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 The
Standard Medical Record Form (SMRF), continued
 Implementation
The SMRFs consist
of ONLY 7 forms covering the content of well-child
visits for children ages 0 to 21 years.
The front of
each form documents all components of a well-child visit:
- Child/family
concerns and history
- Review of
systems
- Unclothed
physical examination
- Immunizations,
screenings, and guidance
The reverse
side lists:
- Age-appropriate
developmental milestones
- Bright Futures
anticipatory guidance
- Any specific
concerns
Data
Collection
- This procedure
uses same system successfully in place through the DC Immunization
Registry (DCIR) for the Vaccines For Children program
- Batch and
send carbon copy of front side to DCIR
- EPSDT data
(front side only) entered into the registry by data entry personnel
- Scanned
copy will be accessible to providers authorized to review these
records
Data
Confidentiality
- Registry
and its contents are strictly confidential
- DCIR uses
the most advanced technology to protect this confidentiality
following all HIPAA regulations, and will track and monitor
usage closely
- Any unauthorized
or authorized party using the registry for inappropriate use
will be prosecuted to the fullest extent of DC and federal
law.
Summary:
How the SMRFs can benefit providers
Developed by providers
specifically for providers, this documentation tool
can help providers be even more effective in these ways:
- Documentation
of the required content of care for each well-child visit in
an easy-to-use checklist format
- Access for
providers to their own patients' health records in a secure
database
- A pay-for-performance
incentive for each completed SMRF
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