When I was younger, my patients were younger and they didn't have multiple, interlocking problems. It wasn't too hard to see 35 patients a day -- and all I had to do was write a line or two in the chart.
I have aged, along with my patients, who now move more slowly, think more slowly, have multiple problems, can't quite understand what I say because it is too complex, they don't remember, and don't hear very well.
Plus, all that has to be documented in some format that will support a "coding audit" -- or face jail time.
Plus, reimbursement per unit is down, and threatens to drop sharply.
Work smarter, not harder?
I'm getting older, too -- not smarter.
