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AI Charting for Dietitians

Автор: Amy Plano, The Reimbursement Dietitian

Загружено: 2024-09-16

Просмотров: 2977

Описание:

The ultimate hack for dietitian charting is ... AI charting! Boom.

In this 60-minute presentation two of the Rock Stars from my advanced coaching program will skool you on how AI charting has literally changed their lives.

Let me know what you think in the comments below.

HEIDI SHARE LINK

Out of kindness to both RDs maybe RD's last name ending in A - L use Maya's code & M - Z use Kim's affiliate code?

Maya code : https://scribe.heidihealth.com/regist...

Kim's code: https://scribe.heidihealth.com/regist...
SDG FOLLOW UP NOTE TEMPLATE

[Be as detailed as possible, include scientific and factual language, use college-level education when writing, and include everything from the recording in the below format. Use minimal and only necessary quotes that support updates from the patient or education from the dietitian. Write as long of note as possible and use full and complete sentences and paragraphs. Replace patient's name with 'PT' in the entire note. Refer to the 'I' or the dietitian as 'RD' through the entire note. When referring to the patient say 'PT' and when referring to the RD say 'RD.' Do not repeat yourself.]

Progress Updates and Obstacles

"PT is present for follow-up on next step goals and reassessment of nutrition plan."

[Summary of patient's progress since last session, including any positive developments in health or behavior in story format. Please add any exact numbers discussed in session such as weight, measurements, labs, time in gym, grams of macronutrients or average calorie intake.]

[Description of any new challenges or obstacles the patient has encountered since the last session in story format.]

Solutions, Interventions, and Education

"RD reviewed and updated weight, medications, supplements, labs, and progress above." Add all the updates to blood work discussed in the session and the education provided around the blood work. Add the medication updates is discussed.

[In story format with as much detail as possible and use complete sentences and paragraphs, provide details of each

1. TOPIC and/or PROBLEM and/or OBSTACLE the dietitian and/or patient discussed followed by the 2. EDUCATION and SOLUTION the dietitian provided on that specific topic or problem. Add the specific education the dietitian provided by writing "RD educated PT on" and fill in the rest. Separate each topic or problem into a new paragraph. Please add any exact numbers discussed in session such as weight, measurements, labs, time in gym, grams of macronutrients or average calorie intake.]


[In story format with as much detail as possible, of the patient's UPDATED DIETARY RECALL and name all foods exactly as discussed, if discussed in the appointment adding any additional EDUCATION or FOOD IDEAS on this topic the dietitian provided during the appointment. If specific foods or meals were provided as solutions or education, list all of them here.]


[In story format with as much detail as possible, share any obstacles the PT might encounter to taking the next steps the RD and PT determine as the next steps before the next session. Then, right after naming the obstacle, share the exact and details solutions the RD and PT came up with here.]

[Summarize the next steps the patient will take before next session]
"RD reviewed and updated the nutrition plan and set the next step goals with a follow up for [insert follow up date] to reassess PT progress, updated problems/solutions list, navigate obstacles, and make any medically necessary changes to the nutrition plan."



Update Note to Patient

[Write a simple letter to the patient from the dietitian with a recap summary of 1. education items and 2. action items for the patient. Use bullet points for each.]


RD INITIAL

[Be as detailed as possible and include everything from the transcribed note in the below format. Write as long of note as possible. Write in full sentences and a cohesive story. Replace patient's name with 'PT' in the entire note. Refer to the 'I' or the dietitian as 'RD' through the entire note. Write in full sentences and a cphesive story]

[Summary of patient's general presentation and history of efforts to complete overall goals]

[Summary of patient's current weight, goal weight, and challenges with maintenance or reaching goal.]

[Details of patient's relevant previous bloodwork results]

[Information on family medical history relevant to the patient's condition]

[Description of patient's gastrointestinal symptoms, sleep patterns, cognitive concerns, and dietary habits and the disruptions that they cause]


[Please create a medical nutrition therapy plan I can send to the patient which includes all his goals and problems with complete solutions as actions steps. Put this in a header and sub header format with bullet points..]

[Description of dietary plan with tracking if needed]

[Objective for management of any symptoms or bloodwork]

[Description of weight reduction target]

[Long term weight management]

AI Charting for Dietitians

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