Documentation

Documentation with Patient

Do everything you do for the patient in front of the patient. 

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Scribing 

Delegating documentation to preserve time for patient engagement and reduce burnout 

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Assistant Order Entry

Delegate to most appropriate team members. Reception staff are capable of entering data on requested tests and appointments.  

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  • Streamline processes when using EHR: Tips for managing messaging, documentation and order entry with the EHR. 

  • Meaningful Use Stage 2: A nurse or medical assistant can do order entry. This is NOT a physician function.  "Any licensed healthcare professionals and credentialed medical assistants can enter orders into the medical record."[