Update on Physician SOAP Notes

Join Our Mailing List 

An Encore Presentation

By Dr. David Edward Marcinko MBA

[Editor-in-Chief]

www.BusinessofMedicalPractice.com

DEM 2013I wrote on this topic previously. Both as primary paper driven SOAP notes, and as next-gen electronic SOAPier notes, to much acclaim and derision.

  • Why? Because, now more than ever, inadequately documented medical charts can mean civil and criminal liability to the sloppy and/or unwary practitioner. And, medical records were previously used to aid in the quality of medical care.

Today, they are also the basis for payment for services, not as a record or reflection of the care that was actually provided, but as a separate justification for billing.

What is a SOAP Note?

SOAP notes

Assessment

SOAP[IER] eMRs [Beware the Alphabet Soup Switcher-Roo]

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Product DetailsProduct DetailsProduct Details

Product Details  Product Details

Product DetailsProduct Details

About these ads

4 Responses

  1. Why I hate the SOAP note

    An essay by Suzanne Koven MD.

    http://www.kevinmd.com/blog/2012/11/hate-soap-note.html

    Ann Miller RN MHA

  2. More on SOAP Notes and eHRs

    We must demand a return to meaningful notes.

    http://www.kevinmd.com/blog/2013/08/demand-return-meaningful-notes.html

    An essay by Robert Centor MD.

    Ann Miller RN MHA

  3. Does the SOAP note still fit in the age of EHRs?

    Some physicians are opting to put the assessment and plan pieces before subjective and objective findings.

    http://www.medicalpracticeinsider.com/news/does-soap-note-still-fit-age-ehrs?email=MARCINKOADVISORS@MSN.COM&GroupID=90115

    However, that sequence makes the progress note too provider-centered, according to the doctor who created the traditional format.

    Ann Miller RN MHA

  4. Brownouts not a problem for paper medical records

    Unlike cloud-based EHRs, paper medical and dental records are unaffected by power shortages

    “Internet Brownout Exposes Risk of Cloud-Based EHRs – The Internet cracked a bit under its own burgeoning weight last week, and as a result, internist Erik Ilyayev, MD, in Flushing, New York, could not access his cloud-based electronic health record (EHR) system for an entire day,”
    according to Robert Lowes for Medscape Medical News, August 22, 2014

    http://www.medscape.com/viewarticle/830351?src=rss

    Paper medical and dental records are not only beyond the range of cyber-attacks, but can be read by flashlight if necessary.

    Darrell Pruitt DDS

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: