Documentation is everything in this industry. And it's important to know who is who when signing these many documents.
I see on the electronic signatures when a physician signs, it says, "Electronically Signed by: Physician's Last, First" that's it without MD or DO.
I think this HAS to say, "Electronically Signed by: Physician's First Last MD (or DO, etc...)"
Right now I think the nurses, therapists, and aides are fine as how they currently are. I'm afraid if these documents were ever requested for further review, it could be tagged as it failed to specify the discipline type of the person, especially physicians, signing these very important documents whether the physician is or is not using Axxess's physician's portal.
Also on another topic, is the order's Received Date.
I want to suggest that on all Physician Orders should have a Received Date after when the physician signs the order and the agency has received the signed order. And mostly the agency nurse has to further acknowledge that the order has been received on that date and signed by the physician, which is also on that order document. So if that information is added to the Order document, I think would help a lot.
Currently there's an Orders History list, which I think is good, but that info should also be on the order document itself, and I am definitely not going to print this list to show a state surveyor if they want to explore this process. I think many agencies may be using a rubber stamp method to notate all this, and many agencies may be differ in their policy and procedure about this, but I think the process is mostly the same overall.
I'm interested in what other agencies may be doing and how Axxess can incorporate these type of developments.