COP / Discharge Summaries - As of 6/2013

A-0468

(Rev. 84, Issued: 06-07-13, Effective: 06-07-13, Implementation: 06-07-13)



[All records must document the following, as appropriate:]



Comments

  • edited May 2016
    Thank you. How do you handle this? Do you have them hand write this in a discharge progress note, discharge short form or have them dictate? Do you have them do this on all inpatients? Thanks for your help.
  • edited May 2016
    We have developed a handwritten Discharge Progress Note template. It includes all of the required elements for the extender or attending to complete, with a co-signature requirement for the attending if completed by an extender.

    Lisa McNeil-Grafton
    Lisa McNeil Grafton, CCA
    Health Information Management
    Data Quality Manager
    Winthrop University Hospital
    Mineola, NY 11501
    516-663-3797
  • edited May 2016
    Thank you. I think that will be the way that we go.
  • edited May 2016
    Are any of you interested in seeing a story about discharge summaries in an upcoming issue of MRB? Seems like a frequent topic of conversation here.


    Jaclyn Fitzgerald | Editor
    HCPro | 75 Sylvan Street, Suite A-101, Danvers, MA 01923
    P (978) 223-1741| F (781) 639-7857 | www.hcpro.com

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  • edited May 2016
    Yes, I would be.

    Lisa McNeil-Grafton
    Lisa McNeil Grafton, CCA
    Health Information Management
    Data Quality Manager
    Winthrop University Hospital
    Mineola, NY 11501
    516-663-3797
  • edited May 2016
    Yes.

    Sheila Schultz
    Director of HIM
    Wheeling Hospital
    One Medical Park
    Wheeling WV 26003
    304-243-3695
    Fax 304-243-8599
    sschultz@wheelinghospital.org
  • edited May 2016
    Yes- especially how they are being performed- electronically, dictated, or manually.

    Maryellen McGowan, MS, RHIA, CPC
    Director Of Health Information Management
    & Clinical Documentation Improvement
    Winthrop University Hospital
    259 1st Street
    Mineola, New York 11501
    (P) 516-663-8901
    (F) 516-663-2729
    E- Mail: mmcgowan@winthrop.org
  • edited May 2016
    Yes
  • edited May 2016
    Yes


    Catherine S. Kadry, RHIT, CCS, CHA
    Director, Health Information Management
    Pioneers Memorial Healthcare District
    207 W. Legion Road
    Brawley, CA 92227
    Phone (760) 351-3148 Fax (760) 351-3463
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