PPT-Effective Documentation

Sara Hardner Leon Powell amp Leon LLP Austin Texas Overview Documentation of personnel concerns Employment Law Overview Documentation Best Practices Why Document Personnel Concerns Provide the employee with fair feedback on hisher performance. Cheryl Bernknopf R.N., BScN. Assistant Director Centauri Summer Camp. Co- Chair OCA Healthcare Committee. Board Member of the ACN. PURPOSE. To provide the multidisciplinary team with a structured note format for documenting. Telana . Fairchild. Nurse Practitioner Students. UMass - Worcester, . Graduate School of Nursing. N/NG . 603B. 1. Narrative. Focused. Flow-sheet. By exception. Problem . oriented. Types of Documentation. ethical, legal and clinical issues. Margaret . BROWN. Research . Fellow, Hawke Research Institute, University of South . Australia. Ravi RUBERU. Geriatric . Registrar, Royal Adelaide . Dr. Andrew Wallace PhD . BEng. (hons) . EurIng. andrew@cs.umu.se. Overview. Documentation. Javadoc. More documentation. Documentation. Document your program. For others. For yourself. Programs change over time. Laura Triplett, Director, HIM. Roseann Kilby, Clinical Informatics Analyst. Becky Crane, Clinical Risk Manager. 367 Bed Community Health System in Quincy, Illinois . 2,000 Employees. 240+ Physicians. California Department of Aging. Documentation Rule #1. Documentation. Utilizing the Participant Form Checklist. Official Document or . Business Record. Confirmation of . Signature and Date. Make sure that forms are . Case . Examples & . Highlights. When Documentation Gets in The Way of the Defense. Presented By: . Joanne . Gulliford Hoban. Morrison . Mahoney, LLP. Case #1 – Emergency Department . Example of documentation in ED by both MD & RN. Jan Malone 8. th. floor Nurse Educator. Importance of Documentation. Helps us track our patient’s progress. Conveys information between disciplines and shifts. Can determine therapy. Is part of the permanent record. Documentation Log. Assignments Note Taking. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. http://www.fmtusd.org/Page/8774. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. ICD-. 10. . State. a. cuity. type . Acute . Chronic. Acute. on chronic . Classification. of respiratory failure . Hypoxemic. Hypercapneic. Both. . 3/1/14cditipsheet. Most important documentation requirement . Hospitalist . Presentation . 10/18/10. What is CDI?. BRIDGING THE GAP . Between what CMS (Center for Medicare & Medicaid Services) recognizes (technical terminology of the ICD-9 system) and the clinical language physicians use to describe the patient’s condition. Update CSS Guide for PeopleSoft Fluid User Interface May 2015 Oracle PeopleSoft PeopleTools 854 Product Documentation Update PeopleSoft Fluid User Interface Copyright 2015 Oracle and/or its aff AHEAD Equity and Excellence in . Higher Education Conference. Boston, MA. July 13, . 2019. 6/19/2019. Loring Brinckerhoff, Ph. D. . Director, Office of Disability Policy. ETS. lbrinckerhoff@ets.org. . Nutrition Assessment. May 11, 2021 . Speaker: Luz Hago. Indicators – Medical Documentation. 2017/2018. 2020/2021. MD completed correctly . 61. 62.3. Prescription UpToDate . 93.5. 100. Reason for Issuance.