Part 2: Defining the problem

Barriers and solutions to proper documentation 

1- Not knowing how to document .

-In-service  programming updates from Health Information Management Services are critical. (HIMS)  and through forums like this one.

2-  Clinic location names can be long , non intuitive and cumbersome to enter .

-A shortcut or macro  can aid and speed up entry of clinic location

3- Picking appropriate or designated note title  example:

  PC CBOC PROVIDER TELEPHONE CLINIC NOTE

-A shortcut or macro  can take care of the repetitive and cumbersome parts of entering the appropriate  note title.

4-Need to have the proper elements of a telephone note. 

-A  HIMS – approved CPRS template can be attached to the chosen note title.

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