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Documentation

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SAFER - Warning when accessing a deceased patient record

The SAFER patient identification best practices recommend that when someone tries to create a new visit or document on a deceased patient's record they are presented a warning that this patient is deceased, do you want to continue? This is a very ...
Susan Gutjahr 9 months ago in Documentation / Registration 2 Product Owner Review

STEADI Fall Screen for Wellness Document

The Wellness Template in Evident CPSI that is used for Medicare Annual Wellness Visits has two fall screens in the ‘Screenings’ section; Morse Fall Screen (MFS) and STEADI from the Centers for Disease Control and Prevention. CMS does not have a pr...
Erin Schaible about 2 months ago in Documentation / Quality 4

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 5 months ago in Documentation 0

Add Pain Scale to Medication Assessment options

When nurses are documenting a medication assessment in response to a dose given, it would be beneficial to have option to enter "Pain Scale ___/10" under that dropdown to simply fill in the blank, rather than having to use the OTHER option to type...
Cindi Gartman over 1 year ago in Documentation / Medication Management 9 Open for Comment

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 5 months ago in Ancillary / Documentation 2

Add additional spaces to Pay Roll Employee Info page POC Name & Title Other Reports field or pull licensure to HR Demographic Full Name.

Currently POC Progress Notes Medication Administration section pulls employee name from the HR Demographic full name or from the Payroll Employment Information page Point of Care Name & Title fields. The full name from the Demographic page doe...
Ella Robertson about 1 month ago in Documentation 0

ER Log

Change the order of the information to how workflow is actually performed.
Christi Keating 4 months ago in Documentation / TruBridge EHR - Clinical 0

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 11 Open for Comment

Allowing transcriptions to flow into MyCareCorner

We have one main provider who continues to dictate documentation, not utilizing Notes. Currently, these documents as not flowing over to MCC because they are transcriptions. Patients are calling and asking for documents.
Trish Shelton 5 months ago in Documentation / HIM 0

Duplicate diagnoses notifications

Duplicate diagnoses notifications need to indicate the existing diagnosis in order to be able to choose that for charting/billing.
Elisa Vinyard 2 months ago in Documentation 0