Epic Documentation Templates and References

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Epic Documentation Templates and References

New standardized Inova templates are available for you to document with optimal efficiency. These templates have been developed by practicing Inova physicians, and approved by coding, billing and compliance. These templates will walk you through what is needed to appropriately complete your documentation.

Benefits:
  • Save time
  • Don't double document. The templates will pull information from other parts of the chart into the note so you don't have to chart it again.
  • Pull pending labs into the discharge summary to provide continuity of care
  • Pull the Problem list (active and resolved hospital problems) into the note. And for the Psychiatry discharge summary, these are grouped into Axis I, II, III and IV.
  • Templates provide all the elements needed to reduce amount of time spent with queries
  • Behind the scenes build feeds core measures and meaningful use reports

Follow the links below to see the templates that are now available. And please check back often as we add more of these time saving templates.

Medicine
Medicine Discharge Summary
Death Summary

Psychiatry
Psychiatry Discharge Summary

Surgery
H&P Total Hip
H&P Total Knee
Joint Replacement Brief Op Note
General Surgery Progress Note
Surgical Debridement Procedure Note
Bedside Debridement Procedure Note

Malnutrition Assessment Note

Locations