Pediatric Documentation Templates

AHRQ

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Developed by Partners Quality Improvement Group, these templates for acute and chronic conditions can assist providers when documenting a visit in an electronic health record by increasing the efficiency with which a visit is documented and enhancing adherence to clinical guidelines for those conditions. The templates are based on national guidelines and may be modified to suit a particular clinical practice's needs. This toolkit is available as a PDF, requiring Adobe Reader.

Allscripts Remote

Allscripts Remote™ provides healthcare providers with the accesibility to remotely control their Allscripts EHR from anywhere and thus help manage their time. Medical decisions that need to be made at or away from the hospital can be made more effectively and accurately.

Allscripts Remote features include:
• Access to real-time patient summary information
• Fast communication to local emergency rooms
• Convenient ePrescribing to the patient’s pharmacy
• Anytime access to task list allows medication refill management, lab results verification and signing of chart notes

Baylor International Pediatric AIDS Initiative (BIPAI) Toolkit

This toolkit was prepared by the staff of the Baylor College of Medicine International Pediatric AIDS Initiative (BIPAI) at Texas Children's Hospital. The toolkit provides guidance for planning, implementing, monitoring, and evaluating programs for the treatment and care of children and their families affected by HIV/AIDS and living in resource-limited settings. BIPAI can provide toolkit users with additional assistance, upon request. The toolkit is available as several PDFs. Adobe Reader is required to view the document.

Pediatric Rules and Reminders

Developed by Partners HealthCare System Quality Improvement Group, these tools act to improve adherence to clinical guidelines in electronic health record systems. The intention here is to advance health care quality and safety. This tool is available as a PDF, requiring Adobe Reader.

Pediatric Documentation Templates

Developed by Partners Quality Improvement Group, these templates for acute and chronic conditions can assist providers when documenting a visit in an electronic health record by increasing the efficiency with which a visit is documented and enhancing adherence to clinical guidelines for those conditions. The templates are based on national guidelines and may be modified to suit a particular clinical practice's needs. This toolkit is available as a PDF, requiring Adobe Reader.

Newborn Screening Coding and Terminology Guide

This guide for State health officials and physicians promotes and facilitates the use of electronic health data standards in recording and transmitting newborn screening test results.

Pediatric Trigger Toolkit: Measuring Adverse Drug Events in the Children’s Hospital

The use of “triggers,” or clues, is an effective method for detecting and preventing adverse events that result in harm to pediatric patients. The Pediatric Trigger Toolkit for Measuring Adverse Drug Events (ADEs) provides a powerful yet simple method to detect medication-related harm in pediatric inpatients. The toolkit can help hospitals implement medication system changes to ensure fewer drug-related injuries to patients. This toolkit was developed by Child Health Corporation of America. This toolkit is available as a PDF, requiring Adobe Reader.

Improving Asthma Care for Children Toolkit: Best Practices in Medicaid Managed Care

This toolkit provides strategies to improve asthma care tested by a diverse group of health plans serving Medicaid consumers. The inventive methods, targeted for children with asthma, can also be used for adults. The toolkit was developed by the Center for Health Care Strategies, Inc. The toolkit is available as a PDF, requiring Adobe Reader.

Improving Preventive Care Services for Children: A BCAP Toolkit

The Improving Preventive Care Services for Children Toolkit provides a practical approach for increasing the quality of preventive care for children covered under Medicaid and SCHIP. It includes a simple process improvement model to consistently follow; strategies for identification, stratification, outreach, and intervention, including plan case studies; tools to encourage providers to adopt streamlined preventive care practices; and communications tactics for creating change. The report is available as a PDF, requiring Adobe Reader.

Attention Deficit Hyperactivity Disorder (ADHD) Collaborative: Forms for the Diagnosis and Treatment of ADHD

These forms for the diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) are designed for primary care practitioners. The collection of standardized forms can be use to improve functioning, quality of life, and access to care for children with ADHD. The toolkit was developed by Cincinnati Children's Hospital Medical Center. The toolkit is available as several PDFs and Word documents, requiring Adobe Reader and Microsoft Word.

Electronic Health Record Adoption Process

Developed by HealthInsight, this site provides support for physician offices and other health care settings in the adoption and use of health information technology and electronic health record (EHR) systems. It offers tools, links to resources, and suggestions for increasing the likelihood of a successful and complete EHR implementation. The toolkit is available as web-based components, Word documents, and Excel documents, requiring a web browser, Microsoft Word, and Microsoft Excel.
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