COVID-19 Sparks New EHR Template

By
Original story posted on: April 2, 2020

The new template was designed by a former ED physician.

Front-line emergency departments facing an onslaught of patients suspected of contracting the novel coronavirus that causes COVID-19 now have a new tool designed to help them quickly diagnose patients.

The new tool is a documentation template that can be programmed into electronic health records (EHRs) to capture all the elements that will accurately record the patient’s condition, while at the same time providing information needed for billing.

“I’m an ex-emergency physician, and it came to me at 4 a.m. earlier this week that the one thing I am really good at is documentation,” said the template designer, Dr. Erica Remer. “Why don’t I design a documentation template for front-line providers to be able to tell the story and capture the elements they need for billing?”

Remer said the template, which will continue to be updated, was borne of her desire to help during the pandemic, which, according to recent news reporting, has claimed the lives of more than 4,000 Americans.

Remer, a member of the American College of Emergency Physicians, earlier posted a request for collaborators to review and edit what she described as her “jumping-off draft.”

“I tried to anticipate what dealing with COVID-19 will look like, not only tomorrow (everything is moving so fast!), but also six months from now,” Remer said.

“The intent is that anyone can bring it into their EHR to capture all the information needed for documenting the care of the COVID-19 patient to clinically communicate to subsequent providers, for coding and billing on the professional and technical sides, and for epidemiological purposes,” Remer explained. “Please feel free to use it in your organization. You may make any adaptations you want, but if you do so, make sure you do not remove elements necessary for appropriate professional and technical billing.”

Contributors to her documentation template included the following:

Richard Gregg, MD, FCCM, FACP

Susanne Hardy, DO

Shariq Iqbal, DO

Joshua Mirkin, MD

Dan Robinson, MD, MHPEc, FACEP

William Weber, MD, MPH

Remer cautioned that her documentation template will likely need regular updates, as the COVID-19 medical environment is changing on a daily, if not hourly, basis.

Chuck Buck

Chuck Buck is the publisher of ICD10monitor and is the executive producer and program host of Talk Ten Tuesdays.

Related Stories

  • SEP-1 and Sepsis-3 are not Incompatible
    Sepsis is diagnosed through clinical judgment. One of the forums I monitor recently saw a question about sepsis and SEP-1, which elicited this article. SEP-1 is the Hospital Inpatient Quality Reporting Program measure titled “Severe Sepsis and Septic Shock: Management…
  • CMS Expands Telehealth yet again under the PHE
    Is this “new normal” a false reality? As we are now well into October, many months into COVID-19, I think we all have to look at what all the associated changes are going to mean for healthcare. I have been…
  • COVID’s Second Wave Has Arrived – With a Vengeance
    Hospitalizations are rising and have hit a two-month high; deaths are trending upwards There are now 40 million confirmed cases of COVID-19 worldwide, with more than 20 percent of them here in the United States. As President Trump holds outdoor…