We need to have the option to change the % of charts that are co-signed by a supervising physician for midlevels according to stay time/service code and/or per supervising physician instead of an all or nothing scenario as it is now. The midlevels have other things to do besides worrying about what gets routed where and shouldn't have to manually pick whether or not to route an order/note somewhere and a supervising physician shouldn't have to sign off on every single thing.

Right now the only options to route orders and/or notes to supervising physicians is either to have the supervising physician sign all the orders/notes that are done by the midlevels that need a co-signature, exempt co-signature on a specific note type, or have midlevels choose which notes/orders get routed to a supervising physician. I think that we should be able to assign a % of notes/orders that are assigned to a supervising physician via stay type/service code and/or per supervising physician. Each facility probably has a different percentage of required reviews for different stay types/service codes and maybe even for each supervising physician, and we should be able to determine that with a percentage in the system that automatically distributes the notes/orders according to that percentage. Then there should also be a report for those co-signatured items that shows the stay type, service code, supervising physician, and midlevel associated with the episode so that it is easily tracked in the system.