Capturing Chief Complaint Emergency Room

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Emergency Department Registration Process

    https://www.healthcatalyst.com/success_stories/emergency-department-registration-process-mission-health
    Aug 16, 2017 · Executive Director, Emergency Services PATIENT REGISTRATION IS A CRITICAL STEP IN THE ED WORKFLOW In 2012, the ED visit rate in the U.S. was 42 visits per 100 people. 1 ED patient registration is an essential step in the ED workflow—a requirement for initiating EHR documentation with impacts on patient safety.

A Comprehensive Set of Coded Chief Complaints for the ...

    https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1553-2712.2001.tb01098.x
    The chief complaint is one of the earliest data elements to be collected during a patient’s encoun-ter in the ED. In our computerized ED medical chart the chief complaint represents a mandatory data element. Emergency department patients may not have a chief complaint for the current en-counter if they are follow-up patients or patientsCited by: 66

Tip: Start with emergency room documentation to help ...

    http://www.hcpro.com/HIM-281813-5707/Tip-Start-with-emergency-room-documentation-to-help-reduce-claims-denials.html
    Jul 05, 2012 · Tip: Start with emergency room documentation to help reduce claims denials CDI Strategies, July 5, 2012. ... A chief complaint that reflects the patient’s true chief complaint. This does not mean a definitive diagnosis like stroke, pneumonia, or sepsis (have you ever heard of a patient who comes in and says they have sepsis?). ...

Emergency Care: CDI in the ED Part I - ICD10monitor

    https://www.icd10monitor.com/emergency-care-cdi-in-the-ed-part-i
    It has never been customary practice to document all the conditions which are relevant to the patient; it is more common to home in with tunnel vision on the chief complaint. But there is one characteristic of EM which makes it ideal for CDI endeavors. The nature of emergency medicine is to handle whatever comes in and to do whatever it takes.

Supporting Patient Care in the Emergency Department with a ...

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274795/
    Apr 24, 2007 · Supporting Patient Care in the Emergency Department with a Computerized Whiteboard System. Dominik Aronsky, MD, ... Chief Complaint . ... Additional log files include information about all clinicians who cared for a patient and a room trace capturing all …

Syndromic Surveillance Success Story - (KS) Kansas Uses a ...

    https://www.cdc.gov/nssp/documents/success-stories/NSSP-Success-Story-KS-Agriculture-Workers.pdf
    emergency room complaints. As an alternative to capturing chief complaint, he identified agriculture injuries by using ICD-10 CM codes: W30 (contact with agricultural machinery), Y92.7 (farm as place of occurrence), V84 (occupant of special vehicle mainly used in agriculture), Y93.K9 (activity, other involving

An Integrated Computerized Triage System in the Emergency ...

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656061/
    Emergency department (ED) triage is a fast-paced process that prioritizes the allocation of limited health care resources to patients in greatest need. This paper describes the experiences with an integrated, computerized triage application. The system ...Cited by: 18

Making Recording and Analysis of Chief Complaint a ...

    https://onlinelibrary.wiley.com/doi/full/10.1111/acem.12262
    The chief complaint is a patient's self‐reported primary reason for presenting for medical care. The clinical utility and analytical importance of recording chief complaints have been widely accepted in highly developed emergency care systems, but this practice is far from universal in global emergency care, especially in limited‐resource areas.Cited by: 18

ER “capture” of the skid-row alcoholic - ScienceDirect

    https://www.sciencedirect.com/science/article/pii/016383438590026X
    ER "Capture" of the Skid-Row Alcoholic F. M. Baker, M.D. Assistant Professor, Department of Psychiatry, Yale University, New Haven, Connecticut Abstract: In response to the spiraling anger and frustration voiced by the emergency room (ER) medical staff and the observed negative interactions between the alcohol-dependent patient and the ER staff, the author completed a 6-month …Cited by: 3

MIPS Measures Relevant to Emergency Medicine MDinteractive

    https://mdinteractive.com/MIPS_Emergency_Medicine
    Apr 05, 2018 · Percentage of pregnant female patients aged 14 to 50 who present to the emergency department (ED) with a chief complaint of abdominal pain or vaginal bleeding who receive a trans-abdominal or trans-vaginal ultrasound to determine pregnancy locationPhone: (800) 634-4731

EMRDoc

    https://www.epowerdoc.com/media/cms/EMRDoc_Brochure_277D0A3967B22.pdf
    Because EPOWERdoc’s EMRDoc™ has a unique computerized template documentation design, each input prompt is a data element that is easily captured. Unlimited reporting is just a click away. EMRDoc™ generates aggregate data to provide a true dashboard of activity for the Emergency Department.

Medical Records: The Basis for All Coding

    http://downloads.lww.com/wolterskluwer_vitalstream_com/sample-content/9781605473185_Falen/samples/Chapter_3.pdf
    Step 2:Review History and Physical,Emergency Department Report,and/or Consultant’s Report The H&P Report (see Medical Report 3.2) is usually dictated by the attending physician and then transcribed (typed) by medical transcriptionists. The his-tory is an important form that uncovers the chief complaint …

Optimizing Emergency Department Front-End Operations

    https://www.acep.org/globalassets/uploads/uploaded-files/acep/clinical-and-practice-management/resources/crowding/optimizingfrontendaem.pdf
    and placement in a patient care room, thereby bypassing triage. ... registration capturing the basic patient demographic information (eg, patient name, date of birth, social security number, and chief complaint) needed to generate an ED chart. The purpose of this process is to allow rapid intake of the patient into the ED system, thus giving ...

PSI FNP Practice Flashcards Quizlet

    https://quizlet.com/224609490/psi-fnp-practice-flash-cards/
    Start studying PSI FNP Practice. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Search. Browse. ... A 50 year old male presents with a chief complaint of malaise. Further questioning reveals that his primary concern is delayed ejaculation. ... (The person is spinning and the room is not). Vertigo is the ...

Emergency Department FirstNet Business Rules

    http://www.tthdigital.com.au/wp-content/uploads/Emergency-Department-Firstnet-Business-Rules-V1.1.pdf
    Emergency Department - Firstnet Business Rules V1.1 i Document history The version history table is useful while the document is in draft. Once the document has been approved, delete all rows except the row with the latest version number (usually 1.00). If an approved document is later updated, update the version history table.

Field Investigations of Emergency Department Syndromic ...

    https://www.cdc.gov/mmwr/preview/mmwrhtml/su5301a34.htm
    The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has operated a syndromic surveillance system based on emergency department (ED) chief-complaint data since November 2001. By November 2003, 44 of NYC's 67 EDs participated in this system, thereby capturing 80% of all NYC ED patient visits.

Chapter 4 Flashcards Quizlet

    https://quizlet.com/291955679/chapter-4-flash-cards/
    chief complaint sign/symptom. Six documentation components of patient's history. ... Which MU stage focuses on electronically capturing health information into coded format to track conditions, communicate information for care coordination, and report on clinical quality measures and public health info ... Emergency Dept or Emergency Room. EHR ...

HEALTHCARE QUESTIONS - HEALTHCARE QUESTIONS 1 Q1 what …

    https://www.coursehero.com/file/7284200/HEALTHCARE-QUESTIONS/
    View Notes - HEALTHCARE QUESTIONS from FINANCE 312 at Alice Lloyd College. HEALTHCARE QUESTIONS 1 Q1, what is meant by the term chief complaint? The term chief complaint is usually a …

Evaluation and Management Documentation Tips

    https://www.urmc.rochester.edu/medialibraries/urmcmedia/compliance-office/education-tools/compliance/documents/emdocumentationtips4-08.pdf
    Evaluation and Management Documentation Tips URMC – Compliance Office – 4/08 1 . Chief Complaint (CC) DO DON’T . Specify reason for the visit • “Patient presents for follow-up evaluation of ankle sprain.” Fail to specify reason for visit • “Patient presents for follow-up.” Specify who requested a consult and why • “

Meeta Shah MD - Associate Chief Medical Informatics ...

    https://www.linkedin.com/in/meeta-shah-md-9058634
    Experienced Emergency Physician with a demonstrated history of working in the hospital & health care industry. ... The platform includes a broad range of tools for capturing the chief complaint ...Title: EM physician, ACMIO, Educator, …



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