We are currently printing a paper record at discharge in our health
information management department. One printout includes a multiple
report format from PCS for all PCS documentation and notes. A second
printout of the medication administration report is also printed for the
permanent record. This represents a large volume of paper, as well as a
cumbersome process for the HIM departments.
What are other hospitals doing for the discharge chart? Do you print
your documentation for the "permanent record", or do you leave all
electronic documentation electronic? If you don't print, what do you do
about physicians who want to see a paper record in HIM? Would you
please describe your process, and who is responsible for the printing?
Thanks,
Kathy Hazlett, R.N.
Manager - Clinical Applications
Information Systems
Methodist Health System
[EMAIL PROTECTED]
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