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News & Noteworthy...
NEW EHR CHART REVIEW TOOL IN LIBRARY 510-A2 AVAILABLE
If your physician reviews NP/PA charts electronically, you must still be able to give the surveyor a list of those charts and the review date with signatures. This would be similar to an attestation. EHR PHYSICIAN CAHRT REVIEW 510-A2 is your saving grace! Use this form to document which charts were reviewed and obtain attesting signatures. Don't forget to add closed charts as part of your review process.RHC: NEW LIBRARY ITEM: 380-B Approved Medical Abbreviations
We have created a library item which meets the new QuadA Standard 1-B-7 which requires an approved list of abbreviations used in the medical records. Library Item 380-B can be used as an addendum to Policy #380 Medical Records. Complete the checklist and add as a new evidence to Policy 380. Contact your inQdocs consultant if you need assistance.