ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding Day One

Video Transcription

Video Summary

In this video, Dr. Joe Vaccari, a practicing gastroenterologist, discusses the key components of a high-quality note in the context of gastroenterology care. He emphasizes that the goal of a quality note is to accurately and timely document the patient's care, tell a good story, and develop a comprehensive management plan. The note serves as a communication tool between GI providers, referring physicians, and ancillary services, and also helps justify the medical necessity of services rendered. Dr. Vaccari provides tips and strategies to improve efficiency and avoid note burnout, such as learning and utilizing the features of the electronic medical record (EMR), developing templates, using voice recognition software, and being mindful of the limitations of copy-forward functions. He highlights the importance of the history of present illness, differential diagnosis, and comprehensive assessment and plan in creating a quality note. Dr. Vaccari emphasizes the importance of timely note completion, communicating effectively with referring providers, and minimizing medical legal risk through accurate and thorough documentation. The video provides medical professionals with practical guidance on creating high-quality notes in gastroenterology practice.

Asset Subtitle

Joseph Vicari, MD, MBA, FASGE

Keywords

gastroenterology care

quality note

patient's care

comprehensive management plan

communication tool

electronic medical record

note completion