The Procedures AIM form is intended to optimize and standardize documentation of both common procedures as well as female-only procedures performed in the outpatient setting.

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Training Material for All Users

AHLTA and other training resources

Additional TSWF support

Procedures Recent Changes

  • 14 changes for Jan-Apr 2018 update
  • Consolidated Procedure Counseling, Education, and Patient time out and moved to its own tab
  • Added a clinical cue to the Family History text box (“Including, but not limited to, diabetes, heart disease, HTN, colon cancer, breast cancer, and/other cancers, and conditions that run in the family.”)
  • Added a clinical cue to the PHQ-9 ribbon (“If clinical judgement suggests, and/or patient is on anti-depressants and has a history of depression, skip PHQ-2, open ribbon, and go directly to PHQ-9.”)
  • Changed ribbon wording to: Depression Screening (PHQ-2 and PHQ-9)
  • Renamed the “Sexual Assault Toolkit” ribbon as “Sexual Assault Resources”
  • Removed the Overall Health question
  • Removed Secure Messaging question from Annual Questions field
  • Added REALM SF details and words to the forms (listed individually)
  • Placed the REALM SF scoring chart to the right of the text box with instruction:
    “The score is based on the number of words correctly read aloud.”
  • Consolidated MSK upper and lower into one tab
  • Reformatted Red Flags field
  • Moved Lifestyle/Exercise questions to Exit CCP tab
  • AUDIT-C revision:
    -Deleted previous AUDIT-C score field
    -Added AUDIT-C score to the existing date field
    -Reformatted clinical information
  • Deleted the Allergies field and added blue cue text explaining the change

History

  • Developed as an adjunct to the CORE form
  • Became a stand-alone TSWF AIM form
  • Documents procedural process issues

The Procedures AIM form was initially developed as an adjunct to the CORE form. With the many procedures performed in the outpatient setting, the form later became a stand-alone TSWF AIM form. This has enabled providers to document procedures and also to document or address any acute issues that may be brought up by the patient during the procedural process.

Form Lead

TSWF-Procedures Form Lead
Samuel P. Eng, M.D., M.S., FAAFP

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