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Last Post by arodrigu 10 years ago

11 Posts

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mfornkahl

(@mfornkahl)

Posts: 132

Estimable Member

Topic starter

Just wondering if anyone else has problems getting providers to finish their documentation and sign their visits in a timely manner. Our policy is they must be signed within 3 business days, however that doesn't always happen. They state that it takes too long to document a visit. What do you do if they have 300+ visits that go back 3 months? Any suggestions would be greatly appreciated.

Posted : June 4, 2013 7:07 am

acantu

(@acantu)

Posts: 722

Prominent Member

mfornkahl said:

Just wondering if anyone else has problems getting providers to finish their documentation and sign their visits in a timely manner. Our policy is they must be signed within 3 business days, however that doesn't always happen. They state that it takes too long to document a visit. What do you do if they have 300+ visits that go back 3 months? Any suggestions would be greatly appreciated.

I feel you. I have an application called DocViewer, you can see it here: http://www.arnoldcantu.com This allows providers and other users to sign documents off on their desktop in seconds. My providers used to have over 15000 documents each... this was being a big issue with load times. Using this application, has given then the ability to manage their documents and are now down to hundreds not thousands.

Posted : June 5, 2013 3:42 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

We try to have medical assistants aid in documentation as much as possible, but there are still areas that have to be completed by the provider, and he or she can struggle for a variety of reasons. Some providers employ a scribe, and that had a very positive effect on documentation and on the provider's quality of life since documentation was done at the end of the day. Other docs use voice recognition to help.

We have a similar policy regarding document signature, and we enforce a financial penalty if a provider fails to comply after fair warning. It's wonderful, but there are still some docs who have a hard time getting that last bit of documentation (usually physical exam) completed.

We run two reports to monitor. One looks at the number of unsigned documents on a desktop at the moment the report is run. It groups documents by type and shows the oldest clinical date. We ignore documents with attachments so we don't accidentally count old records that were just scanned in. A lot of docs got smart and new when we ran the report so they cleared their desktop the night before the report was run.

We created a second report to monitor the average time between when a document is started and when it is signed. We run it each quarter and expect all physicians to have an average signing time under 2 days for a 90-day period - we chose this based on a baseline set of data. We pay particular attention to labs, refills, and office visits, and we can drill down to the document level to show specific sign-times to look for trends like vacations. This report lets us catch people trying to avoid getting caught with the first report, so we modified our policy to include this data.

Posted : June 5, 2013 4:34 am

sborchardt

(@sborchardt)

Posts: 218

Reputable Member

Mitch would you be willing to share your report for document start date and date it was signed? This discussion came up in our clinic this week and this is exactly what I need. If you are willing to post or send to me at [email protected]

Thank you in advance!

Posted : June 5, 2013 11:25 pm

mfornkahl

(@mfornkahl)

Posts: 132

Estimable Member

Topic starter

Mitch, I would be interested in the report as well. My email is [email protected].

Thank you!

Posted : June 6, 2013 1:06 am

cisaac

(@cisaac)

Posts: 33

Trusted Member

I would be interested as well.

[email protected]

Thanks in advance for sharing!

Posted : June 6, 2013 3:07 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

I posted it in the Trading Post.

Posted : June 6, 2013 3:42 am

mfornkahl

(@mfornkahl)

Posts: 132

Estimable Member

Topic starter

Thank you very much. This is an awesome report that I know we'll use.

Posted : June 6, 2013 4:36 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Does anyone have a policy they would like to share regarding time limits for providers closing visits?

Thank you.

Posted : October 31, 2013 3:04 am

wbscott

(@wbscott)

Posts: 37

Trusted Member

Mitch Kwiatkowski said:

I posted it in the Trading Post.

Mitch,

I just found this and when I tried to download it it errored out saying the site was not available, it may have been moved. Do they remove things from the Trading Post after a certain period of time? If so cold you send it to me via e-mail?

Thanks for any help.

Warren B. Scott, MD

[email protected]

Family Medicine of Mt. Pleasant, PC

Posted : March 21, 2014 1:19 am