Category:RAVEN: Difference between revisions

Latest revision as of 06:19, 18 February 2021

Clinic documentation is done through our Electronic Health Record (EHR), RAVEN, which is a Cerner-based system. You will receive extensive EHR training prior to seeing patients. In addition, there are dedicated EHR Medical Staff Trainers and there are extensive job aides available for you to reference as you become acclimated to the system. The providers with whom you will work for the first several months in clinic will also be of great assistance with ongoing training.

DOCUMENTATION	SPECIAL ENCOUNTERS	RAVEN MODIFICATIONS/IDEAS	RAVEN TRAINING/JOB AIDES/UPDATES
Dynamic Documentation 2019 (PowerPoint Presentation) Documentation Introduction Required Documentation Note Types Outpatient Inpatient ER Documentation and Depart Specialty Clinic SRCs nCode Quick Consumer Message	Phone Messages Dental Pre-ops Confidential Notes First Prenatal Pain Contracts	RAST 101 EMR Customizations Updating Problem Lists Creating a Personal Patient List	\\vault1\DEPTS\AA-Job Aides \\vault1\DEPTS\AA-Orientation \\vault1\DEPTS\AA-Weekly Emails \\vault1\DEPTS\AA-Job Aides\Dragon Adding Internet Links in Power Chart Quick Registration 101

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-Clinic documentation is done through our Electronic Health Record (EHR), RAVEN which is a Cerner-based system. You will receive extensive EHR training prior to seeing patients.  In addition, there is a dedicated EHR Medical Staff Trainer and there are extensive job aides available for you to reference as you become acclimated to the system.  The providers with whom you will work for the first several months in clinic will also be of great assistance with ongoing training.
+Clinic documentation is done through our Electronic Health Record (EHR), RAVEN, which is a Cerner-based system.  You will receive extensive EHR training prior to seeing patients.  In addition, there are dedicated EHR Medical Staff Trainers and there are extensive job aides available for you to reference as you become acclimated to the system.  The providers with whom you will work for the first several months in clinic will also be of great assistance with ongoing training.
-It is very important that you have good documentation so that the providers coming after you can see your plan for the patient.  Your clinical supervisor will review your records quarterly.  Each SRCs coder will also be reviewing your charts and asking for more documentation if necessary.
-'''Some important points to remember:'''
-*Choose the correct note type.
-*Type as much as you can during the visit.
-*Always do the Depart/Discharge Summary
-**Meaningful Use Requirements:
-***Patient education
-***Follow up
-***Medicine Reconciliation
-*Any time you perform an action for a patient, e.g., follow up on a medication, review labs, etc., please document what your plan is in an addendum, a free text note, or a general message saved to the chart.  This way subsequent providers can see your action and plan.
-*Letters sent to the patient via PowerChart/FirstNet are also saved under ‘Documentation’ and can be used to explain to later providers what happened.
 {|style="width: 100%; margin: auto:"
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 |- style="vertical-align:top;"
 | style="text-align:center;"|
-[[Required Documentation]]
+[[media:EHR DynDoc -4-9-19.pdf|Dynamic Documentation 2019]] (PowerPoint Presentation)
+<br/>[[Documentation Introduction]]
+<br/>[[Required Documentation]]
 <br/>[[Note Types]]
 <br/>Outpatient
 <br/>Inpatient
-<br/>Firstnet (ED)
+<br/>[[ER Documentation and Depart]]
 <br/>Specialty Clinic
 <br/>SRCs
+<br/>[[nCode]]
+<br/>[[Quick Consumer Message]]
 | style="text-align:center;"|
 Phone Messages
-<br/>Dental Pre-ops
+<br/>[[Dental pre-op H&P|Dental Pre-ops]]
 <br/>Confidential Notes
 <br/>First Prenatal
@@ Line 37: / Line 28: @@
 | style="text-align:center;"|
 [[RAST 101]]
+<br/>[[media:Orientation_EMR_customizations.pdf|EMR Customizations]]
+<br/>[[Updating Problem Lists]]
+<br/>[[media:Creating_a_Personal_Patient_List.pdf|Creating a Personal Patient List]]
 | style="text-align:center;"|
 \\vault1\DEPTS\AA-Job Aides
 <br/>\\vault1\DEPTS\AA-Orientation
 <br/>\\vault1\DEPTS\AA-Weekly Emails
-<br/>Jeopardy
+<br/>\\vault1\DEPTS\AA-Job Aides\Dragon
+<br/>[[media:Adding_Internet_links_in_Power_Chart.pdf|Adding Internet Links in Power Chart]]
+<br/>[[media:Quick_Registration_101.pdf|Quick Registration 101]]
 |}