Ehr Go Introduction To Chart Deficiencies Answers File

*Disclaimer: EHR Go updates its sandbox cases periodically. However, the "Introduction to Chart Deficiencies" module has remained statistically consistent since 2022. The following answers apply to the most common simulation case: Patient Darla Smith - Encounter 84592. *

Question 1: What is the primary deficiency in the Discharge Summary?

Answer: It lacks the final authenticated signature of the attending physician.

Question 2: The History & Physical (H&P) was dictated on post-op day 2. Is this a deficiency?

Answer: Yes. The H&P must be completed prior to surgery or within 24 hours of admission. (Note: 48 hours for non-Medicare; EHR Go usually defaults to 24).

Question 3: Which document shows evidence of cloning?

Answer: The Daily Progress Notes from 02/10, 02/11, and 02/12. (The physical exam sections are identical). ehr go introduction to chart deficiencies answers

Question 4: How is a deficiency corrected in EHR Go?

Answer: By opening the document, selecting "Add Amendment/Addendum," entering the correction, and re-authenticating with an e-signature.

Question 5: The patient's Medication Reconciliation is incomplete. What is missing?

Answer: The reason for discontinuation of Lisinopril is not documented.

Question 6: A verbal order was taken by a nurse. Is this deficient?

Answer: Yes, if the ordering physician does not countersign the verbal order within 48 hours. *Disclaimer: EHR Go updates its sandbox cases periodically

You may be asked to find and flag:

| Deficiency Type | Example | |----------------|---------| | Missing documentation | No vital signs for a post-op patient | | Incomplete orders | PRN med order missing indication or max dose | | Unreconciled allergies | Allergy listed but no reaction type | | Discrepancies | Reported pain level (8/10) but no follow-up action | | Missing signatures | Unsigned nursing note or verbal order | | Outdated care plans | Care plan still lists “risk for falls” after patient is ambulatory |

Getting the "answers" is only half the battle. EHR Go grades you on workflow. Here is how to get 100% on the practical application:

The Situation: The deficiency indicates "Unsigned Order" or "Missing Consent." The Problem:

How to Fix It:

EHR Go simulates a real EMR's "In Basket." Click on the "Provider To-Do List." Any unsigned note will appear here. Answer clue: If a note is on the To-Do list, it is deficient. Answer: It lacks the final authenticated signature of

Question 3: According to the facility’s “Medical Staff Bylaws” (found in the Policy section of EHR Go), how many days does a physician have to complete an History & Physical (H&P) for a non-surgical patient?

Answer: 24 hours prior to admission or within 48 hours after admission (depending on the exercise specifics; most EHR Go intro modules use 48 hours post-admission for observation units). Rationale: Look for the patient's admission date/time in the header. If the H&P was written 72 hours later, it is delinquent.

Question 4: The Consultation Report from Dr. Lee is present but unauthenticated. What is the action required?

Answer: Query the provider (or mark as "Incomplete - Pending Provider Action"). Rationale: In EHR Go, you cannot correct the chart yourself. You must flag the deficiency so the system sends a notification back to Dr. Lee to co-sign the note.

The Question: "Which document in the chart lacks an authentication?" How to spot it: Look for terms like "Dictated by," "Addendum," or "Incomplete." In EHR Go, if an attending physician’s name appears without a timestamped e-signature or "Verified" stamp, it is a deficiency. The Answer: Usually the Discharge Summary or Operative Report dated the day of discharge without a signature in the attestation field.