

CAPD compliance best practices include the following oversight and monitoring activities and safeguards for the query process:

• Schedule testing and quality review of CAPD clarifications for clinical evidence and validity for each setting;
• Provide complete transparency and audit reports for physician response and agreement rates for CAPD clarifications. These reports should be readily available to the CDI staff, coding professionals, and quality reviewers. The reports should include sources of evidence and physician response;
• Train physician leadership, CDI staff, and coding staff on AI/CAPD design controls and clinical evidence-based documentation strategies;
• Establish a reconciliation process for CAPD and final coding when discrepancies on DRG assignment occur;
• Establish a multidisciplinary steering group for oversight and compliance monitoring of the CAPD implementation, and follow up on any deviations from that standard with corrective action consistent with the hospital’s internal compliance plan and reporting systems;
• Engage with the hospital chief compliance officer as an active voice and participant in CAPD compliance oversight; and
• Align the CDI program with the hospital’s compliance program for auditing, monitoring, and reporting activities, and provide compliance education to the CDI team.

Or, you can do Direct Primary Care, forget about coding, and write a f#cking SOAP Note:

S: Pt is here for ear pain x 3 d

O: Afeb, L TM red and bulging with serous fluid

A/P: OM – Tx with amoxicillin

Which one sounds better?

Choose DPC. You’ll thank me later.