Documentation

Showing 101 of 2195

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 about 3 years ago in Documentation 2 Open for Comment

11 VOTE

ER Log

Change the order of the information to how workflow is actually performed.

Christi Keating about 1 year ago in Documentation / TruBridge EHR - Clinical 3

2 VOTE

Option to require suicide screen in triage

Remove "No" option in suicide screen. California requires universal suicide ideation/self harm screenings for ages 12 and older for every ER visit. While universal screening has mixed results, it's still law for some states. Currently, the options...

Kristin Montgomery 2 months ago in Documentation 0

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 about 3 years ago in Documentation / TruBridge EHR - Clinical 1 Open for Comment

8 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 10 months ago in Documentation / Quality 4

15 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 over 1 year ago in Documentation 1 Open for Comment

10 VOTE

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 about 1 year ago in Documentation / HIM 0 In Development

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 almost 2 years ago in Documentation 0 Product Owner Review

6 VOTE

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 9 months ago in Documentation 0

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 almost 2 years ago in Documentation / Order Management / Quality 1 Product Owner Review

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