Located in Syracuse - camillus, cicero liverpoolSt joseph hsp hlth ctr crouse hsp, comm gen hosp

5000 west seneka trnpk syr ny 13215

Work type Office note and letter

Verbatim

HeadingAlt 5 initial caps - do not use subheading for pe and ros

CredentialM.D.

NumberingAuto numbered

Pt nameAlways the patient

Date frmtMm, dd, yyyy in header verbatim in text September 20, 2015 or September 20

Telephone noteChk for date on which call was made and enter dos

cc

Adt Search and insertPatient name, mrn, visit no,

Insert if dictatedDos and dob

Pcp idDictator - cross chk pcp id in adt and enter the patient name

Pcp nameAttending

Look for last 5 days, take the date nearest to date of dictation or else flag the file as unavailability of dos

Doubt tagActive for seAddendum, incomplete dict, patient info mismatch or unavailable, no dictation

activeBlank, requested as doubt (if patient 1st and last name are not spelled out), discrepancy, poor audio, static audio, reference unavailable (physician name, address, place, drug name)

Letter formatMonth, dd, yyyyAddressRE: frst name mdle name last nm (all caps)Dear ____:Sincerely,AddendumBegin the report with ADDENDUM: caps and bold

Procedure noteSide headings one after oneIndication:Procedure:Description:

If the side headings are not dictated remove it