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Since these documents are often used and exchanged, the importance of accurate and quality documentation in EHR systems is critical.

These scenarios show how the ability to copy previous entries and paste into a current entry can lead to a record where a provider may, upon signing the documentation, unwittingly attest to the accuracy and comprehensiveness of substantial amounts of duplicated or inapplicable information, as well as the incorporation of misleading or erroneous documentation.Electronic documentation tools offer many features that are designed to increase both the quality and the utility of clinical documentation, enhancing communication between all healthcare providers.These features address traditional well-known requirements for documentation principles while supporting expansive new technologies.AHIMA defines information governance as “the accountability framework and decision rights to achieve EIM.EIM is defined as the infrastructure and processes that ensure information is trustworthy and actionable.” The multitude of federal and state health information exchange initiatives are making information governance and the integrity of EHRs more challenging every day.

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