Thanks Sandeep and Jon.
I have probably said this 100 times, but Jon's post brought it up again. The reason we send progress notes and immunization record only is we do NOT send the messages. Of course, it is part of our record we keep and can help when I get a message from my MA saying that Baby Boy Smith has a fever of 105 and a rash, and I write back saying to make them come in or go to the ED, and they do nothing. That is good documentation. But, we sometimes make comments that we would call venting that you wouldn't want another doctor or parent to read.
We sort of refer to these as "work product" which lawyers have and are not discoverable unless a judge says they aren't WP.
It is interesting, because if you send 50 pages and the immunization record NO office will ever call you on it. So Jon is correct that if you didn't send the II, you would probably never hear about it.
