Please post responses to list.

Thanks,
Valorie Comley
Assistant Controller
Memorial Hospital
Belleville, Illinois
Phone (618)257-5613



Susan Netherland <[EMAIL PROTECTED]> 
Sent by: [email protected]
04/13/2007 06:49 AM

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Meditech-l <[email protected]>, hcqip-listserv 
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Subject
[MEDITECH-L] Observation Patients






We are working on the challenge of capturing the charges for observation 
patients, including the injection charges, hydration charges , etc. In 
the ER we are doing this wothout difficulty partially becasue we are 
automated with EDM. We are not automated on the regular nursing units 
yet and we do not have a dedicated observation unit; our OBS patients 
can be placed in any floor. This makes it more difficult because the 
nurses are caring for different types of patients with different 
documentaiton requirements. The things wwe are struggling most with for 
the charges is the start and stop times documented on minibags and large 
volume fluids. We have start times on our large volume fluids but no 
stop times and on the mini bags we only document on the MAR so have 
administration time but no exact start and stop time.
If you are charging for these items on Observation patients are you 
willing to share how you are doing it. I would also be interested in 
whether you have a dedicated OBS unit.
All help appreciated. Thanks Susan
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