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Letting patients read their own progress notes...

Discussion in 'Pain Medicine' started by drusso, Aug 24, 2015.

  1. drusso

    Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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  3. DOctorJay

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    our patients are offered a "clinical summary", includes the A&P of the note but leaves out exam and HPI. I can still hide stuff that I want only other physicians to see which is nice. Forces me to get the note done while they're in the office or we mail them a copy.

    Have only had a couple patients ask to have something changed. Overall doesn't affect me much.
     
  4. emd123

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    I always document in a way I wouldn't mind the chart being read by the patient, a judge, jury, attorney, etc

    Why? Because it might.

    That doesn't mean I candy coat the chart, make it politically correct or leave out signs of aberrant behavior. But I keep to just the facts.
     
    freddydpt likes this.
  5. Gauss

    Gauss Damnit Jim!
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    notes are written to appease billers, insurers, audits, and lawyers. patients will never understand this
     
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  6. epidural man

    epidural man ASA Member
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    I rotated with a pmr physician who would always say "I am going to say this and this in my note. Does that seem right?" I always thought that was brilliant.
     
  7. hyperalgesia

    hyperalgesia member
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    Isn't it a meaningful use requirement to allow pts full access to the notes? At the VA, for the past year, pts have full access to their notes electronically.
     

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