'Progress note' diaporamas de présentation

Coastal Plains Community Center

Coastal Plains Community Center. 2013 PROGRESS NOTE TRAINING. There are various types of clinical services provided by Coastal Plains staff. A progress note is written for each service provided to a customer or their Legally Authorized Representative (LAR).

1.04k views • 88 slides

Anatomy and Physiology of Reminder Dialogs

Anatomy and Physiology of Reminder Dialogs. What is a Dialog?. Look, feel, and act like a note template BUT they are not note templates. List of statements and associated findings that appear in a dialog box in the EHR used to resolve a reminder.

589 views • 50 slides

PROGRESS NOTE (SOAP Notes)

PROGRESS NOTE (SOAP Notes). H.A.Soleimani MD Gastroenterologist. PROGRESS NOTE (SOAP Notes (. The medical student should be the person most intimately aware of the patient's status, it is appropriate that he or she be given the responsibility of writing the note each day.

967 views • 49 slides

CPRS Training

578 views • 48 slides

Documentation

Documentation. Chapters 7, 8, 9. Diagnoses, Functional Outcomes, Goals, & Rx Effectiveness. ASSESSMENT Provides the rationale for the necessity of the physical therapy medical treatment

756 views • 47 slides

The Medical Internship : your first step into the medical career

681 views • 47 slides

Diagnostic and Procedural Coding

Diagnostic and Procedural Coding. Objective. To improve diagnostic and procedural coding for mental health screening, assessment, referral, and intervention. How do you document mental health services?. Who documents mental health services? Where are mental health services documented?

424 views • 40 slides

Documentation in your 3 rd year and beyond

Documentation in your 3 rd year and beyond. Amanda Kocoloski and Whitney Crye. Summer Quarter 2011. Overview. General principles of documentation Types of Notes, the case of Sarah Bell Admit Note Pre-Op Note Procedure Note Operative Report Post-Op Note Progress Note

724 views • 39 slides

Service Documentation Workshop

Service Documentation Workshop. Presented as part of the Test Site Project for the 2004 Real Choice Grant Integrating Long-Term Supports with Affordable Housing. Presented by:.

480 views • 38 slides

Documenting the Recovery Journey in Progress Notes

Documenting the Recovery Journey in Progress Notes. Essential Skills for Providers. Learning Objectives. Identify the reasons for skillful progress notes. Define medical necessity. Demonstrate understanding of the basic rules and principles of writing progress notes.

608 views • 31 slides

Lynn Jacobs Svetlana Yedreshteyn Organizational Development & Learning July 15 th , 2009

A Briefing on Electronic Progress Notes. Lynn Jacobs Svetlana Yedreshteyn Organizational Development & Learning July 15 th , 2009. Electronic Progress Notes. Current method is going away Progress notes, to date, have been inadequate and, at times, dangerous. Inconsistent Documentation.

389 views • 25 slides

SOAP Notes & Other Progress Notes

SOAP Notes & Other Progress Notes. KNR 279 Stumbo & Peterson, 2004 Shank & Coyle, 2002. Progress Notes. Agencies may use different formats for progress notes Type of progress note may reflect various forms of chart organization. Source Oriented/Narrative Format. Narrative progress note

2.05k views • 20 slides

Better Heath for All

VMC Ambulatory - Bridge Training.

322 views • 19 slides

Orders for Withdrawal of Life Support in the ICU

Orders for Withdrawal of Life Support in the ICU. You MUST complete both: Doctors Orders to Withhold or Withdraw Life-Sustaining Treatment Including DNR, which MUST be signed by the attending physician within 24 hours

356 views • 16 slides

205 views • 15 slides

Medical Decision Making

227 views • 13 slides

Teaching from Review of the Progress Note

231 views • 11 slides

Clinical Documentation Improvement

Clinical Documentation Improvement. CDI. Why?. Your documentation reflects the patient in the bed, the necessity of clinical diagnostics, the need for continued length of stay (LOS) and the quality of care provided.

406 views • 11 slides

DOCUMENTATION CHECK LIST FOR 4B

252 views • 5 slides

ProTECT III Clinical Standardization Parameters * Hypertonic saline therapy: Na+ range: 145 mmol/L (minimum) to 160 mmol

Full Treatment Guidelines can be found at www.protectiii.com. Full Treatment Guidelines can be found at www.protectiii.com. ProTECT III Clinical Standardization Parameters * Hypertonic saline therapy: Na+ range: 145 mmol/L (minimum) to 160 mmol/L (maximum)

166 views • 2 slides