I'm interested in learning how other MT 6 users are managing the Present on Admission process. Please provide any insights you have on this topic - even if you don't like how it is going, perhaps we can get a good discussion going!
Currently, our nurses document the present on admission indicators as part of an admission screen assessment. We just went live with PDOC late September 2012, but there is a possibility of moving the Present on admission queries to the History and Physical templates. Currently, there is a chance that a provider may not document a history and physical, if the patient has a short stay, or if an Office note that qualifies as a History and Physical is sent over. Until we can make sure that the queries would be documented by physicians, we will continue to have nursing do this.
We have required a Yes/No query that asks if a patient presents with any of the following conditions. If the query is answered yes, then all of the POA queries are required. I could tweak the rule to only require at least one of the queries if the first required query is answered YES, but I haven't had too many complaints so far.
Thank you very much for your response! I will share this information among our team.