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Carla Fuller, CPC War Memorial Hospital Applications Specialist 500 Osborn Blvd Sault Ste. Marie, MI 49783 (906) 635-4663 [EMAIL PROTECTED] -----Original Message----- From: Katie H. Wood Sent: Thursday, April 13, 2006 9:14 AM To: Carla Fuller Subject: RE: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime Hi Carla, Please post our answers to the L. Thanks Do any sites vary documentation expectation by patient acuity level? No, we don't vary our documentation by acuity level, it's strictly by chief complaint. Do your ED Techs or other non-licensed staff document in EDM ? We do not have ED Techs per se, we have only licensed personnel other than the clerks. What do you have in place for downtime policy and forms ? We have a paper form, actually it is a copy of the form we had prior to EDM assessments. It is a generic ER record and we write on it during downtime. We reenter the information when the downtime is completed if the time is below 4 hrs. If the time is over that we leave the medical record as is. We have paper order forms, triage forms, etc., in a downtime folder. We just look at all of our processes and make sure we have a paper ability in case of downtime. (The 4 hour time frame is a hospital wide Nursing Policy, a decision made by our administration.) Do you enter back in, the documentation collected during downtime on paper? If so, who does this? See Above. We have an extra clerk come on close to the end of downtime and they reenter the information, documenting why they are doing the documentation. The downtime information is sent to Medical Records. Katie Wood Applications Specialist War Memorial Hospital 500 Osborn Blvd Sault Ste. Marie, MI 49783 (906) 635-4663 [EMAIL PROTECTED] -----Original Message----- From: Carla Fuller Sent: Wednesday, April 12, 2006 9:51 AM To: Sandy G. Deplonty; Sandy E. Routhier; Katie H. Wood; Linda K. Crimin Subject: FW: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime Carla Fuller, CPC War Memorial Hospital Applications Specialist 500 Osborn Blvd Sault Ste. Marie, MI 49783 (906) 635-4663 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Folsom Sent: Tuesday, April 11, 2006 2:34 PM To: [EMAIL PROTECTED]; Dana Pfingstler; Meditech L Subject: RE: [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 ====================================== 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 Confidentiality Notice: This e-mail message, including any attachments, may contain confidential information. The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail information is prohibited. If you have received this e-mail in error, please contact the sender by reply e-mail and destroy all copies of the original message. > -----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 > ---------------------------------------------------------------------- > ------ > -------- > The information contained in this e-mail is private and confidential > and is intended only for the person or entity to whom it is addressed. > If you are not the intended recipient, please note that any review, > dissemination, distribution, or copying of this e-mail is strictly > prohibited. If you have received this communication in error, please > notify the sender of the error and thereafter delete this e-mail. > > > > -----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 > > DISCLAIMER: The information in this message is confidential and may be > legally privileged. Access to this message by anyone other than the > intended recipient is unauthorized. If you are not the intended > recipient, any disclosure, copying, or distribution of the message, or > any action taken or omission of action by you in reliance upon it, is > prohibited and may be unlawful. Please immediately notify the sender > by reply e-mail and permanently delete all copies of the message if > you have received this message in error. > > Please Note: E-mail transmitted over the internet is not secure and > may be accessed by unauthorized individuals. 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