Documentation Resources

What’s NEW? Psychiatry Service consult requests will now be placed in EPIC, instead of leaving...

Providers, Per a NYS DOH mandate released in April, hospitals must now offer the COVID...

January 28, 2020 Documentation Tip Sheets

Sepsis Documentation Malnutrition Documentation Electrolyte Problems UR Chest Pain CDI

January 13, 2020 EDRS (Electronic Death Registration System) UPDATE Read More

July 26, 2019 MYOCARDIAL INFARCTION

MI DEFINITIONS ACUTE MYOCARDIAL INFARCTION Elevated troponin WITH clinical evidence of ischemia TYPE 1 MI...

July 26, 2019 ACUTE KIDNEY INJURY

DEFINITION OF AKI (KDIGO) Increase in creatinine by 0.3 over 48-72 hours (must be prospective)...

July 26, 2019 SEPSIS

Infection PLUS two positive SIRS SIRS Temp > 100.4 F (38 C) OR < 96.8...

July 17, 2019 Encephalopathy

Encephalopathy Definition Generalized brain dysfunction due to underlying systemic factors, causing acute mental status alteration...

July 17, 2019 COPD

COPD Think Observation or Home if: COPD close to or at baseline — CONSIDER D/C...