I agree with Mary. The headings are not acceptable to take. I do not see documentation in the body of the ROS that 'it was completed or reviewed' as a provider statement. The Qnet response was to use a statement documented as I understood it. For physical examination, we need to have all 5 elements and I can only see one (VS) QNet ID number: 165825 [cid:[email protected]] Marina Zhukov, RN, BSN Clinical Data Abstractor Quality & Clinical Effectiveness Department
1149 Market Street, Tacoma, WA 98402 | MS 10-04 P. 253.552.5782 | I. 152-5782 [email protected]<mailto:[email protected]> www.CHIfranciscan.org [CHI_FH_1line_Pos_4C_rgb] [facebook] <https://www.facebook.com/FranciscanHealth> [twitter1] <https://twitter.com/fhshealth> [cid:[email protected]] <https://www.instagram.com/franciscanhealth/> Privileged and Confidential Quality Assurance Related Communication Protected by RCW 70.41.200 and 70.41.230 The information contained in this communication is confidential and private and intended only for the use of the addressee. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received this communication in error, please inform me of the erroneous delivery by return email. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Emily C. McKinney Sent: Tuesday, July 31, 2018 10:11 AM To: Belfi, Karen; Mary Draper; [email protected] Subject: Re: [Sepsis Groups] [External] Question about focused exam CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe. ________________________________ I agree. We sent a FAQ and were told that "reassessment complete" was adequate. Emily From: Sepsisgroups [mailto:[email protected]] On Behalf Of Belfi, Karen Sent: Friday, July 20, 2018 7:27 AM To: Mary Draper; [email protected] Subject: Re: [Sepsis Groups] [External] Question about focused exam It doesn't have to have anything about perfusion. Just a physical exam or review of systems being performed. Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center (484)476-8092 From: Mary Draper [mailto:[email protected]] Sent: Thursday, July 19, 2018 4:51 PM To: Belfi, Karen; [email protected] Subject: RE: [External] [Sepsis Groups] Question about focused exam This message originated from outside MLHS systems. Any attachments or links should be carefully considered before proceeding. Please contact the Help Desk at 484-596-4357 with any questions or forward a questionable email to [email protected]<mailto:[email protected]> ________________________________ I don't think so. There isn't anything specific about perfusion. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT JMH Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale From: Sepsisgroups [mailto:[email protected]] On Behalf Of Belfi, Karen Sent: Wednesday, July 18, 2018 10:45 AM To: [email protected]<mailto:[email protected]> Subject: [External] [Sepsis Groups] Question about focused exam ________________________________ Caution: This email originated outside JMH. Do not open attachments or click on links if you do not recognize the sender. ________________________________ This is for a Jan-June 2018 DC. Could I use either of these for the focused exam question? I know that we can't use it if it's in a header, but would these be considered headers? [cid:[email protected]] Or: [cid:[email protected]] For both, there's a heading that says Review of Systems and Physical Examination. Would you consider the documentation below to also be a header? Thanks. Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center (484)476-8092 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. This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.
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