Pediatric Documentation Templates
|
|
|
- Calvin Bruce
- 8 years ago
- Views:
Transcription
1 Pediatric Documentation Templates Weight & Nutritional Counseling Template Executive Summary The Partners Pediatric Weight & Nutritional Counseling Template was designed to aid clinicians in documenting delivery of exercise/nutritional counseling, and to improve adherence to recommendations for assessing risks and behaviors that contribute to childhood overweight status. This web site includes views of each page of the template, as well as a sample clinical note. On the Partners HealthCare System, this template exists within the notes section of the electronic medical record (EMR). In its current form, it is meant to be used by clinicians during a patient visit to review weight and obesity risk factors. The template does not provide the option of documenting other problems in detail. Note that only relevant sections of the template need to be accessed for a given counseling session. For example, if a physical examination is not performed during the visit, there is no need to access this section; it will not be included in the resulting note. Source This template was developed under a grant from the Agency for Healthcare Research and Quality (AHRQ), Improving Pediatric Safety and Quality with Healthcare IT, in collaboration with the Partners HealthCare System Quality Improvement Group, the Massachusetts General Hospital for Children, and Partners HealthCare System Inc. Information Systems. Listed below are the names of clinicians and experts who contributed to development of the template. In addition, the LMR Pediatric Content Subcommittee and the main LMR Content Committee reviewed the template, and approved it for use with the Partners Longitudinal Medical Record (LMR). Contributors Timothy Ferris, MD, MPH; Stephen Morgan, MD; Eric Poon, MD, MPH; James Perrin, MD; Alison Hoppin, MD; Shelly Bernstein, MD; Peter Greenspan, MD; John Co, MD, MPH; Mark Mandell, MD.
2 Template
3 Example Completed Clinical Note Vital Signs BLOOD PRESSURE 127/79 TEMPERATURE 97.6F HEIGHT WEIGHT AGE 66 in HEIGHT (%) 82 WEIGHT FOR HEIGHT (%) 177 lb 13y 6.4m 99 BMI 28.6 BMI (%) 98 CC/HPI History of Present Illness Overweight for several years Obesity Risk Factor Assessment Juice/Soda Fast Food/Prepared Food Reduce from 3 sodas per day to 1 soda per day Bring lunch to school Vegetables/Fruits Problem; Counseled Diet Variety
4 Meal/Snack timing Portion Size TV Use Active Play Not a problem Reduce TV watching from 4 hours per day to 2 hours per day Problem; Counseled Biological Mother Overweight Biological Father Physical Exam General Appearance Head Eyes Ears Nose Throat Cardiovascular Lungs Abdomen Extremity Neurological Skin WDWN, NAD Normocephalic, atraumatic PERRL, red reflex present, EOM normal NL canals, TMs clear and mobile NL shape, no discharge No lesions, no erythema, no exudate RRR, no murmur Clear to auscultation, no rales or wheezes Soft, non-tender, no masses. Liver/spleen not enlarged. NL bowel sounds. No deformity with full range of motion Age appropriate reflexes present. DTRs NL. No focal deficits No cyanosis, rash abnl pigmented lesions Obesity Intervention Handouts provided: Referrals made to: Tests ordered: Schedule follow up visit: No Weight Center Please get appt for next month Lipid panel 6 Months Duration of Counseling: 15 minutes Disclaimer These tools were created using national, state, and local guidelines, and group consensus regarding best practices. These guidelines, and their interpretation by clinicians at Partners Healthcare System, may not represent the standard of care across all regions or settings, and are not intended to be adopted or applied without
5 independent assessment of their suitability for a particular setting. Moreover, guidelines change over time (for example, the age range for children who should receive influenza vaccinations was recently extended to 59 months). The rules and/or reminders contained within these templates may need the addition or modification of certain items to ensure that they remain consistent with current guidelines. Therefore, the tools included here are intended only as examples or guides for the development of similar templates in other settings. Partners Healthcare System and its affiliates disclaim any and all responsibility or liability associated with the use of the templates displayed here by third parties.
OVERALL PERFORMANCE. Pediatrics In-Training History and Physical Examination (HPE) Assessment
OVERALL PERFORMANCE Pediatrics In-Training History and Physical Examination (HPE) Assessment Name: University: This resident completed the standardized assessment of history -taking, physical examination
EHR Demo Scenarios - Pediatrics. Female child 18 months old, here with mother for well child exam, including immunizations.
1. Well child scenario with complication Female child 18 months old, here with mother for well child exam, including immunizations. The patient s mother tells the front desk that there is a court order
Questions About Your Child
Bright Futures Previsit Questionnaire For us to provide you and your child with the best possible health care, we would like to know how things are going. Please answer all of the questions. Thank you.
E/M Learning Tips INTRODUCTION TO EVALUATION. Introduction to Evaluation and Management (E/M) Coding for the Child and Adolescent Psychiatrist
INTRODUCTION TO EVALUATION AND MANAGEMENT (E/M) CODING FOR THE CHILD AND ADOLESCENT PSYCHIATRIST Benjamin Shain, MD, PhD David Berland, MD Sherry Barron-Seabrook, MD Copyright 2012 by the American Academy
Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012
Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 In 2002, SETMA began a relationship with Joslin Diabetes
Billing and Coding Conference
Billing and Coding Conference February 26 th 2013 Agenda 1. Hospital Medicine Coding Pattern 2. Tips to maximize individual billing 3. Billing audit 4..SPLITSHAREDNPPVISIT 5. Basic Coding Guidelines focus
APPLICATION FOR THE RN to BSN PROGRAM NAME: ADDRESS:
APPLICATION FOR THE RN to BSN PROGRAM PLEASE PRINT CLEARLY NAME: ADDRESS: Please check Campus you wish to attend: Rutgers Camden: Atlantic Cape Community College: Camden County College at Blackwood: Home
CQMs. Clinical Quality Measures 101
CQMs Clinical Quality Measures 101 BASICS AND GOALS In the past 10 years, clinical quality measures (CQMs) have become an integral component in the Centers for Medicare & Medicaid Services (CMS) drive
38 Assisting with a General Physical Examination
Learning Outcomes 38-2 38.1 Identify the purpose of a general physical. CHAPTER 38 Assisting with a General Physical Examination 38.2 Describe the role of the medical assistant in a general physical. 38.3
Medicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c.
Medicare & SUBMITTING PROGRESS NOTES OR EMR You may use your own progress notes or Electronic Medical Record (EMR) to document the annual comprehensive examination. The EMR must include the elements indicated
E/M LEVEL WORKSHEET. Category. Subcategory (if applicable) (new/established, etc.)
E/M LEVEL WORKSHEET STEP 1 : IDENTIFY THE CATEGORY AND SUBCATEGORY OF SERVICE Carefully read the documentation. Using the Table of Contents, identify the appropriate category/subcategory. Category Subcategory
Primary Care Quality Care Indicators - Accuro EMR Prevention
Quality Indicators Primary Care Quality Care Indicators - Accuro EMR Prevention Data needs to be entered as indicated in order to auto populate the worksheet Date of colon cancer screening Exemption from
COURSE # LOCATION TIME DAYS DATES State Board MWR TWR TWR TWR. 10/10/16-10/31/16 Clinical 12/2016 NC31
Joliet Junior College Certified Nurse Assistant (6.0 credit hours) 2016 FALL Schedule SELECT ONE OF THE SECTIONS BELOW. TO REGISTER BY PHONE, CALL 815-744-2200. STUDENTS MUST ATTEND THE FIRST DAY OF CLASS
The Need for an Integrative Approach to Pediatric Obesity
The Need for an Integrative Approach to Pediatric Obesity David S. Ludwig, MD, PhD Associate Director, Clinical & Translational Studies Unit Director, Optimal Weight for Life (OWL) Program Children s Hospital
STUDENT HEALTH SERVICES - REGULATIONS 5420-R
STUDENT HEALTH SERVICES - REGULATIONS 5420-R A. Immunization Children must receive immunizations for diphtheria, polio, measles, mumps, rubella, hepatitis B, Haemophilus Influenzae Type b (Hib), pertussis,
Coding and Documentation in Practice
Coding and Documentation in Practice Great Exam Documentation By: Kathy Mills Chang Kathy Mills Chang is a Certified Medical Compliance Expert, Reimbursement Consultant, Medicare Specialist, and a Documentation
Leveraging Existing (Electronic) Systems for Dissemination & Implementation Research
Leveraging Existing (Electronic) Systems for Dissemination & Implementation Research Elsie M. Taveras, M.D., M.P.H Division Chief, General Academic Pediatrics; Director of Pediatric Population Health Management,
Health Assessment Section 1: (to be completed by Provider)
Health Assessment Section 1: (to be completed by Provider) The HealthSmart Assessment provides a comprehensive evaluation of a member s health and wellness, relevant lifestyle issues, psychosocial and
REGISTRATION FORM PATIENT NAME: ADDRESS (STREET, CITY, STATE, ZIP): HOME PHONE: WORK PHONE: CELL PHONE: DATE OF BIRTH: / / AGE: SEX:
REGISTRATION FORM PATIENT NAME: ADDRESS (STREET, CITY, STATE, ZIP): HOME PHONE: WORK PHONE: CELL PHONE: E-MAIL ADDRESS: OCCUPATION: DATE OF BIRTH: / / AGE: SEX: SOCIAL SECURITY NUMBER: MARITAL STATUS:
Evaluation & Management Place of Service
Evaluation & Management Place of Service Hoda Henein, CHBME, CP President & CEO, Active Management A Practice Management Consulting and Billing Company Fellow, Speaker, Billing & Coding Advisor American
Prevention Status Report 2013
The Prevention Status Reports (PSRs) highlight for all 50 states and the District of Columbia the status of public health policies and practices designed to prevent or reduce important health problems.
We hope this list of smart phrases helps make creating your Epic note templates a bit easier.
We hope this list of smart phrases helps make creating your Epic note templates a bit easier. Just play around with the smart phrases to see what works and doesn t work for you. You are also welcome to
Sandra K. Houser, APRN, MSN
Sandra K. Houser, APRN, MSN Every child deserves a medical home American Academy of Pediatrics American Academy of Family Physicians American Osteopathic Association National Association of Nurse Practitioners
Communicating Effectively with Healthcare Providers
Communicating Effectively with Healthcare Providers Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (APS HCQU) August 2011 cap Disclaimer Information or education provided by the
WHO STEPwise approach to chronic disease risk factor surveillance (STEPS)
WHO STEPwise approach to chronic disease risk factor surveillance (STEPS) Promotion of Fruits and Vegetables for Health African Regional Workshop for Anglophone Countries Mount Meru Hotel, Arusha, Tanzania
that will be helpful to you in your interaction with our office. Please read this prior to your visit.
.) We look forward to your visit with us. We would like to provide you with infonnation that will be helpful to you in your interaction with our office. Please read this prior to your visit. OFFICE HOURS:
How To Participate In A Varsity Sport At A College Football Program
Athletic Training MEMO: Athletic Participation TO: DATE: FROM: All Varsity Student-Athletes and Parents For the 2007-2008 Academic Year Michael DeSavage, Head Athletic Trainer NEW Athletes & TRANSFERS
JACK KARDYS. DIRECTOR Miami-Dade County Parks, Recreation and Open Spaces
JACK KARDYS DIRECTOR Miami-Dade County Parks, Recreation and Open Spaces AFTERSCHOOL PROGRAM BACKGROUND One of the greatest healthcare challenges is childhood obesity Statistics are staggering Overweight
Health Care Information for Families of Children with Down Syndrome
American Academy of Pediatrics Introduction Down syndrome is a common condition caused by having extra copies of genes on the 21st chromosome. Those extra genes change development during pregnancy, and
LEHMAN COLLEGE DEPARTMENT OF NURSING ANNUAL HEALTH CLEARANCE REQUIREMENTS
ANNUAL HEALTH CLEARANCE REQUIREMENTS Each student in the Department of Nursing must have current health clearance prior to each clinical nursing course (NUR 301, 303, 304, 400, 405, 409). Health clearance
PATIENT INFORMATION FILL OUT ALL ITEMS
PATIENT INFORMATION FILL OUT ALL ITEMS FAILURE TO COMPLETELY FILL OUT THIS FORM MAY RESULT IN YOU BEING BILLED IN FULL Patient Last Name: First: MI:. Address:. Date of Birth: Gender: M or F Marital Status:
As a primary care professional, you are in an ideal position to offer
Talking With Patients About Weight Loss: Tips for Primary Care Professionals WIN Weight-control Information Network As a primary care professional, you are in an ideal position to offer weight-loss guidance
The Human Factor of Clinical Decision Support. Implementing Behavior Change as we Implement the Tools
The Human Factor of Clinical Decision Support Implementing Behavior Change as we Implement the Tools What is CDS (Clinical Decision Support) "Clinical decision support (CDS) provides clinicians, staff,
Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs)
Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs) Senate Bill 832 directed the Oregon Health Authority (OHA) to develop standards for achieving integration of behavioral health
Life Insurance Application Form
Life Insurance Application Form INSTRUCTION To be completed by all applicants PERSONAL DETAILS Surname First name Middle name Sex Female Male Marital status (please tick) Single Married Other Current residential
Respiratory Syncytial Virus (RSV)
Respiratory Syncytial Virus (RSV) What is? is a common virus that infects the linings of the airways - the nose, throat, windpipe, bronchi and bronchioles (the air passages of the lungs). RSV is found
Is Insulin Effecting Your Weight Loss and Your Health?
Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults
Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89
Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard
Family Medicine Philanthropic Consortium Grant Awards SAMPLE APPLICATION: PUBLIC HEALTH
To download the FMPC Grant Awards Application go to www.aafpfoundation.org/fmpc, then click on FMPC Grant Awards Program. ANSWERS FROM A TOP-SCORING 2013 FMPC APPLICATION Answers are taken directly from
Initial Preventive Physical Examination
Initial Preventive Physical Examination Overview The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 expanded Medicare's coverage of preventive services. Central to the Centers
Clinical Care Program
Clinical Care Program Therapy for the Cardiac Patient What s CHF? Not a kind of heart disease o Heart disease is called cardiomyopathy o Heart failure occurs when the heart can t pump enough blood to meet
NURSING STUDENT HEALTH & IMMUNIZATION RECORDS
NURSING STUDENT HEALTH & IMMUNIZATION RECORDS *********************************** COMPLETE THE ATTACHED HEALTH PACKET AND SUBMIT TO THE NURSING DEPARTMENT NO LATER THAN THE ASN ORIENTATION. **************************************
Dear Potential Transfer Student,
Dear Potential Transfer Student, Thank you for your interest in Faulkner State Community College s Nursing Program. The forms and checklist to be completed in order to be considered for transfer are enclosed.
New Medicare Preventive
New Medicare Preventive Services Screening Tests You Can Perform in the Office Charles B. Root, PhD Medicare is finally getting serious about preventive services. Until now, the limited preventive testing
Adult Weight Management Training Summary
Adult Weight Management Training Summary The Commission on Dietetic Registration, the credentialing agency for the Academy of Nutrition and Dietetics Marilyn Holmes, MS, RDN, LDN About This Presentation
1584 Wesleyan Drive FORM A Norfolk, VA 23504 Phone: (757) 455-3108 Health History immunization & Physical Form
Mail completed form to: Marlin Health Services 1584 Wesleyan Drive FORM A Norfolk, VA 23504 Phone: (757) 455-3108 Health History immunization & Physical Form Virginia State law (code 23-7.5) requires all
DATA BASE SAMPLE: PHYSICAL EXAMINATION WITH ALL NORMAL FINDINGS
DATA BASE SAMPLE: PHYSICAL EXAMINATION WITH ALL NORMAL FINDINGS GENERAL APPEARANCE: (include general mental status) 45 y/o female who is awake and alert and who appears healthy and looks her stated age
Weight Loss before Hernia Repair Surgery
Weight Loss before Hernia Repair Surgery What is an abdominal wall hernia? The abdomen (commonly called the belly) holds many of your internal organs. In the front, the abdomen is protected by a tough
Burden of Obesity, Diabetes and Heart Disease in New Hampshire, 2013 Update
Burden of Obesity, Diabetes and Heart Disease in New Hampshire, 2013 Update Background Overweight and obesity have greatly increased among all age groups and regardless of income and education. Contributing
FIREFIGHTER I ACADEMY APPLICATION & CHECKLIST
Department of Public Safety - Technology 11400 Greenstone Avenue Santa Fe Springs California 90670 Tracy Rickman, Academy Coordinator (562) 941-4082 Class FIREFIGHTER I ACADEMY APPLICATION & CHECKLIST
PASSPORT TO WOMEN S HEALTH
PASSPORT TO WOMEN S HEALTH Introduction W omen are extraordinary. Daughters, sisters, mothers, aunts, cousins, friends, wives. Saint John s Health Center recognizes the importance of women and that women
An Overview and Guide to Healthy Living with Type 2 Diabetes
MEETING YOUR GOALS An Overview and Guide to Healthy Living with Type 2 Diabetes MEETING YOUR GOALS This brochure was designed to help you understand the health goals to live a healthy lifestyle with type
Medway Public Schools School Nurse Health Services. Web Site Information
Medway Public Schools School Nurse Health Services Web Site Information Welcome to the School Nurse Health Services web site information. We are pleased to be able to provide you with a quick reference
Gilbert Varela, M.D., Inc 5232 E. Beverly Boulevard Los Angeles, California 90022 Phone: (323) 724-6911 Fax: (323) 724-6915
Gilbert Varela, M.D., Inc 5232 E. Beverly Boulevard Los Angeles, California 90022 Phone: (323) 724-6911 Fax: (323) 724-6915 September 10, 2007 Law offices of xxxxxxxxx Santa Monica, CA 90405 REGARDING:
Bariatric Surgery Guide
One Bariatric Surgery Guide Get back to enjoying the everyday moments. Obesity is one of the nation s leading health issues. More than half of Americans are overweight and roughly 12 million Americans
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage
Administrative Code. Title 23: Medicaid Part 223
Title 23: Medicaid Administrative Code Title 23: Medicaid Part 223 Table of Contents Table of Contents Title 23: Medicaid... 1 Table of Contents... 1 Title 23: Division of Medicaid... 1 Part 223: Early
FOR DOT PHYSICAL. Romeo Papica 2405 W. Missouri Midland, Texas PH# 432.688.7700 Fax# 432.388.7737 FOR DOT DRUG TEST
FOR DOT PHYSICAL Romeo Papica 2405 W. Missouri Midland, Texas PH# 432.688.7700 Fax# 432.388.7737 FOR DOT DRUG TEST Drug Screen Compliance 711 W. Indiana Midland, Texas 432.570.6160 Medical Examination
Routine Preventive Services. Covered by Medicare 2012
Routine Preventive Services Covered by Medicare 2012 Brook Golshan, CPC, ACS-EM 2/20/2012 1 Preventive Services Covered by Medicare 2012 Covered by Medicare Part B: Original/Direct Medicare Most of the
Does Your EMR Lead You to the Right Code? Amy Dunatov, MPH, FACMPE, CCS-P, ICDCT-CM April 29, 2015
Does Your EMR Lead You to the Right Code? Amy Dunatov, MPH, FACMPE, CCS-P, ICDCT-CM April 29, 2015 Disclosure Information National Urgent Care Convention April 2015 Amy C. Dunatov, MPH, FACMPE, CCS-P,
Clinical Decision Support: The Basics
Clinical Decision Support: The Basics REACH - Achieving - Achieving meaningful meaningful use of your use EHR of your EHR Paul Kleeberg, MD, FAAFP, FHIMSS CMIO Stratis Health Minnesota e-health Advisory
Medical reference Medical guideline Patient factors Provider factors Environment/system factors. Conduct medical encounter
Used At: Author: Ken Funk, Mylie Tong, James Bau Date: 6/23/2011 Time: 21:35:03 Medical guideline Patient factors factors Environment/system factors New/returning patient Patient medical records Existing
PREVENTIVE CARE SERVICES Detailed descriptions
PREVENTIVE CARE SERVICES Detailed descriptions How often and what kind of preventive care services you need depends upon your age, gender, health and family history. Not all items on this list are covered
COURSE # LOCATION TIME DAYS DATES *State Exam INSTRUCTOR TWR TWR TWR TWR
Joliet Junior College Certified Nurse Assistant (7.5 credit hours) 2015 SUMMER SCHEDULE SELECT ONE OF THE SECTIONS BELOW. TO REGISTER BY PHONE, CALL 815-744-2200. STUDENTS MUST COMPLETE A MANDATORY ORIENTATION
PedsCases Podcast Scripts. Developed by Amarjot Padda, Chris Novak, Dr. Melanie Lewis and Dr. Bryan Dicken for
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on the Pediatric Surgery. These podcasts are designed to give medical students an overview of key topics in pediatrics.
ELSO RECOMMENDATIONS FOR FOLLOW-UP FOR ECMO PATIENTS. I. Overview 1. II. Pre-discharge Evaluation 4. III. 4-6 Month Evaluation 5
ELSO RECOMMENDATIONS FOR FOLLOW-UP FOR ECMO PATIENTS TABLE OF CONTENTS I. Overview 1 II. Pre-discharge Evaluation 4 III. 4-6 Month Evaluation 5 IV. 1 Year Evaluation 5 V. 2 Year Evaluation 5 VI. 3 Year
Management of Morbid Obesity project
PhD/ HRB Centre for Health & Diet Research (CHDR) Opportunity The UCD School of Public Health and Populations Science is seeking to recruit a number of PhD candidates associated with the HRB Centre for
The PHN 212 Challenge How EMR Can Increase Productivity and Quality: One Degree at a Time.
The PHN 212 Challenge How EMR Can Increase Productivity and Quality: One Degree at a Time. Sam Detwiler, DO Associate Medical Director, PHN What is the philosophy? 212: The Extra Degree Getting the most
INSURANCE INFORMATION FINANCIAL AGREEMENT PRIVACY POLICY (HIPAA) LIFETIME INSURANCE AUTHORIZATION
PATIENT INFORMATION: DATE: NAME (LAST, FIRST, MI) ADDRESS CITY, STATE, ZIP PHONE ALTERNATE PHONE BIRTHDATE SEX MARITAL STATUS SOCIAL SECURITY RACE/ETHNICITY (please circle): American Indian or Alaskan
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral
The new Heart Failure pathway
The new Heart Failure pathway An integrated and seamless Strategy Dr Sunil Balani Definition of Heart Failure The inability of the heart to pump blood at a rate commensurate with the requirements of metabolising
Wendy Sue Killham RN, BSN, MSN, FNP s
We were never tired of visiting and examining and ausculting, and of examining and ausculting again and again, Peter Mere Latham (1789 8175) Wendy Sue Killham RN, BSN, MSN, FNP s Recognize system based
COURSE # LOCATION TIME DAYS DATES State Board MTR MTR TWR TWR TWR. 10/12/15-11/02/15 Clinical 12/2015 NC31
Joliet Junior College Certified Nurse Assistant (7.5 credit hours) 2015 FALL Schedule SELECT ONE OF THE SECTIONS BELOW. TO REGISTER BY PHONE, CALL 815-744-2200. STUDENTS MUST ATTEND THE FIRST DAY OF CLASS
Asthma Intervention. An Independent Licensee of the Blue Cross and Blue Shield Association.
Asthma Intervention 1. Primary disease education Member will have an increased understanding of asthma and the classification by severity, the risks and the complications. Define asthma Explain how lungs
Preventive Services Explained
Preventive Services Explained Medicare covers many preventive care services without charge. Most of these services have been recommended by the U.S. Preventive Services Task Force. However, which beneficiaries
Cardiff Health Check for People with a Learning Disability.
Cardiff Health Check for People with a Learning Disability. Date Marital status Name Ethnic origin Principal carer Age Sex Address Weight (kg/stone).. Blood Pressure Smoke (per day). Height (meters /feet)
Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Screening Screening Annual screening for pregnant women
Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Annual screening for pregnant women Bacteriuria For pregnant women at 12-16 weeks gestation or first prenatal visit
Coding and Reimbursement: What You Don t Know Can Hurt You!!
Coding and Reimbursement: What You Don t Know Can Hurt You!! Wendy L. Wright, MS, RN, APRN, FNP, FAANP Adult / Family Nurse Practitioner Owner Wright & Associates Family Healthcare@ Amherst and @ Concord
EL CENTRO COLLEGE CENTER FOR ALLIED HEALTH AND NURSING HEALTH OCCUPATIONS ADMISSIONS
EL CENTRO COLLEGE CENTER FOR ALLIED HEALTH AND NURSING HEALTH OCCUPATIONS ADMISSIONS PHYSICAL EXAMINATION AND IMMUNIZATION REQUIREMENTS In order to comply with the Texas Administrative Code (Title 25 Health
YMCA OF GREATER NEW YORK SUMMER CAMP REGISTRATION FORM
YMCA OF GREATER NEW YORK SUMMER CAMP REGISTRATION FORM Branch: North Brooklyn YMCA Camp Site: North Brooklyn Branch Camp Type: PARTICIPANT INFO Child s Name Age D.O.B. Gender Grade in September 2016 School
NEW PATIENT CONSULTATION FORM. Social Security Number - - Date of Birth Age. Home Address. Home phone Cell phone. Work phone Email address
NEW PATIENT CONSULTATION FORM Welcome to our office. Please fill out the first four pages. Date Name Social Security Number - - Date of Birth Age Home Address Home phone Cell phone Work phone Email address
Lunch and Learn IFAF 09/24/11. Michael L. Brody, DPM
Lunch and Learn IFAF 09/24/11 Michael L. Brody, DPM Disclaimers Sammy Sponsor of this presentation PICA Biomedix All Pro Imaging The Brave New World of HIT Today s Topics: PQRS E-Rx EMR Health Information
TELUS PS Suite Tip Sheet
TELUS PS Suite Tip Sheet March 2014 The Alberta Screening and Prevention initiative is focused on supporting primary care providers and team members to offer a screening and prevention bundle to all their
POINCIANA INTERNAL MEDICINE PA. Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address:
Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address: (Street) (City/State/Zip) Home Phone: ( ) E Mail Address: Would you be interested in
NURSE AIDE ENROLLMENT GUIDE
NURSE AIDE ENROLLMENT GUIDE Thank you for choosing the Nurse Aide certificate program. I. Eligibility to register for the nurse aide course is as follows: 1. Submit a completed and signed Verification
Licensed Vocational Nurse Scope of Practice Standards Health Care Services
1BCHAPTER 5 2BLicensed Vocational Nurse Scope of Practice Standards I. POLICY: Licensed Vocational Nurses (LVNs) are NOT independent practitioners. It is not within the scope of LVN practice to function
SUBJECT: Final CRNP Regulations Pennsylvania State Board of Nursing
PACHC Memo 09-04 Applicable for: FQHC Management Team Human Resource Department Physicians Professional Nurses December 22, 2009 TO: Health Center CEOs FROM: Cheri Rinehart, President & CEO SUBJECT: Final
Coding for the Internist: The Basics
Coding for the Internist: The Basics Evaluation and management is the most important part of the practice for an internist and coding for these visits can have an important effect for the bottom line of
1MFBTF GJMM PVU GPSNT BOE GBY 'PSNT XJMM CF TJHOFE BU ZPVS BQQPJOUNFOU
CELL PHONE: PATIENT HISTORY FORM - CONFIDENTIAL DATE: PATIENT: (LAST NAME) (FIRST NAME) (Ml) (NICKNAME) DOB: Primary Physician/ Family Doctor: Phone: Past Medical History (Click all that apply) High blood
CREATING A POPULATION HEALTH PLAN FOR VIRGINIA
CREATING A POPULATION HEALTH PLAN FOR VIRGINIA Life Expectancy 1900, 2013 1900 50.6 years old 2013 78.8 years old 0 20 40 60 80 100 Age (Years) Source: http://ucatlas.ucsc.edu/health.php Year - 2000 Source:
All Nursing Students. Yearly Physical Exam, Current CPR Card, Personal Health Insurance, Malpractice Insurance (Graduate Students only)
To: Subject: All Nursing Students Yearly Physical Exam, Current CPR Card, Personal Health Insurance, Malpractice Insurance (Graduate Students only) All nursing students must meet the following criteria
Quality Improvement in Primary Care Settings
Quality Improvement in Primary Care Settings Eboni Price Haywood, MD, MPH Chief Medical Officer, Tulane Community Health Medical Director, Tulane Community Health @ Covenant House Team Approach to Quality
Holy Family University, Student Health Services, Directions for Completion of Health Packet
1 Holy Family University, Student Health Services, Directions for Completion of Health Packet All forms are to be returned to Health Services by Summer Orientation for the Fall Semester and the first day
improving lives through collaborative medicine
improving lives through collaborative medicine ImproveCareNow is a collaborative chronic care network of 77 care centers in 35 states and the District of Columbia and England, where clinicians, researchers,
UNIVERSITI MALAYSIA PERLIS GUIDELINES TO FILL IN HEALTH EXAMINATION REPORT FOR POSTGRADUATE STUDENT
UNIVERSITI MALAYSIA PERLIS GUIDELINES TO FILL IN HEALTH EXAMINATION REPORT FOR POSTGRADUATE STUDENT 1. PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING IN THE FORM. 2. MEDICAL CHECK UP IS COMPLUSORY
Club Sports Forms Packet. Liability Release Form General Information Form Insurance Information Form Physical Evaluation Form
Club Sports Forms Packet Liability Release Form General Information Form Insurance Information Form Physical Evaluation Form Liability Release For Participating Student Athletes In consideration of the
Requirements for Medical Clearance: History and Physical exam within 6 months of applying for privileges
To: From: Re: Medical Staff Applicants K. Bruce Simmons, MD Director, Requirements for Medical Clearance EMPLOYEE/STUDENT HEALTH Jacobsen Hall 315-464-4260 (telephone) 315-464-5471 (fax) The New York Department
2016 HEDIS & Quality Assurance Reporting Requirements Measures Provider Reference Guide
2016 HEDIS & Quality Assurance Reporting Requirements Measures Provider Reference Guide HEDIS Measure: Test/Care Needed for Compliance Adult BMI Assessment Individuals ages 18-74 Documentation of BMI and
The Overweight Child: Tips for the Primary Care Provider
The Overweight Child: Tips for the Primary Care Provider Wendy Slusser, MD, MS, Health Science Clinical Professor Director, UCLA FIT for Healthy Weight Program Mattel Children s Hospital UCLA UCLA Schools
2 of 8. Overview. Who may use this Benefit? All AIA Vitality members qualify for the rates below. Health Screen Options. 1.
Overview Healthcare is a leading healthcare provider in Singapore. Healthcare provides a comprehensive health screening to help you learn more about your health status, identify early treatment and determine