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2. Reasons for using note templates. Templates prompt for necessary information to reduce errors of omissionHelp speed up note entryProduce notes with a predefined layout for easier readingTemplates help reduce spelling errorsTemplates reduce the use of unapproved abbreviationsImprove documenta
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1. 160HProgress Note Templates 101 Philip Bloechl, IT Specialist
Dr. Michael Cho
Tennessee Valley Health Care System
2. 2 Reasons for using note templates Templates prompt for necessary information to reduce errors of omission
Help speed up note entry
Produce notes with a predefined layout for easier reading
Templates help reduce spelling errors
Templates reduce the use of unapproved abbreviations
Improve documentation for billing and JCAHO requirements
Patient info can be inserted automatically into the note
3. 3 Class Objectives Create a new folder in personal templates
Create a personal template
Insert template fields and data objects into your template
Demonstrate & Use tools to manage templates
4. 4 Templates Considerably improved over the old "Boiler Plated" templates
Contains predefined text, template fields and data objects
Simple to build and easy to use
Allows for multiple selection of items
5. 5 Other Template Types:Group Templates, Dialogs and Folders Group Templates
Allow multiple templates to be placed under one heading
Pulls all templates within the group into the progress note
Dialogs
Also contain predefined text, template fields and data objects
More selection options than with templates
Folders
Used to organize dialogs & templates
6. 6 Template Field Types Blank text or word processing fields
Drop down boxes with predefined text
Check boxes that allow for multiple selections
Radio buttons that allow for only one selection
Calendar boxes
Number boxes
Hyperlink boxes
Template fields can be set to be "Required"
{ } brackets are used to identify "Template Fields" within the template
7. 7 Data Objects Imports patient data into the note
Examples include recent meds, vitals, age, patient name, etc.
Brackets | | are used to identify Data Objects" within the template
example: |patient name|
8. 8 Template Editor Display
9. 9 Example: Template display in CPRS note
10. 10 Lets Go! SIGN ON TO CPRS Find your student number ## by your computerClick this Icon:
Access Code: ##VEHU
Verify Code: VEHU##
Your patient is<your number spelled out>,patient
Your Signature Code is VEHU##
11. 11 Select your Patient Find the patient that corresponds to your number, ( I will be using zero, patient)
A Patient Record Flag (PRF) will be presented
Select "CLOSE" to exit the PRF
Signature Code is VEHU##
Progress Note templates are created in the NOTES tab.
Click the CPRS NOTES Tab.
13. 13 Questions?