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100 Essential Forms for Long-Term Care - hcmarketplace
100 Essential Forms for Long-Term Care provides convenient access to a compilation of essential forms that will save nursing home staff time and improve the documentation accuracy of every department in the long-term care facility. The updated content found in [PDF]
N Chart Audit
Comments From Nurses on the Chart Audit Initially, some nurses resisted the chart audit because they believed that it was an evaluation of their per-formance. After the reviewer discussed the importance of documentation and how the chart audit was meant to help nurses in their charting skills, most were willing to change.[PDF]
Chart Audit Tool on Nursing Assessment and Device
content experts, we developed a chart audit tool for pilot-testing. The chart audit tool was pilot-tested in two from July to December 2004. The sites included a 300-bed community hospital, providing primary and specialized care, and a home healthcare agency, providing home healthcare nursing, corporate health, and personal/home support services.[PDF]
E/M Documentation Auditors’ Instructions Refer to data section (table below) in order to quantify. After referring to data, circle the entry to the RIGHT in the table,
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