Cultivating Interdisciplinary Documentation
Integration of Ancillary/ Support Service Documentation

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So, how were all disciplines brought on board to accomplish our vision of a collaborative interdisciplinary record?

Care Plans: Problems

Guidelines developed and strictly followed

Interventions

Ancillary Department Implementation

Case Study: Redesign of a Dept.

Realized Benefits of Redesign

Pulmonary Services Department
Efficiency Development

What We Had (1997)

Previous Assignment Policy
72%

MAXIMIZE MEDITECH

New work units/Assignments
88%

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RT: Series Orders

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Process Orders: Charging for Treatment

Process Orders: Edit Tech

Daily Incomplete Procedures Report

RT: Time Utilization Report
Detailed Report by User Mnemonic

RT: Initial Evaluation
Generation of  3.RT Problems

RT: Ongoing Therapy Documentation

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PCI Query Group
RT Flowsheet

Quality Service Indicators

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Dietician On-Going Documentation

Diet: Monitor
PCI Query Group

SWTMH/MCH/MMH
Nutrition Performance Measures October 2000- March 2001

SWTMH/MCH/MMH
High  Risk patients seen within 72 hours

SWTMH/MMH
OB Nutrition Performance Measures Dec 2000-Mar 20001

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Additional Sources of Data

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PT Outpatient Initial Evaluation

On Line Documentation for ROM

On Line Documentation for ROM

PT Outpatient Initial Evaluation
Establishment of Short Term/Long Term Goals

3.PT(OP) Problem: Need for PT (OP) Intervention

PT Outpatient Plan of Care

Plan of Care
Short Term/Long Term Goals/Plan

PT Outpatient Progress Note
On-going Goal Evaluation

No wonder they call it MAGIC

Outpatient Progress Notes
SOAP Notes

PT Outpatient Reassessment

PT Outpatient Discharge Summary

Short Term/Long Term Goals
The Final Evaluation

Some Disciplines WILL have Problems

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OVERALL BENEFITS

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