No study examined the expertise of the coders or the impact of physician documentation on the selected codes.
Systematic assessment of quality and documentation of relevant data of the selected articles was performed independently by two reviewers, using a standardized form.
Documentation of selected key quality indicators could be improved, especially that of patients' symptoms in their own words.
The navigator supervisor provides real-time consultation and supervision of case management, through weekly meetings with each of the navigators, cell phone contact, review of documentation, and review of selected audiotapes (with patients' consent) of meetings between navigators and patients.
We present the incidence of documentation for selected domains relevant to the determination of best interest (after resolving disagreements by consensus), matching our quality domains with corresponding sections of the Health Care Consent Act (Table 5).
Documentation of the BP goal and patient selected lifestyle risk factor in the HBP Flow sheet is also done.
Angiographic studies followed a standardized protocol previously described for the investigation of inflammatory eye diseases [ 16], and the eye with more pronounced fundus changes on clinical examination was selected for documentation of the initial transit phase of the dyes.
In addition 384 patients files randomly selected, were reviewed for documentation of the informed consent process to evaluate if patients' condition was clearly confirmed to the patient including diagnosis, proposed procedures, risks and benefit of the treatment as well as long term effects following treatment.
In many variant by environment investigations, factors are selected by convenience, without sufficient documentation of the strength of their marginal associations.
Analyses of documentation behavior were stratified by specialty because we anticipated differences between pediatricians and internists due to the nature of their patient populations, methods of practice, and the documentation measures we selected for analysis.
