O C T O B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 5
William Landess, JD, MS, CRNA
Palmetto Health
Columbia, S.C.
william.landess@palmettohealth.org
w "No Need to Rewrite Unchanged H&Ps" (August, page 15) con-
tains some language that, if not factually incorrect, could easily
be misinterpreted. Consider the following when determining
whether your facility complies with H&P (History & Physical)
requirements.
w The 30-day window for validity, while perhaps arbitrary, does not
permit extension beyond that timeframe.
w During the 30 days after an H&P is performed, your facility's
policy may let a practitioner update the original document. This
might be accomplished with a notation asserting that a
reassessment has been conducted, and that all previous find-
ings and information are unchanged.
w In all circumstances, adherence to and compliance with stricter
state laws and regulations takes precedence, and must be
incorporated into your facility's policies and procedures.
David Shapiro, MD
Chair of the AAAHC Standards Committee
Tallahassee, Fla.
dshapiromd@yahoo.com
Clarifying 30-Day H&P Concept
