Download Hospital H&P Template 2 If your download does not start automatically within 5 seconds, choose a mirror below: Hospital H&P Template 2 Mirror 1   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

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