Dream Factory by TruBridge Ideas Portal
Notes in the Clinic need the abilities for multiple contributors with each person contributing to be able to sign their portion of the documentation without it altering the Provider as the author of the document as a whole. For example in the documents used by nursing in EDIS each nurse that contributes to the document automatically has their name, credentials, date and time tied to the documentation that they entered. Additionally no one is able to alter anything entered by another user, each user can only amend their own documentation.
1
Product Owner Review
This would be a Great Idea for a Cumulative Discharge Summary. Our Hospitalist would like to be about to start a running Discharge Summary on the day of Admission to be able to capture the most beneficial recap of the patients stay. At our facility a different hospitalist treats the patient each day. At admission, the chief complaint and a brief history of present illness could be documented. Then, each day the hospitalist could add a sentence or two on the patients condition, consultations requested and diagnosis treated and/or suspected..... along with their daily Progress Note and the final hospitalist would have a more accurate discharge summary on the day of discharge. A Cumulative Discharge Summary would be more accurate. Notes currently has the ability to do this by placing Addendums but the problem is it would auto distribute the addended report after each Provider authenticated (signed) their entry.
If this NOTE was being shared with a patient (for example, Discharge Instructions), I would suggest that the staff credentials (name) NOT print.
Our social workers need this ability too. Each contributes to a patient treatment plan but we need their name, credentials, date and time added as they document. Also agree with the functionality being used for EDIS staff.
i would also like this on hospital side as moving Dietary and PT and on their discharge note they would like to have all PT/OT AND ST be able to document on same note so options to add this security for clinic or hospital would be fantastic.