I use my AC initial chart note as my admit H&P to the nursing home - then whenever they request to start a med or add something I make sure that I use AC's writer to write a scrip (without quantities and refills) and fax that to the nursing home as orders (I use the default 8.5 x 11 scrip and autofax it so that it has my signature). That way my med list is up to date - ask the nursing home to fax you all changes made by covering docs, specialists, etc. so that you can add to your med list.
The other way you can do a med list is whenever they want a current list go to the summary page and print only actives (diagnoses and meds) - you just need to make sure it correlates with the actual list (only problem is bowel programs and such which have day 1, day 2, day 3, etc - just takes a while to put in the first time).
I find that my nursing home likes the fact that they have nice readable charts with full H&P's on the day I do rounds and it costs them nothing (they used to pay for my dictation). I make sure all the diagnoses they list are on my active list and it makes for easy billing for me also.
