INPATIENT
AND EMERGENCY SERVICES DOCUMENTATION:
AUTOMATION AND NETWORK IMPLEMENTATION
Anil Mitra, 2/3/2006
Goals and interventions
Meet with SW. Rationalize and LCSW / MFT / ASW; provide options for SW / AT interventions; problems ® goals. Some standard goals and interventions?
Consult
IS regarding directory to store, networking; disk space; implementation of security features – password for read only folder; number of plans open at a time; using signature pads
Medical / social services / nursing staff regarding medical necessity, drop-down list and other features above. Estimate: one – two hours for medical / nursing staff. Social services / nursing regarding convenience of entry and use. Add standard nursing, social work interventions
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1. Brief description, 2. Features and benefits, 3. Q&A to assess, 4. Further development
§ Setup
Select file directories; store in text file
Lists of problems, signs and symptoms, etiologies; of goals; and of interventions; store in text file
§ Select first name
§ If plan date = admit date then plan = preliminary
§ One table, one page – eliminate this in the html version