Taking unsigned medical orders to task
Health Information Management needs your help to be compliant with the bylaws for medical record completion, which includes documentation (discharge summary) and orders. Across the health system, the average rate of delinquent documentation including orders is 8 percent. Work has been done to decrease the number of orders that require cosignature. This month, YNHHS Health Information Management began following the same process for unsigned orders used at Bridgeport and Greenwich hospitals, including outreach communications, and if orders are not signed, privilege suspension. Remember to sign your orders.
