DICTATING INSTRUCTIONS Dial in-house: Ext. 75050 Outside: 630-527-5050
At the Crescendo Systems prompt, please enter the Facility ID Number= 02. Enter your 5-digit Provider ID followed by the # key.
Enter 1 to dictate.
Enter the Work Type Number followed by the# key. 1-History and Physical
3-Operative Report 2-Consultation Report 4-Discharge Summary
94-Delivery Note (C-section use #3) 10-Cardlo Diagnostics
15-Sleep Center Reports
500-Cardiac Procedure Transcription Enter the EPIC CSN number followed by the # key Press 2 and begin dictating after the prompt.
Press 8 to dictate multiple reports and/or to disconnect from the session, press 5. SPECIAL FEATURES – PRESS:
2 Dictate/Pause (toggle switch)
3 Short Rewind and automatic Playback 44 Forward to end of Report
5 Disconnect
77 Rewind to beginning of report
8 End report when dictating more than one report.
6 Gives Job ID Number
u Review Speed Slows Down (Review Only) ## Review Speed Speeds Up (Review Only)
REVIEW INSTRUCTIONS 1. Dial in house: Ext. 75050 Outside: 527-5050
2. At the Crescendo Systems prompt, please enter the Facility ID Number= 02. 3. Enter your 5-digit Physician Number followed by the # key.
4. Enter *1 to enter the Locate Mode (review). 5. Enter the EPIC CSN number followed by the# key. 6. Press 1 to Play the job. (See special features below) 7. Press Oto listen to the next report on the same patient. 8. To disconnect from the review session, press 5.
Edward Hospital Assistance Numbers External: (630) 527-5055 In-House: x75055 Help Desk 405-948-9200 x155
WORK TYPES for EDWARD HOSPITAL
WF# NAME OF REPORT
1 HP History and Physical
2 CN Consultation
3 OP Op Report.
3 DN Delivery Note. These come as OPs. Change to DN (WT
94)
4 OS Discharge Summary
6 BE Bolingbrook Immediate Care
7 EH Executive History and Physical
8 BL Bolingbrook Workers Comp/Corp Health HPs
9 EE EEG
9 EG EMG. Comes as EE. Change to EG (9-l)
13 WN Wound Care Progress Note
14 PS Pediatric/Neonatal Sleep Study
15 ss Sleep Center
18 LE EEG - Long Term Monitor
19 AE EEG - Ambulatory EEG
20 WC Workman's Comp
21 PN Cancer Center Progress Note
22 cc Cancer Center Consult
23 NP Cancer Center New Patient Consult
25 pp Pain Clinic Procedure Note
27 01 Oswego Immediate Care
28 ow Oswego Workers Comp/Corp Health
29 OE Oswego Executive H&Ps
31 LH Linden Oaks H&P
32 LC Linden Oaks Consultation
33 LN Linden Oaks Progress Note
34 LO Linden Oaks Discharge Summary
35 LP Linden Oaks Psych Evaluation
38 PW Plainfield Workers Comp
39 PE Plainfield Executive H&Ps
90 RC Radiology Oncology Consultation
91 RS Radiology Oncology Treatment Summary
92 RF Radiology Oncology Follow-Up Note
94 Labor & Delivery Note (vaginal delivery only)
98 ED Provider Note (used by ER docs during Epic
Department of Medicine Warning and Fining Procedure
PURPOSE: This policy lists the required components of a medical record that will be used for delinquent record completion and the process for warning and fines.
DEFINITION: A delinquent medical record is an inpatient, observation, ambulatory surgery, endoscopy, cardiac cath, and emergency department records which is missing the following documents:
1. H&P (All Areas)
2. Discharge Summary (Inpatient and Observation) 3. Operative and Procedural Report
4. Signatures
5. Other missing items FINING PROCEDURE
A. WARNING PROCESS
1. A physician with missing documentation more than 14 days will receive a warning notification. A warning notice of incomplete medical records will be faxed to the physician's primary office location or sent to the physician's in-basket in EPIC.
2. Subsequent notifications will be sent out after 21 days, 28 days, and so forth until records are complete.
B. FINING PROCESS
1. Missing documentation 30 days past the discharge date will be marked as delinquent and will qualify a physician to be fined. Medical Records will notify the physician's office with a phone call on Monday's prior to having a notification of the fine sent to them. A physician will be fined if they do not complete delinquent charts after receiving a warning letter and a phone call the previous week.
2. Physician's planning vacation time need to notify Medical Staff Office. Physician's returning from vacation get 7 days before being fined.
C. CONTINUED FINES
1. A physician who remains delinquent with their medical records will receive a fine notification every 7 days that they are still delinquent.
2. Internal Medicine department fine notification will include the number of weeks that physician has been fined.
D. COMPELETION OF DELIQUENT MEDICAL RECORDS
1. Once a physician has completed all of their delinquent medical records, the physician will no longer be fined. An email will be sent out to reflect the completion of all delinquent medical record charts.
E. FINES
1. A fine of $50.00 per week will be assessed for any physician who remains
delinquent with his or her medical records for eight (8) consecutive weeks with the fine being assessed beginning on week nine (9).
2. The fine will be assessed regardless of the number of delinquent medical records.
3. The physician will be notified monthly of the total delinquent fee owed. The fee is due upon receipt of the invoice.
F. REAPOINTMENT
1. If the physician has not paid all delinquent fines by the time of reappointment, then the physician is considered resigned from the Medical Staff.
G. APPEAL PROCESS
1. If at any time a physician believes that a fine has been issued in error, the physician should notify the Chairman, Department of Medicine and the Vice President, Medical Affairs in writing of the error within 30 days of the date of fine notification. The physician should include the medical record(s) in question and details of the error. The Chairman, Department of Medicine and the Vice President, Medical Affairs will review the appeal and make a determination.
2. If the fine was issued in error, all Medical Staff records will be corrected and fines issued in error will be refunded.
If you would like a physical dictation card, please email [email protected] and one will be mailed to you.
