This is a large file, but these are PDoc samples originally created based off of around 90 Tsheets that were then grouped down to about 40.
As these were built, we noticed there were really only 2 sections that changed. At the same time, Dragon became more of a priority than originally planned (Scope Creep?).
Since having Dragon was a driving factor for ED physicians to own and embrace the changes, the templates were streamlined to 5 templates (long and short Adult and Peds) and another for addendums. The majority of the documentation is driven from Dragon macros or Canned Text.
The long was for 90% of the ED patients, the short were for those patients seen in the ED, but may not be considered "ED" patients, i.e. drug screens, etc.
The documents shows both dragon only which is really empty text boxes with some preformatted data going across, a hybrid that has both point and click content and text boxes for either dragon macros or canned text.
This document is 38+ MB large, here is a link to download, but it only allows 100 downloads and remains active only for 7 days, so hope you are one of the lucky ones.
Email me your email address if you miss out and I can send it to you as well.
*** Just added a new post related to Inpatient Documentation Samples.
Jamie Powell is the Director of Informatics at Saint Francis Healthcare.