| The process of clinical documentation | | | | The laws and the rules of the clinical governance |
| improvement program is at par with the clinical | | | | also sees and maintains the standards of the |
| governance as it is a system for improving and | | | | health care professionals and regulates the |
| maintaining the quality and kind of health care | | | | courses and the various educational standards, |
| service provided keeping the priorities of the | | | | research in the medical fields, developments and |
| patient topmost. The system insists to keeping | | | | also monitoring the various new developments in |
| the care giving as the topmost priority and under | | | | this field. Clinical documentation improvement |
| all condition provides unique care to the patient | | | | program has seen tremendous new heights in the |
| concerned. The main function of this is to monitor | | | | recent years as these changes and high standards |
| the standards of high quality of care giving, | | | | were introduced. With a lot more people taking up |
| transparency in data maintenance and record | | | | the profession, the standards set by the clinical |
| keeping. The clinical governance thus helps to | | | | governance is not only high, but also to see if the |
| improve the all-round health care and give a | | | | standards are maintained. |
| positive experience to the patient. The clinical | | | | Clinical governance also sees to it that that the |
| documentation improvement program should | | | | clinical audit and risk management are done |
| comply with rules and regulations for this. | | | | according to the standards laid down. In some |
| In the UK, the National Health Services or the | | | | cases, the clinical governance is also called the |
| NHS as it is properly known has set the highest | | | | corporate governance and it maintains the |
| possible standards of clinical governance and | | | | standards of care giving and general clinical |
| quality assurance and the top-most priority is care | | | | documentation improvement program |
| giving. It also involves maintaining the safety | | | | maintenance. The main purpose of regulating and |
| standards and thus aims to provide high tech | | | | introducing such high standards of care giving is to |
| home care. The rules and the regulations set by | | | | benefit the public and provide ultimate satisfaction |
| the governance also vouch to reduce clinical risks | | | | to them. With newer trends coming in the |
| and encourage accurate data collection. However, | | | | industry like the Electronic Health Record and the |
| the two important words on which the clinical | | | | Electronic Medical Record, it has become utmost |
| governance revolves are care and safety. Also, | | | | important to maintain the standard and at the |
| while maintaining the clinical documentation there | | | | same time regulate them so that there is |
| are certain rules that are to be followed. | | | | uniformity in the data maintenance. |