The role of electronic merges in an integrated delivery system

The electronic-only merge method poses a serious challenge to HIM management for ensuring that all clinical documentation for patient care is provided in a timely manner. The organization must be aware of all of the issues affecting the departments so that informed decisions can be made before, during, and after the project. This approach can be successful with comprehensive planning, meticulous procedures for record retrieval and chart folder updating, and extensive staff training. The proactive, traditional merge approach remains the community standard. However, the reactive, electronic-only merge approach has found a niche and can be a viable, cost-effective option when faced with time and budgetary constraints. However, a combination of these approaches may provide the best solution, depending upon an organization's resources, time requirements, and strategic goals.