a new H&P is required for every inpatient admission.
Joint Commission and COP allow a legible copy of a recent H&P done in a doctor's office in lieu of
an admission H&P as long as interval changes are documented in the record upon admission. In
addition, when the patient is readmitted within 30 days for the same or a related problem, an interval
history and physical exam may be completed if the original H&P is readily available.
Joint Commission requires the attending physician to countersign health record documentation that
is entered by
In creating a new form or computer view, the designer should be most driven by
needs of the users.
flow of data on the page or screen.
medical staff bylaws.