Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
Nuance Management Console
Entering user-specific text templates
Use the Nuance Management Console (NMC) to enter user-specific text templates. The CareConnection team will need to set you up for access before using the NMC.
Click here to open the NMC. Enter your user name and password.
Click on the "Manage" icon.
Find your user in one of the the Speech . . .
Pain
Improving physician documentation specificity
Distinguish among the different types of pain
Acute or chronic pain:
- List etiology if known (e.g., trauma, cancer, post-procedural, post-thoracotomy, chronic with psychosocial dysfunction)
- Document site and laterality
Central pain syndrome: list etiology or underlying cause, if known.
Phantom . . .
Surgical complications
Improving physician documentation specificity
- Include the cause-and-effect relationship between the care provided and the complication.
- Indicate that the condition is a complication.
- Document the time frame when the complication occurred (e.g., intra-operatively, post-operatively).
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical . . .
Tobacco
Improving physician documentation specificity
Differentiate between tobacco use/abuse or dependence (i.e., addiction to tobacco products caused by the drug nicotine).
Document type of tobacco product (e.g., cigarettes, chewing tobacco, or cigars).
Differentiate between patients who no longer smoke and those that do. Instead of history of smoking, use former smoker.
. . .
Cardiomyopathy
Improving Physician Documentation Specificity
Document type:
- Dilated
- Congestive
- Ischemic
- Obstructive
- Non-obstructive
- Hypertrophic
- Alcoholic
Document if due to:
- Poisoning
- Drug
- Other diseases (e.g., gout, hypothyroidism)
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical . . .
Cardiac
Improving Physician Documentation Specificity
Acute coronary syndrome
Cardiac arrest - document the underlying cause
Cardiogenic shock - document the underlying cause
Cardiomyopathy
Cardiorenal syndrome/Hypertensive heart disease
Congestive heart failure
Coronary artery disease
Demand ischemia
Myocardial infarction
Adult (main)|Pediatrics (main)
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