Guide to Clinical Documentation

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Author :
Publisher : F.A. Davis
ISBN 13 : 0803629974
Total Pages : 301 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Guide to Clinical Documentation by : Debra Sullivan

Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.

Docs Like Code

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Author :
Publisher : Lulu.com
ISBN 13 : 1387081322
Total Pages : 118 pages
Book Rating : 4.3/5 (87 download)

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Book Synopsis Docs Like Code by : Anne Gentle

Download or read book Docs Like Code written by Anne Gentle and published by Lulu.com. This book was released on 2017-09-09 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looking for a way to invigorate your technical writing team and grow that expertise to include developers, designers, and writers of all backgrounds? When you treat docs like code, you multiply everyone's efforts and streamline processes through collaboration, automation, and innovation. Second edition now available with updates and more information about version control for documents and continuous publishing.

The Practical Guide to Project Management Documentation

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119120241
Total Pages : 275 pages
Book Rating : 4.1/5 (191 download)

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Book Synopsis The Practical Guide to Project Management Documentation by : John Rakos

Download or read book The Practical Guide to Project Management Documentation written by John Rakos and published by John Wiley & Sons. This book was released on 2015-03-17 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Project Management The one-stop resource for project management documentation and templates for all projects The success of any project is crucially dependent on the documents produced for it. The Practical Guide to Project Management Documentation provides a complete and reliable source of explanations and examples for every possible project-related document-from the proposal, business case, and project plan, to the status report and final post-project review. The Practical Guide to Project Management Documentation is packed with material that slashes the time and effort expended on producing new documents from scratch. Following the processes in the Project Management Institute's PMBOK® Guide, this one-stop, full-service book also offers tips and techniques for working with documents in each project process. Documentation for several project/client scenarios is addressed, including internal and externally contracted projects. A single project-the construction of a water theme park-is used as the case study for all the document examples. An included CD-ROM provides all the documents from the book as Microsoft Word(r) files. Readers can use these as a framework to develop their own project documents. The Practical Guide to Project Management Documentation is an unmatched reference for the numerous documents essential to project managers in all industries. (PMBOK is a registered mark of the Project Management Institute, Inc.)

The AIC Guide to Digital Photography and Conservation Documentation

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Author :
Publisher : American Institute for Conservation of Historic & Artistic W
ISBN 13 : 9780976050131
Total Pages : 223 pages
Book Rating : 4.0/5 (51 download)

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Book Synopsis The AIC Guide to Digital Photography and Conservation Documentation by : Jeffrey Warda

Download or read book The AIC Guide to Digital Photography and Conservation Documentation written by Jeffrey Warda and published by American Institute for Conservation of Historic & Artistic W. This book was released on 2011 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Authored by the Digital Photographic Documentation Task Force of the American Institute for Conservation of Historic and Artistic Works"--P. 11.

Clinical Documentation Reference Guide - First Edition

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Author :
Publisher : AAPC
ISBN 13 : 1626889791
Total Pages : 13 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis Clinical Documentation Reference Guide - First Edition by : AAPC

Download or read book Clinical Documentation Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-12 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

Agile Documentation

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Publisher : John Wiley & Sons
ISBN 13 : 0470856246
Total Pages : 244 pages
Book Rating : 4.4/5 (78 download)

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Book Synopsis Agile Documentation by : Andreas Rüping

Download or read book Agile Documentation written by Andreas Rüping and published by John Wiley & Sons. This book was released on 2005-01-14 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Software documentation forms the basis for all communication relating to a software project. To be truly effective and usable, it should be based on what needs to be known. Agile Documentation provides sound advice on how to produce lean and lightweight software documentation. It will be welcomed by all project team members who want to cut out the fat from this time consuming task. Guidance given in pattern form, easily digested and cross-referenced, provides solutions to common problems. Straightforward advice will help you to judge: What details should be left in and what left out When communication face-to-face would be better than paper or online How to adapt the documentation process to the requirements of individual projects and build in change How to organise documents and make them easily accessible When to use diagrams rather than text How to choose the right tools and techniques How documentation impacts the customer Better than offering pat answers or prescriptions, this book will help you to understand the elements and processes that can be found repeatedly in good project documentation and which can be shaped and designed to address your individual circumstance. The author uses real-world examples and utilises agile principles to provide an accessible, practical pattern-based guide which shows how to produce necessary and high quality documentation.

Social Work Documentation

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Author :
Publisher : N A S W Press
ISBN 13 : 9780871014047
Total Pages : 0 pages
Book Rating : 4.0/5 (14 download)

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Book Synopsis Social Work Documentation by : Nancy Sidell

Download or read book Social Work Documentation written by Nancy Sidell and published by N A S W Press. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social work practitioners spend a lot of time documenting services they provide, but many are ill-prepared for this practice responsibility. In Social Work Documentation: A Guide to Strengthening Your Case Recording, Nancy Sidell has written the perfect, practical, how-to book on developing effective documentation. Regardless of the practice setting, clinical specialty, and documentation format, this book will help to build better recording skills. In her book, Social Work Documentation: A Guide to Strengthening Your Case Recording, Dr. Sidell provides a clear, concise, and thorough justification of why documentation is important, the different styles used to record client information, and an array of valuable case exercises to work through. Particularly useful is the inclusion of current and relevant examples of documentation that represent a range of practice fields at all levels of social work intervention to include: micro, mezzo, and macro. Woven throughout the workbook are ethical, legal, and supervisory situations that occur in practice that require the reader to critically think about how they would respond. This book is suitable and highly recommended for undergraduate and graduate education, agency trainings, and continuing education courses.

Documentation Basics

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Author :
Publisher : SLACK Incorporated
ISBN 13 : 1617110086
Total Pages : 176 pages
Book Rating : 4.6/5 (171 download)

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Book Synopsis Documentation Basics by : Mia Erickson

Download or read book Documentation Basics written by Mia Erickson and published by SLACK Incorporated. This book was released on 2012 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. The new Second Edition of Documentation Basics: A Guide for the Physical Therapist Assistant continues the path of teaching the student and clinician documentation from A to Z.

A Guide to Documenting Learning

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Author :
Publisher : Corwin Press
ISBN 13 : 1506385559
Total Pages : 428 pages
Book Rating : 4.5/5 (63 download)

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Book Synopsis A Guide to Documenting Learning by : Silvia Rosenthal Tolisano

Download or read book A Guide to Documenting Learning written by Silvia Rosenthal Tolisano and published by Corwin Press. This book was released on 2018-01-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new approach to contemporary documentation and learning What is learning? How do we look for, capture, reflect on, and share learning to foster meaningful and active engagement? This vital resource helps educators answer these questions. A Guide to Documenting Learning facilitates student-driven learning and helps teachers reflect on their own learning and classroom practice. This unique how-to book Explains the purposes and different types of documentation Teaches different “LearningFlow” systems to help educators integrate documentation throughout the curriculum Provides authentic examples of documentation in real classrooms Is accompanied by a robust companion website where readers can find even more documentation examples and video tutorials

The OTA's Guide to Writing SOAP Notes

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Author :
Publisher : SLACK Incorporated
ISBN 13 : 9781556427794
Total Pages : 244 pages
Book Rating : 4.4/5 (277 download)

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Book Synopsis The OTA's Guide to Writing SOAP Notes by : Sherry Borcherding

Download or read book The OTA's Guide to Writing SOAP Notes written by Sherry Borcherding and published by SLACK Incorporated. This book was released on 2007 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written specifically for occupational therapy assistants, The OTA's Guide to Writing SOAP Notes, Second Edition is updated to include new features and information. This valuable text contains the step-by-step instruction needed to learn the documentation required for reimbursement in occupational therapy. With the current changes in healthcare, proper documentation of client care is essential to meeting legal and ethical standards for reimbursement of services. Written in an easy-to-read format, this new edition by Sherry Borcherding and Marie J. Morreale will continue to aid occupational therapy assistants in learning to write SOAP notes that will be reimbursable under Medicare Part B and managed care for different areas of clinical practice. New Features in the Second Edition: - Incorporated throughout the text is the Occupational Therapy Practice Framework, along with updated AOTA documents - More examples of pediatrics, hand therapy, and mental health - Updated and additional worksheets - Review of grammar/documentation mistakes - Worksheets for deciphering physician orders, as well as expanded worksheets for medical abbreviations - Updated information on billing codes, HIPAA, management of health information, medical records, and electronic documentation - Expanded information on the OT process for the OTA to fully understand documentation and the OTA's role in all stages of treatment, including referral, evaluation, intervention plan, and discharge - Documentation of physical agent modalities With reorganized and shorter chapters, The OTA's Guide to Writing SOAP Notes, Second Edition is the essential text to providing instruction in writing SOAP notes specifically aimed at the OTA practitioner and student. This exceptional edition offers both the necessary instruction and multiple opportunities to practice, as skills are built on each other in a logical manner. Templates are provided for beginning students to use in formatting SOAP notes, and the task of documentation is broken down into small units to make learning easier. A detachable summary sheet is included that can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. "Answers" are provided for all worksheets so that the text can be used for independent study if desired. Updated information, expanded discussions, and reorganized learning tools make The OTA's Guide to Writing SOAP Notes, Second Edition a must-have for all occupational therapy assistant students! This text is the essential resource needed to master professional documentation skills in today's healthcare environment.

Documentation for Rehabilitation- E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323266363
Total Pages : 280 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Documentation for Rehabilitation- E-Book by : Lori Quinn

Download or read book Documentation for Rehabilitation- E-Book written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2009-12-18 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Four NEW chapters address additional aspects of documentation that rehabilitation professionals will encounter in practice: Legal aspects of documentation Documentation in pediatrics Payment policy and coding Computerized documentation

The Global English Style Guide

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Author :
Publisher : SAS Institute
ISBN 13 : 1629590290
Total Pages : 332 pages
Book Rating : 4.6/5 (295 download)

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Book Synopsis The Global English Style Guide by : John Kohl

Download or read book The Global English Style Guide written by John Kohl and published by SAS Institute. This book was released on 2008-03-07 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This detailed, example-driven guide illustrates how much technical communicators can do to make written texts more suitable for a global audience. You'll find dozens of guidelines that you won't find in any other source, along with thorough explanations of why each guideline is useful.

Complete Guide to Documentation

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9781582555560
Total Pages : 454 pages
Book Rating : 4.5/5 (555 download)

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Book Synopsis Complete Guide to Documentation by : Lippincott Williams & Wilkins

Download or read book Complete Guide to Documentation written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.

Microsoft Manual of Style

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Publisher : Pearson Education
ISBN 13 : 0735669791
Total Pages : 823 pages
Book Rating : 4.7/5 (356 download)

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Book Synopsis Microsoft Manual of Style by : Microsoft Corporation

Download or read book Microsoft Manual of Style written by Microsoft Corporation and published by Pearson Education. This book was released on 2012-01-15 with total page 823 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maximize the impact and precision of your message! Now in its fourth edition, the Microsoft Manual of Style provides essential guidance to content creators, journalists, technical writers, editors, and everyone else who writes about computer technology. Direct from the Editorial Style Board at Microsoft—you get a comprehensive glossary of both general technology terms and those specific to Microsoft; clear, concise usage and style guidelines with helpful examples and alternatives; guidance on grammar, tone, and voice; and best practices for writing content for the web, optimizing for accessibility, and communicating to a worldwide audience. Fully updated and optimized for ease of use, the Microsoft Manual of Style is designed to help you communicate clearly, consistently, and accurately about technical topics—across a range of audiences and media.

High Growth Handbook

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Publisher : Stripe Press
ISBN 13 : 1953953379
Total Pages : 396 pages
Book Rating : 4.9/5 (539 download)

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Book Synopsis High Growth Handbook by : Elad Gil

Download or read book High Growth Handbook written by Elad Gil and published by Stripe Press. This book was released on 2018-07-17 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: High Growth Handbook is the playbook for growing your startup into a global brand. Global technology executive, serial entrepreneur, and angel investor Elad Gil has worked with high-growth tech companies including Airbnb, Twitter, Google, Stripe, and Square as they’ve grown from small companies into global enterprises. Across all of these breakout companies, Gil has identified a set of common patterns and created an accessible playbook for scaling high-growth startups, which he has now codified in High Growth Handbook. In this definitive guide, Gil covers key topics, including: · The role of the CEO · Managing a board · Recruiting and overseeing an executive team · Mergers and acquisitions · Initial public offerings · Late-stage funding. Informed by interviews with some of the biggest names in Silicon Valley, including Reid Hoffman (LinkedIn), Marc Andreessen (Andreessen Horowitz), and Aaron Levie (Box), High Growth Handbook presents crystal-clear guidance for navigating the most complex challenges that confront leaders and operators in high-growth startups.

EMS Documentation Field Guide

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Author :
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449694551
Total Pages : 85 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis EMS Documentation Field Guide by : American Academy of Orthopaedic Surgeons (AAOS),

Download or read book EMS Documentation Field Guide written by American Academy of Orthopaedic Surgeons (AAOS), and published by Jones & Bartlett Publishers. This book was released on 2012-05-23 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: EMS providers learn the skills that allow them to give state-of-the-art care at the scene. Unfortunately, how to document that care so that it is not called into question two days or even two years down the road is often not taught in-depth. In order to help EMTs with this important subject, we assembled this water resistant, pocket-sized guide for providers at all levels, examining many of the common calls EMTs receive and following a standard protocol for the preparation of EMS run reports.

LibreOffice 6.0 Writer Guide

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Author :
Publisher : Lulu.com
ISBN 13 : 1921320532
Total Pages : 450 pages
Book Rating : 4.9/5 (213 download)

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Book Synopsis LibreOffice 6.0 Writer Guide by : LibreOffice Documentation Team

Download or read book LibreOffice 6.0 Writer Guide written by LibreOffice Documentation Team and published by Lulu.com. This book was released on 2018-07-31 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: LibreOffice is a freely-available, full-featured office suite that runs on Windows, Linux, and macOS. This book is for beginners to advanced users of Writer, the word processing component. It covers setting up Writer to suit the way you work; using styles and templates; working with text, graphics, tables, and forms; formatting pages (page styles, columns, frames, sections, and tables); printing and mail merge; creating tables of contents, indexes, and bibliographies; using master documents and fields; creating PDFs; and more. This book was written by volunteers from the LibreOffice community. Profits from the sale of this book will be used to benefit the community. Free PDFs of this book and its individual chapters are available from http: //www.libreoffice.org/get-help/documentation