Chapters: 14, 15, 17

False

Consolidating inventory reduces profits.

2

Controlled substances logs should be kept for ___ years beyond last recorded entry.

The practice owns the radiographs, but copies can be made for owners at their request.

Who owns the radiographs of a pet?

Clients will not remember all of the information presented to them upon discharge of their pet. Information should be in written format so that they may review the information when they get home.

Why are discharge sheets vital?

The presenting complaint must be documented in the record. The history helps the veterinarians determine a diagnosis.

Why is history taking critical for a medical record?

No, the medical record does not belong to the client, as it is property of the veterinary practice; however copies can be made for owners at any time.

Does a client record belong to the client? Why or Why not?

Inventory should be turned over 6 to 12 times per year.

How many time should inventory be turned over per year?

State laws vary regarding the length of time medical records must be kept; most states require at least 3 years. Inactive records can be purged from the active record section, moving them to another location within the practice yearly.

How often are medical records purged?

Determining and using effective turnover rates Determining and using effective reorder points Determining and using effective reorder quantities

Improving profits in the primary revenue center can be accomplished by?

Soft cost

In order to determine the least cost that can be charged to a client, a practice must determine the:

True

Legible, complete medical records are an asset to the hospital, and they bring value during a valuation.

Surgical logs

Logs potentially required by law include:

Capture missed charges Identify incomplete medical records Identify lapses in recommendations

Medical record audits should:

Must be released to the owner only Must have an owner's consent to be released to any person asking for a copy

Medical records

False

Price shopping for inventory items is a cost-effective method to reduce cost of goods?

Moves inactive medical records to another storage area

Purging medical records:

physcial exam

The objective portion of the SOAP format includes:

Monthly

To help reduce soft costs, orders, of top producing items should be placed:

Back orders, expired medications, lack of medications, or increased costs associated with purchasing inventory are all losses associated with poor inventory control.

What are some losses associated with poor inventory control?

If expired medications have been unopened, some distributors or manufacturers may exchange it for more recently produced drugs. If it is a controlled substance, it must be submitted to a waste management company that is certified to handle expired CSs. Pills can be dissolved in water and poured over kitty litter, then discarded in the trash. Liquids can be withdrawn from the bottles and poured over kitty litter, then discarded in the trash.

What does an inventory manager do with expired medications?

SOAP is the format medical records should follow: Subjective, Objective, Assessment, Plan. Subjective information is the reason for the patient's visit. Objective information includes the physical exam. Assessment is the conclusions that can be reached from the subjective and objective sections, including possible diagnosis. The plan includes any diagnostic workup recommended, along with intended communications for the owner.

What is a SOAP progess note? Give an example of each part?

An SDS is a safety data sheet that is required to be kept by all practices in the practice's safety notebook. OSHA requires all practices that stock chemicals to keep sheets informing the team of hazards the chemical may possess and how to treat the team member should they be exposed adversely to the products.

What is an SDS?

Order books are used to keep track of all orders that have been called in. When inventory items are received, they can be checked against the order book, ensuring that the product received is correct

What is an order book?

Capital inventory is any piece of equipment that the practice purchases.

What is capital inventory?

For most states, 3 years.

What is the earliest that records can be shredded?

The goal of an inventory system is to keep enough inventory on hand to prevent it from running out, but not so much that drugs expire, disappear by theft, or become damaged.

What is the goal of an inventory system?

Alphabetical

What is the most common method for filing paper medical records?

Owner's name Patient's name Patient's information SOAP Physical exam Treatments: must include name of drug, strength, route of administration, and the initials of the administrator Diagnosis Laboratory data: interpretation and comments regarding abnormalities Prognosis: excellent, fair, guarded or poor Initials of the doctor and technician(s) All information is required to have a complete medical record.

What items are mandatory in a medical record? Why?

Controlled drug logs are required by the DEA

What log is required by the U.S. drug enforcement administration?

40%

What minimum percentage should products be marked up to break even?

Records must be legible so that team members may follow instructions for treatment for the current visit. Team members must also be able to refer to the history of the patient when it returns for future visits. Should the patient need to be referred to a specialist, the specialty practice must be able to read diagnostics and treatments for the patient. Should the case ever become the subject of a lawsuit, the judge must be able to read and understand the record in order to make a fair ruling on the case.

Why is legibility so important in medical records?

"Want lists" encourage team members to write products on the board that are running low. This is a step to help the inventory manager in case product quantity is accidentally overlooked.

Why should a want list be developed?

Representatives provide valuable information on products that are available. They also provide continuing education on topics other than products, such as tactics to improve client communications, compliance, and increased client satisfaction.

Why should distributor and manufacturer representatives be seen by the inventory manager?

Radiograph logs allow the team to take radiographs at the same settings as previous radiographs had been taken at. This allows better comparison radiographs for the veterinarian

Why would a radiograph log benefit the team?