Documentation

Showing 91 of 1958

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 8 months ago in Documentation / HIM 0 In Development

6 VOTE

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 6 months ago in Documentation / Quality 4

2 VOTE

user should be able to un-retract their own documentation if retracted in error

user accidentally clicked and retracted her hourly rounding note from 713am to 11am. 4 hours of documentation was retracted. Once retracted, it cannot be un-retracted. She had to go back and re-document all that she had previously documented.

Cheryl Hinman about 2 months ago in Documentation 0

9 VOTE

Adding fax number to referrals

When creating a referral there is no field for us to enter a fax number. So we are currently entering this in the comments or some are putting it in the second line of the address. This doesn't provide for consistency within the facility.

Guest 9 months ago in Documentation 1

33 VOTE

The ability to have profile based documentation

We need the ability to document things on the profile level. An example would be a telephone encounter. You should be able to document the phone call on the patient without having to create an account.

Guest over 2 years ago in Documentation 2 Open for Comment

31 VOTE

Clinic discharge documents for patients

Create an easy discharge summary for providers to give to patients in the clinic as they leave. This paperwork should include current vitals and care plan for diagnosis.

Guest over 2 years ago in Documentation / TruBridge EHR - Clinical 1 Open for Comment

17 VOTE

CHARGE NURSE DASHBOARD (ALL PATIENT VITALS/I&0/WEIGHT COMPARISON)

Provide dashboard to display all patients within home department where the charge nurse/staff can view all patients or "my patients" most recent vital signs/intake/output/height/weight comparisons for all patients in one place without having to en...

Guest over 1 year ago in Documentation 0 Product Owner Review

11 VOTE

REFERRAL/TRANSITION OF CARE NEEDS APPOINTMENT TIME ADDED

When entering outbound referrals for patients being discharged, a field needs to be available for entering the appointment time. With the current design of the screen, the only time field is for the Entered Date/Time of the referral. There's a fie...

Mark Boomhower 12 months ago in Documentation 0 Open for Comment

13 VOTE

OB suite

This would benefit all physicians and nursing staff who interact and chart with pregnant patients. A calculator that is able to give estimated due date based on last menstrual period, that can then be adjusted to final due date based on ultrasound...

Jennifer Conley about 1 year ago in Documentation 0 Product Owner Review

15 VOTE

Can we have the eCQM measures like fall risk and comfort measures be a nursing order much like VTE and be able to chart on it through order chon instead of having to go to another area for nursing to chart? It would satisfy the measure when charted on like VTE now does.

No description provided

Kareen Adams over 1 year ago in Documentation / Order Management / Quality 1 Product Owner Review

Please enter your email address

FILTER BY CATEGORY