January 8, 2010

COPD Evaluation Template for Outpatients

MedicalTemplates has released a new COPD (Chronic Obstructive Pulmonary Disease) Evaluation Template designed for use by all health care providers in the outpatient setting. The template is in a fillable PDF format by Adobe Acrobat and contains checkboxes and fillable textboxes.

The new COPD Evaluation Template has generous space for documenting the HPI, and contains prompters that readily distinguish the severity of illness and recent symptoms or events that may indicate a need for changes in the COPD medication regimen, or even hospitalization.

The Review of Systems has convenient buttons for checking "yes" or "no" options, dramatically reducing the time spent on this task.

The Past Medical, Family and Social History (PFSH) contains disease-specific prompters for common or relevant disorders. In addition, there are prompters for a detailed Malignancy history, occupational or inhalational exposure history, and common diseases among family members that may affect a patient's health.

The Exam emphasizes pertinent positive and negative exam findings, and contains space for free text documentation of additional findings.

The Impression and Plan is generously sized to permit detailed discussions, and contains convenient prompters for common treatments, diagnostics and lab tests.

Prompters with simple check boxes limit the need for handwriting or typing. Fillable text boxes permit free text descriptions for areas that require further, detailed documentation. Features such as these help to improve health care provider efficiency by decreasing the time needed to document a patient encounter, ensure that essential topics are discussed, improve documentation, and provide supporting documentation for adequate billing and coding needs. The COPD Evaluation Template was created following the Centers for Medicare & Medicaid Services' (CMS) 1997 E & M Documentation Guidelines, and the development team included a board-certified Pulmonary Disease Specialist.

The COPD Evaluation Template for outpatients is a valuable tool for all health care providers who evaluate and treat patients with COPD, or those at risk of developing COPD. The COPD Evaluation Template helps to make documentation as fast and easy as possible.

Outpatient evaluation for COPD Medical Documentation Template

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