Forum - Questions & Answers
EHR Signatures
In an EHR, if there is an order for admit to observation and under the "signed" column it say "yes", does this constitute a compliant, signed, admit to observation order? Seems to me, anyone can enter "yes".
I'm having a hardtime understaning what constitures a "signed" order in the electronic system.
Yes
if the "Signed" refers to an electronic signature by a physician. I can't imagine the EHR does not indicate who signed it. Can you right click on the yes and get details?
EHR Signatures
Here is a link to AHIMA, which discusses implementing electronic signatures and Medicare requirements.
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_021585.hcsp?dDocName=bok1_021585