Clinical Documentation definition
Examples of Clinical Documentation in a sentence
System Master; System Configuration, Resource Scheduler; CPOE; Clinical Decision Support System; Clinical Documentation; Barcode Medication Administration; Laboratory Management System; Radiology System; PACS; Pharmacy Management System; Materials/Supply Management System; Operating Room Management System; Nursing Management; Blood Bank System; Dietary Management System; Hospital Patient Portal.
Contractor shall also comply with all applicable provisions of the Compliance Plan, Provider Manual, and Clinical Documentation Guide, and any and all applicable County policies and procedures.
Each Relevant Clinical Covered Person shall receive at least two hours of Clinical Documentation and Decision-Making Specific Training, in addition to the General Training, in each subsequent Reporting Period.
Apply for Certified Clinical Documentation Specialist (CCDS) continuing education credits where applicable at least 30 days prior to the live event.
Clinical Documentation shall identify all of the following: the quantity and quality of the services provided pursuant to the terms and conditions of this Agreement; the names of, and all other necessary identifying information pertaining to, clients who received such services; the manner in which CONTRACTOR administered the provision of such services; and the cost of, and the manner and amount of payment made for, such services.
RHQR has issued an RFP for the replacement of the GI Endoscopy Clinical Documentation synoptic reporting system for endoscopy (currently Endoworks) and are currently in the evaluation stage of the RFP.
Clinical Documentation Solution Design Services assumes that required implementation tasks including system build, training program development and deployment, testing and activation utilize the information and deliverables from solution design activities.
Sunrise Critical Care 1 Includes functionality to support: Patient Lists Health Data Repository Results Viewer Two views of the Facility/Enterprise Board Clinical Viewer Medication Administration Records (eMAR) – Two (2) views available – Single Patient and Current Patient List Standard Sunrise Critical Care Clinical Documentation Content 1 The Sunrise Critical Care Knowledge Package consists of 23 configured structured notes, 15 flowsheets and 9 clinical summaries.
In order to adhere to regulatory timelines, there may be times when non-bargaining unit Clinical Documentation Specialist RNs may assist the Clinical Documentation Specialist RNs in the bargaining unit with completing their duties.
Documentation Standards: Contractor shall follow the documentation standards and guidelines set forth in the Marin County Behavioral Health and Recovery Services Clinical Documentation Guide, including, but not limited to, finalizing medical records within 72 hours of the Client’s appointment.