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We would be interested as well in the documentation as we are preparing
for a go-live of EDM.

Dee Ramirez
Delnor-Community Hospital
(630) 208-4251

-----Original Message-----
From: Hampton, Angel [mailto:[EMAIL PROTECTED] 
Sent: Thursday, April 13, 2006 6:30 AM
To: Grolla, Cindy
Cc: [EMAIL PROTECTED]; [email protected]
Subject: RE: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime

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Is this done by a team of sorts ? (Especially if current staff no longer
on site to document )
Would you share your downtime policy covering this ?
Thanks,
Angel Hampton RN
 ED Clinical Analyst 
  (386) 226-4509
   Cell 679-3614
   (In ED Classroom)
 Halifax Medical Center
   Daytona Beach, FL 

-----Original Message-----
From: Grolla, Cindy [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, April 12, 2006 9:47 AM
To: Diane Folsom; [EMAIL PROTECTED]; Dana Pfingstler;
Meditech L
Subject: RE: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime

We have made a decision that all "paper" documentation done during a
downtime is entered into the system after  the downtime is over.  In
addition to the statistics and billing, one of the most compelling
reasons for us is that we want our Medical Records department to know
that if they get a request to for a Medical Record they look in the EMR
and print the ED record.   

Cindy Grolla, RN
Clinical Project Leader
Phone: 507.646.1209
Pager: 507.645.1475


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Diane Folsom
Sent: Tuesday, April 11, 2006 1:34 PM
To: [EMAIL PROTECTED]; Dana Pfingstler; Meditech L
Subject: RE: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime


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Good afternoon:
We are having serious discussions about this issue at present, also.
If we are down, that patient follow through is on paper.  The ER nurses
are not required to go back into the system to re-enter in the
information.  This affects several different aspects of the electronic
record.  Some of the issues that has come up has to do with current
statistics, length of stay, etc.  Also, the ED Log that we are required
to keep, have the patients that come thru as registered, but no
documentation, making the ER Log incomplete.  Another issue is that
charges do not get dropped from documentation, having a trickle down
effect for other users (coders, billers, etc.).

I don't have the answers, just the problems that we have seen with the
paper chart not getting entered into the computer.

We are Magic 5.5....

Diane Folsom, RNC
Clinical Information System Specialist
Sid Peterson Memorial Hospital
Kerrville, Texas
830-258-7080

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> -----Original Message-----
> From: [EMAIL PROTECTED]
[SMTP:[EMAIL PROTECTED] On Behalf Of Dana Pfingstler
> Sent: Tuesday, April 11, 2006 7:26 AM
> To:   Meditech L
> Subject:      FW: [MEDITECH-L] RE: EDM - Documentation Policy &
Downtime
> 
> All messages should be posted in plain text.  HTML will be converted
to
> attachments.    The meditech-l web site is MTUsers.com
> ======================================
> 
> Hi Angel, 
> We have been live with EDM for about 4 years. We do staff a few ED
Techs and
> LPN's both of which are able to document patient assessments, but
their
> assessments must be cosigned by an RN. As for downtime, we revert back
to
> our old paper assessment. Any patient started on paper remains on
paper, we
> do not enter information into the system once it is back up. It saves
on
> confusion and time. 
> As far as acuity level, with the assessments being chief complaint
driven,
> the higher the acuity and more critical the patient, the more
documentation
> marked as required.  This serves as a reminder to staff that certain
things
> should be done. 
> 
> Hope this helps and good luck
> 
> Dana Pfingstler, RN
> Nursing Analyst
> Elk Regional Health Center
> St Marys, PA 15857
> 814 788-8682
>
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> 
> -----Original Message-----
> From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
> On Behalf Of Gregersen, Glenn A
> Sent: Monday, April 10, 2006 8:16 AM
> To: CS Hampton, Angel; [email protected]
> Cc: _SISU - Clinical Systems Users Group
> Subject: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime
> 
> All messages should be posted in plain text.  HTML will be converted
to
> attachments.    The meditech-l web site is MTUsers.com
> ======================================
> 
> Please post - this would be great information to have.
> 
> Thank You
>  
> Glenn Gregersen
> Clinical Application Specialist / HIPAA Security> 
>  
> 218-927-5579
>  
> "You miss 100% of the shots you don't take." - Wayne Gretzky 
> -----Original Message-----
> From: Hampton, Angel [mailto:[EMAIL PROTECTED] 
> Sent: Monday, April 10, 2006 6:35 AM
> To: [email protected]
> Cc: _SISU - Clinical Systems Users Group
> Subject: EDM - Documentation Policy & Downtime
> 
> (C/S 5.4)
> We are currently building our clinical documentation for EDM, and are
> looking for examples of a documentation policy that outlines
expectations
> for Live documentation, as well as downtime.
> Do any sites vary documentation expectation by patient acuity level ? 
> Do your ED Techs or other non-licensed staff document in EDM ?
> What do you have in place for downtime policy and forms ?
> Do you enter back in, the documentation collected during downtime on
paper ?
> If so, who does this ?
> 
> Thank you for any assistance, 
> 
> Angel Hampton RN
>  ED Clinical Analyst 
>   (386) 226-4509
>    Cell 679-3614
>    (In ED Classroom)
>  Halifax Medical Center
>    Daytona Beach, FL
>  
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