Advocate Physician Informatics

Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.

Emergency Room Informatics

November 02, 2015

Attendees
James Ferrel (Christ)	Elliot Levine (Illinois Masonic)	Natalie Selk (Christ)
Anupam Goel (corporate)	Robert Munson (Condell)	Pranjal Shah (Good Samaritan)
Sakhawat Hussain (Trinity)	Kent Nelson (Oak Lawn)
Tahir Khokher (South . . .

October 09, 2015

Document site of injury
Document type of injury (e.g., compression and edema, complete lesion, incomplete lesion with central or anterior cord syndrome, Brown-Sequard's paralysis syndrome)
Document associated plegia and/or paresis

Thanks to Advocate's Clinical . . .

August 19, 2015

Document cause and effect relationship (e.g., dysphagia due to CVA, hemiplegia due to traumatic brain injury)
Document underlying type of cerebrovascular disease (e.g., cerebral infarction/stroke, cerebral hemorrhage, traumatic brain injury, other)
Document specific sequelae being treated
- Cognitive defects
- . . .

August 19, 2015

Document type (e.g., saddle, septic)
Document if cor pulmonale is present. If so, document if cor pulmonale is acute or chronic.
Specify if PE is chronic (i.e., still present) or resolved. Do not use "history of pulmonary embolus."
Document if patient is taking anti-coagulant therapy for treatment of active . . .

August 19, 2015

Document site and laterality (e.g., main bronchus, left lower lung lobe)
Differentiate between primary and secondary (metastatic) site.
- Document primary site and if it is still present.
- For secondary sites, document each individual site.
Document final pathology results. If necessary, add an addendum to the . . .

August 19, 2015

Document type (protein calorie, protein energy)
Document severity
- Mild or first-degree
- Moderate or second-degree
- Severe or third-degree
Document body-mass index

Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their . . .

August 19, 2015