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Documentation

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Ability to lock Documentation for behavior health and psychology patients

Locking of Documentation. There needs to be a way in CPSI to lock documentation for Behavior Health/Psychology patients. At BMH we have both services and currently using paper for documentation due to they need to be more secure than what CPSI cur...
Jennifer Brockhaus over 2 years ago in Documentation / HIM / Notes 12 Open for Comment

Add RASS scale to the hemodynamic vital sign application

The RASS scale is a requirement for evaluating titratable sedation effectiveness. RASS scale assessment/reassessment is required and recorded every hour. This should be captured within the vital sign application, and an option within the MAR shoul...
Guest 5 months ago in Documentation / Vital Signs 0

New scripts automatically pull into patient education documentation

It would be great if when a new script is placed for a patient at discharge that it automatically pulled to the patient education documentation to lessen having to look into new scripts and sending home education on the medication.
Guest 9 months ago in Documentation 0

Documenting signing off on labs and radiology

Has been on top of list for 5 years! Like other EMR's, we (providers) need to be able to sign off directly on our results with a date/timestamp/comments. This feels like a patient safety and legal issue. Currently, you can hit Acknowledge without ...
amy ellingson 9 months ago in Ancillary / Documentation 3

Physician Orders need own separate listing

Currently, all of the physician orders are included int the Patient Progress Notes which also includes all of the nursing documentation. It would be nice to have a separate title specifically for physician orders only, instead of having to go all ...
Teresa Land 4 months ago in Documentation 0

Add standardized scales for fall, braden, sepsis, dvt, etc

Many EMR's have standard scales built in, so wondering if CPSI could build eforms, flowchart or notes that have all the standard scales and the group could put in votes for priority ones but i think many of them are national and we are all re-doin...
Diana Trechter over 2 years ago in Documentation 5 Product Owner Review

Date on each page of Patient Progress Notes

When patients documentation purges to clinical history - that is the only way we are able to view and keep patient records. When you look at the progress notes each page does not have the date of the documentation. So you have to remember when loo...
Nanci Richardson over 2 years ago in Documentation 2 Future Development

"denies" option for social history categories in health history.

This would be a nice alternative to only being able to put "Never" if a patient states they do not have any substance abuse or smoking.
Guest about 1 year ago in Documentation / Health History 0 Future Development

ER Log

Change the order of the information to how workflow is actually performed.
Christi Keating 8 months ago in Documentation / TruBridge EHR - Clinical 1

ADD patient screenings to Health History Application

Would like to see screenings added to the health history application or somewhere in the inpatient documentation. Screenings to Include- social determinants of health, suicide, depression, etc...
Trish Shelton over 1 year ago in Documentation / Health History 0 Open for Comment