The Abstractor
Volume 4, Issue 3 -- August 9, 2016
Bi-Weekly Focus: Documentation Templates
I am willing to go over the templates you use to document patient events such as the templates you use for the H&P, Discharge Summary, Progress Notes, Procedures, etc. I can look at what you use, and make suggestions to add specific data elements that often are missed in an effort to collect more detailed data.
For example: When coiling an Aneurysm, does your template have the packing density on it? How about when you are documenting an AVM, does your template have information regarding eloquence? Do you have a spot on your template for the ASPECT score for a patient with an IPH?
Let me spice up your templates!
Just send me a copy of it and I will make suggestions.
Specific Procedure Templates
You can even provide me with your templates for specific procedures, for example: a template on performing a Carotid Endarterectomy or Fistula surgery.
I am here to help you. I would love the opportunity to make suggestions to add specific data elements in your templates.
Jamie Thomas
Performance Improvement Registry Specialist
Neurological Surgery Registrar
Quality Outcomes Coordinator
UT Southwestern Medical Center
Email: jamie.thomas@utsouthwestern.edu
Location: 5161 Harry Hines Boulevard, Dallas, TX, United States
Phone: 214-648-2861