Hospital H&P Template 2   
by e-MedTools   

MedicalTemplates has developed a 2 page hospital history and physical template. This template is suitable for hospitalists, internal medicine physicians, family practice physicians, and other health care providers.

Hospital H&P MedicalTemplate Features

Hospital H&P template contains prompters and space for the following required elements for a E&M encounter -

* Chief complaint
* History of present illness
* Past medical and surgical history
* Social history
* Family history
* Review of systems
* Review of data
* Physical exam (General Multisystem Exam)
* Assessment and plan


Medicare 2007 PQRI Quality Measure reminders

* #1 Hemoglobin A1C Poor Control in Diabetics
* #4 Screening for Future Fall Risk
* #5 Heart Failure: ACE or ARB for LVSD
* #7 Beta blocker therapy for CAD
* #8 Beta blocker therapy for LVSD
* #10 Stroke/TIA CT or MRI within 24 hours of admission
* #11 Stroke/TIA Carotid imaging
* #28 Aspirin at Arrival for AMI
* #29 Beta blocker at arrival for AMI
* #46 Medication Reconciliation
* #47 Advanced Care Plan
* Download the Medicare 2007 PQRI Quality Measures from here.


This MedicalTemplate is suitable for

* History and Physicals
* Consult Notes