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Product Development Initiative by the Risk Management Committee of
Medical Mutual Insurance Company of Maine
Documentation
The inadequacy of documentation is cited as a major reason that liability cases are settled.
Question:
Does your staff document (in the medical record) missed appointment information?
Question:
Does your staff document cancelled appointment information (cancelled by either the patient or the practice)?
Question:
Is the physician made aware of patients who either miss or cancel appointments, thereby enabling the physician to direct follow-up activity?
Question:
Is the follow-up activity taken by a staff member regarding missed and cancelled appointments documented?
Your Risk Management Committee at Medical Mutual Insurance Company of Maine understands that an office follow-up system should be in place. The Committee developed a stamp template designed to facilitate the documentation of missed and cancelled appointment information in the medical record, thereby promoting information flow within the practice.
Consider customizing the stamp to meet your specific needs. Visit your local stationery supplier or your printer to add this “tool” that can facilitate documentation and continuity of care in your practice.