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Facility Management3

QuestionAnswer
In the state of VA clinics what are required to do keep records for 3 years past date of last visit.
How to Record essentials according to AAHA: Forms going home with clients REQUIRE the practice logo and phone number. Forms being used "in-house" require neither of these, but do require client and patient names. Documentation is the ultimate key.
How else is it done? Medical record keeping is EVERYONE's concern in the practice, period. In quality veterinary healthcare delivery there is ALWAYS time to document everything Record EVERYTHING that is done, AS IT IS DONE Charge for everything that is done.
Failure to document often leads to internal control problems, liability/forensic concerns, embarrassment of the practice or client, or a reduced value per pet seen. True or False True
What is a Tracking Sheet Charging sheet that travels with the patient record so charges can be circled as they are done
What is a New Client Welcome Form Client/Patient information form completed at the first visit, updated as needed with client/patient personal information.
What is a Patient Data Cover Sheet An overview sheet (master problem sheet) on which all major health problems/issues are documented and can be used as a quick glance for the patient's health status
Progress Notes Full record of patient notes, clients desires, waivers, deferrals, authorization forms, etc. ALL information should be recorded on these forms.
Created by: 1409105
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