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(Esp-Eng) Inicio de las Pasantias Neurólogicas👏🏻🩵, muy feliz por esta nueva etapa en mi carrera Fisioterapia 🤗🥳
Versión Español👇🏻 Buenas noches querida comunidad, un placer estar por acá de nuevo con ustedes contándoles una nueva experiencia que estoy viviendo en mi carrera Fisioterapia, les recuerdo que yo estoy
(Esp-Eng) Nuestra última semana en el CDI🥹❤️🩹, gracias por el aprendizaje, somos una familia de pasantías🥰🤗
Versión Español👇🏻 Buenas noches querida comunidad espero todos se encuentren bien con sus vidas, en sus hogares y deseo que hayan tenido un día maravilloso y estén pasando una noche fantástica. Esta
Clinical Documentation Improvement Series 23. Evaluation and Management Documentation 8. Risk Assessment: Low Risk
Risk Assessment: Low The Risk assessment is stratified as: Minimal Low Moderate High In order for an assessment to be low risk, there has to be one element of any of the 3 categories presented. A. Presenting
Clinical Documentation Improvement Series 22. Evaluation and Management Documentation 7. Risk Assessment: Minimal Risk
Risk Assessment: Minimal Risk The Risk assessment is stratified as: Minimal Low Moderate High In order for an assessment to be minimal risk, there has to be one element of any of the 3 categories presented.
Clinical Documentation Improvement Series 21. Evaluation and Management Documentation 6. Data Points of the Medical Decision Making
Problem Points of the Medical Decision Making The data points of the Medical Decision Making are evaluated by a scoring system: 1 point for reviewing or ordering clinical tests. 1 point for reviewing or
Clinical Documentation Improvement Series 20. Evaluation and Management Documentation 5. Problem Points of the Medical Decision Making
Problem Points of the Medical Decision Making The problem points of the Medical Decision Making are evaluated by a scoring system: 1 point for a self limited or minor problem. 1 point for an established
Clinical Documentation Improvement Series 19. Evaluation and Management Documentation 4. Organ Systems of the Physical Exam
Organ Systems of the Physical Exam There are 13 organ systems from where the documentation of the physical exam can be constructed. Each of the organ systems can contribute with bullets for individual
Clinical Documentation Improvement Series 18. Evaluation and Management Documentation 3. Areas of the Past, Family and Social History
Areas of the Past, Family and Social History The areas of the Past, Family and Social History (PFHS) are: Past. This area includes illnesses, operations, treatments and injuries that the patient has had
Clinical Documentation Improvement Series 17. Evaluation and Management Documentation 2. Individual Systems of the Review of Systems
Individual Systems of the Review of Systems The individual systems of the Review of Systems (ROS) are: Constitutional Symptoms Eyes Ears, nose, mouth, throat Cardiovascular Respiratory Gastrointestinal
Clinical Documentation Improvement Series 16. Evaluation and Management Documentation 1. Components of the History of Present Illness
Components of the History of Present Illness The components of the History of Present Illness (HPI) are: Location. This item refers to where in the body is the issue localized. Issues can be unilateral,
Clinical Documentation Improvement Series #14. Tips for Documenting the Organism Causing Pneumonia #1
When possible, specify the organism causing it. If the organism is not known, use the words possible, suspected or probable. Example: If using vancomycin for the treatment of pneumonia, MRSA pneumonia