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Other barriers were specific to the implementation sites, such as short patient stays, lack of support from physicians, and lack of changed documentation (Table 7).
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In 2010, after years of contemplation, he legally changed his documentation to male and started receiving testosterone injections.
Face-to-face meetings were required for annual re-enrollment in Medicaid and CHIP, the children's health insurance program; locations and hours for enrollment changed, and documentation requirements became more stringent.
Bank of America changed its documentation policies during the HUD probe.
The increased awareness of sepsis syndromes and international efforts lead by the Surviving Sepsis Campaign to improve sepsis care may have heightened awareness and changed physician documentation practices [ 3].
This included strategy documents; records of public meetings and other events; the proposals for change; documentation about the governance of the reconfigurations (such as meeting minutes); as well as local media coverage.
Effects of change Documentation of the Ottawa ankle rules improved from 57.5% to 94.7% at the tertiary hospital, and 51.6% to 80.8% at the community hospital (P<0.001 for both).
Periodically Audit the CMP: At least once each year an audit of the CMP should be conducted to assure that all change documentation is maintained and available.
Paper-based documentation in clinical routine is still very common because of the time needed to fill in electronic forms [ 1] and reluctance to change the documentation routine [ 2].
Modern technology has changed matters in documentation radically and promises to continue to bring rapid changes.
"I've seen women with HIV be repeatedly sexually abused because they were forced to do sex work to get their hormones paid for, their surgery paid for, or even their documentation changed.
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