Q: Our providers are reluctant to document a correlation between symptoms and a detailed diagnosis. Do you have any good ways to get them to do this? For example, our providers document "diabetes" but they often don't include additional details that should be there (e.g., gestational diabetes or type II diabetes mellitus in pregnancy).
Do you have suggestions to meet the requirements to evaluate all those patients who have sedation and the ones who need to be seen in the emergency department?