Kim,
Thanks very much for asking. Many of us really appreciate the simple fact that you are asking us design questions. That has not taken place too much on the board here, so please don't get discouraged if you do not get a lot of responses. Please keep asking, and hopefully people will begin to give you good feedback.

As to the specific issue you raise, I would suggest that you begin with the following:
"How many of you document functional and mental status in your notes?"
If so, where do currently record this information?

I say that because it is not something I routinely record. I am not sure how many others do. (Of course that may change with evolving CMS requirements).


Jon
GI
Baltimore

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