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Documentation

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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 almost 2 years ago in Documentation / Medication Management 9 Open for Comment

Patient Education saves when printed

It would be beneficial that if a patient education document is printed to have it automatically saved in the chart. Currently there are additional steps that have to be taken to save the document to the chart and also to print.
Wendy Stuhr 5 months ago in Documentation 4 Open for Comment

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 12 Open for Comment

ADD patient screenings to Health History Application

Would like to see screenings added to the health history application or somewhere in the inpatient documentation. Screenings to Include- social determinants of health, suicide, depression, etc...
Trish Shelton over 1 year ago in Documentation / Health History 0 Open for Comment

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

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

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

Converting Discharge instructions to another language

system menu-->POC Access-->choose patient-->discharge tab-->discharge instruction report-->no option to change language This is an obvious immediate need in our diverse country.
Guest 10 months ago in Documentation 4 Open for Comment

Print Progress Notes for a single day without stricken information

Since the removal of the end of shift button in the system we are no longer able to print patient progress notes for a single day without showing amended information. When we have to send out documentation to other providers it is highly confusing...
Matthew Derry over 1 year ago in Documentation 0 Open for Comment

PRAPARE (SDOH)

Utilizing the information from Health history to pull to a PRAPARE (SDOH) Tool similar to what this one. Also, adding a self documentation on this to the patient connect & this would pull into the PRAPARE (SDOH) Tool.
Angela Plummer over 1 year ago in Documentation / Patient Connect 0 Open for Comment