Print Patient Medical Records Authorization: Fill & Download for Free

Suddenly the world has changed.The law abiding, honest ordinary citizen has become an habitual liar.A tablet of paracetamol to suppress the fever, a wrong home address, an old undated doctors prescription or a printed notice “emergency” stuck on the car windshield; he would innovate a new lie to hoodwink the authorities, just to drive around for reasons as innocuous as shopping or haircut.Unusual PatientBut he was different. He came to the casualty and made a detailed confession, without mincing his words. He had travelled to Dubai and London and came back recently. He had asked the airport staff to check him and was willing for a quarantine, but somehow they felt that he was fine and let him go. He came to our hospital asking us to admit him as a ‘corona suspect’ if needed, ready for a 2-week quarantine.The casualty staff argued with him, but he won’t budge.‘I know I am fine, but why take the risk for others in the society? I am ready to pay for the hospital cost. Please admit me’ he said.As the doctors were debating; he slowly revealed the reason for his worry.‘I am a heart-patient and had an angioplasty and ‘stenting’ procedure done three times in the past in Mumbai’We understood the reason for his worry. Cardiac patients invariably do bad when afflicted with COVID.He told us how during his last trip his baggage got misplaced and he lost all his medical records. But he gave the name of the hospital where the angioplasty was done and the name of the performing doctor. He also rattled out the name of his medicines. We were impressed by his sharpness.‘Don’t worry‘, we comforted himHe was finally admitted as ‘COVID rule out’ case; blood reports sent, which came back as negative.‘I have heard that a second test may be positive, so I would rather take the quarantine’, he added.On day 10 he complained of severe chest pain. ECGs were recorded, blood tests done; but all were fine. He was shifted to the ICCU and observed for a day and shifted back to room. On day 14, as we were planning for his discharge, something unusual happened.At 6 PM just before the visiting time ended, his cousin sister, apparently uninvited, came to visit him, and she left in a hurry. He complained to the duty nurse, but by the time the nurse reached the room, the cousin was gone. The patient was in tears. When questioned, he revealed the truth. The irresponsible cousin had come straight from a Mumbai hot spot. No one knew how she dodged the security and came in. The poor man’s hospital stay was extended by another two weeks. A week later he got an episode of stomach pain, and that’s when he revealed that he had multiple kidney stones too.MunchausenBaron Munchausen came back from the Austrian-Russian-Turkish war in 1740; fighting it with courage and grit; and survived to tell the stories; at least that’s what he claimed. Over time, his stories became more eloquent and mesmerising, bordering on to fantasy, and often delusional. He was not a liar, but a master storyteller. His stories became more and more popular, and everyone wanted to hear them. Celebrities and dignitaries would opt to have diner with the Baron to listen to his stories. However, it was only in 1785, when librarian turned author Rudolph Erich Rapse published a book named ‘Surprising Adventures of Baron Munchausen’ the character of Munchausen became iconic. The name Munchausen became synonymous with unreal stories so well knit that they almost sounded real.‘Munchausen Syndrome’ is a disease where a person feigns or exaggerates a mild or non-existent illness to continue to get medical attention and sympathy. They never do it for any material gain. Also they make sure that they never get hurt by major medical procedures.The ClueOne of our duty nurse told us after a lot of hesitation that there seems to be something wrong in the patient’s case file. The ‘Mumbai’ hospital name mentioned in the case file where the patient was supposed to have all his 3 angioplasties, did not have facility for an angiogram. Also, the doctor mentioned was a gastroenterologist.‘I had worked there’ the nurse softly announced.Every piece of the puzzling case suddenly fell in position.Munchusen Syndrome.A ‘House MD’ moment; sort of.The ‘truthful’ man was discharged with a diagnosis of COVID negative ‘Munchausen Syndrome’.In the post COVID world, the fine line separating dark truth and white lie, look pale grey.

Electronic prescription or E-prescription are those prescriptions written on an electronic device where as normal prescription comes in a paper.Electronic prescriptionare usually transmitted to pharmacy and added to patient medical records electronically rather than printing it and handling physical copy.Most of the developed countries has already adopted the system of e-prescription and e-medical records, which helps to keep the datas safely, confidentially, easily accessible and easy understandable manner. For example, Dubai Health Authority implemented 100% electronic medical records and E-prescription and now in a quest to go 100% paperless.Thank you for reading

Doctors generally don't object to paperwork (or computerwork) that creates a record of a patient's symptoms, physical findings, test results, treatment plan, response to treatment, and other important medical information. Being practical and realistic, doctors don't object to keeping track of work done, to make billing possible.The objections are to unnecessary and even counterproductive record-keeping, and to moving more paperwork to the doctors while reducing the support from other staff. Some of the paperwork is related to maintaining licensure and credentialing. Details vary in different specialties. Electronic medical records are the source of many complaints.Here are a few examples of “paperwork” issues:Chart notes are increasingly not dictated to a secretary but entered by the doctor into an electronic medical record.Electronic records are optimized for billing, rather than for ease of finding important information for patient care. Doctors are expected to put in every detail that would justify billing at a higher level, which makes it hard to find what is actually relevant when going through a chart.Forms for maintaining medical licenses, hospital privileges (often at several hospitals), drug-prescribing authority, practice agreements with many individual insurers and with Medicare and Medicaid for each state that might send patients to one's practice group, and documentation of completion of continuing education, including numbers of hours in specified areas make up a large set of paperwork for doctors. Many of these forms have to be submitted every year. Lots of them are repetitious.Recertification requirements for specialty and subspecialty boards involve continuing education and periodic exams.Electronic medical record systems are supposed to communicate with each other, but they tend not to. A patient going from one system to another might be accompanied by a huge stack of print-outs from the first system, full of duplications. These would be scanned into the new system as images, which would not be searchable except by looking through them page by page.Insurers require pre-authorizations for tests and consultations, but each insurer has different requirements, often even different requirements for various plans. Doctors spend a lot of time getting permission to order needed tests and treatments. Small omissions can lead to denial of payment, and doctors have to spend time contesting these denials.A lot of the complaints doctors have had in recent years are because they compare the efficiency and ease of use of internet search functions and e-commerce with the unbelievably cumbersome interfaces of electronic medical records and the near-impossibility of finding relevant information in medical charts. Data entry is much harder than it needs to be, with careful attention required to avoid errors.I'm a fast typist and am computer savvy, and I got my board certifications when they were for life rather than requiring tests every few years. Even so, I was really tired of the documentation requirements and the unwieldy electronic medical record systems by the time I retired.