If consult ordered, has appt been scheduled? OVERALL PT SCORE (SAT or UNSAT) # of Patients In Sick Call Log: ______ Underway Schedule: Recommended Scoring Scheme (based on overall grade for each # of Patients with written SOAP notes/encounters: ______ pt encounter): % of encounters documented: _______ This month 5 patients # of PHA’s reviewed: ______ 4 or 5 SAT pt encounters = SAT # of PHA’s satisfactory: ______ 3 SAT pt encounters = MARGINAL SAT Next month % of PHA’s satisfactory: ______ 0 or 1 or 2 SAT pt encounters = UNSAT Access working onboard? ______ 4 patients Essentris Access? ______ 4 SAT pt encounters = SAT Athens Access for Up to Date CME? ______ 3 SAT pt encounters = MARGINAL SAT 0 or 1 or 2 SAT pt encounters = UNSAT CO/XO Debriefed: in person/email Upcoming Deployment: : circle: ________________________________________ ______________________________________________ NEXT VISIT: ______________________ Physician Supervisor Signature IDC Signature Rev July 2014
If consult ordered, has appt been scheduled? OVERALL PT SCORE (SAT or UNSAT) # of Patients In Sick Call Log: ______ # of Patients with written SOAP notes/encounters: ______ % of encounters documented: _______ # of PHA’s reviewed: ______ # of PHA’s satisfactory: ______ % of PHA’s satisfactory: ______ Access working onboard? ______ Essentris Access? ______ Athens Access for Up to Date CME? ______ Recommended Scoring Scheme (based on overall grade for each pt encounter): 5 patients 4 or 5 SAT pt encounters = SAT 3 SAT pt encounters = MARGINAL SAT 0 or 1 or 2 SAT pt encounters = UNSAT 4 patients 4 SAT pt encounters = SAT 3 SAT pt encounters = MARGINAL SAT 0 or 1 or 2 SAT pt encounters = UNSAT Underway Schedule: This month Next month CO/XO Debriefed: circle: in person/email Upcoming Deployment: : ________________________________________ ______________________________________________ NEXT VISIT: ______________________ Physician Supervisor Signature IDC Signature Rev July 2014
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