Hi Dr. Townsend, The guidelines state use Physician/APN/PA documentation only for Examine findings so are you saying they can refer to Nurses examine documentation? Can you please clarify? Thanks Pat
Pat Swash Quality Outcomes Coordinator Bryn Mawr Hospital [email protected] 484-337-3388 FAX-484--337-3729 T Together E Everyone A Achieves M More This communication,including any attachments,may contain privileged,proprietary or otherwise confidential information. If the reader of this communication is not the intended recipient,or you have received this communication in error, please notify sender immediately and promptly delete this e-mail without retaining a copy or saving in any manner. The unauthorized use,dissemination,distribution or reproduction of this e-mail,including attachments,is prohibited and may be unlawful. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Friday, February 03, 2017 2:28 AM To: Tish Poserina Cc: [email protected] Subject: [EXTERNAL] Re: [Sepsis Groups] [**External**] Focused exam 2017 You no longer need to document the individual elements in the record. A provider may simple write that a focused exam was performed or reviewed. Yes, they can review a nurse's exam now. On Feb 2, 2017, at 7:42 AM, Tish Poserina <[email protected]<mailto:[email protected]>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. Can I get a clarification re focused assessment? Most recently, if a physician documents "a sepsis exam" or "perfusion exam" completed, would that prompt the abstractor to say "yes" to the components required for a focused exam? And if so, would that still mean the components must be documented individually in the record? I may be mis-interpreting the latest CMS update. Thank you Tish Poserina RN, MSN-Ed, CCRN-CMC, CNRN Sepsis Coordinator St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne, PA [email protected]<mailto:[email protected]> Contact: 215-710-4347 Spectralink: 215-710-7644 <image001.png><image002.png> Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://urldefense.proofpoint.com/v2/url?u=https-3A__na01.safelinks.protection.outlook.com_-3Furl-3Dhttp-253A-252F-252Flists.sepsisgroups.org-252Flistinfo.cgi-252Fsepsisgroups-2Dsepsisgroups.org-26data-3D02-257C01-257Ctownsesr-2540sutterhealth.org-257C5f3311c29a464ba89ed008d44b82182d-257Caef453eadaa243e0be62818066e9ff63-257C0-257C0-257C636216469504206180-26sdata-3DuocZIzt5OaYldoamWTbQvgkRBQMAM2yJc2kgxUOV7uk-253D-26reserved-3D0&d=DwICAg&c=qqcbk_QeabW4Z7GBhIMNtn_B7aQjktEuWNmUvrzri9o&r=-hEbX7avgdNFCwMzWcM-4w&m=tS_LgxA3hR0TQfoMtzim5w3npeP2n4mjyGYTgkP4Be8&s=ijW-sbIoOGfv272p7BifY_gmgRElMw5Tr-knsLFxViM&e= _______________________________________________ Sepsisgroups mailing list [email protected] https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_listinfo.cgi_sepsisgroups-2Dsepsisgroups.org&d=DwICAg&c=qqcbk_QeabW4Z7GBhIMNtn_B7aQjktEuWNmUvrzri9o&r=-hEbX7avgdNFCwMzWcM-4w&m=tS_LgxA3hR0TQfoMtzim5w3npeP2n4mjyGYTgkP4Be8&s=mn0fcWPG9sl8hltYCP0thH4SD_K_B4phP8lWhZSiKzE&e= _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
