Well-child visits charted while you talk to the parent.
Well-child and sick visits in your group's format, with milestones, screenings and vaccines due captured from the conversation.
Pediatrics
Well-child visit
median time to a signed well-child note
less evening charting per clinician each week
Measured over a 12-week pilot at the clinic quoted on this page.
A sample visit and the note drafted from it.
Visit transcript
[00:08] Clinician: How is she sleeping these days?
[00:11] Parent: Ten to eleven hours most nights. She still fights bedtime a little.
[00:40] Clinician: And eating? Any concerns there?
[00:43] Parent: She's picky. Mostly pasta and fruit, and she drinks milk with every meal.
[01:20] Clinician: Her speech is clear and she can hop on one foot. Let's keep milk to about two cups a day so she's hungrier at meals. She's due for DTaP, polio, MMR and chickenpox today.
[01:38] Parent: That's fine. Let's do all four today.
Draft note
Visit: 4-year well-child visit.
Sleep: 10 to 11 hours nightly. Some bedtime resistance.
Nutrition: Selective eater, mostly pasta and fruit. Drinks milk with every meal.
Development: Speech clear. Hops on one foot.
Physical exam: Not described aloud. Add findings before signing.
Immunizations: DTaP, IPV, MMR and varicella due today. Parent agrees.
Plan: Limit milk to about 2 cups (16 oz) a day.
Suggested codes: Z00.129 Encounter for routine child health examination without abnormal findings; Z23 Encounter for immunization
Fictional patient. Transcript shortened for this page.
How the clinic uses Charted.
Kelden Pediatrics has 14 clinicians across two offices and sees newborns through teenagers. A well-child visit fits milestones, screenings, growth and vaccines into 20 minutes, and most of the history comes from a parent talking fast.
Clinicians record from a phone on the counter once the parent, and an older child or teen, accepts the consent prompt. Charted drafts the note in the group's own well-child template for that age and lists the vaccines due and any screening results discussed. Anything not said aloud, such as the physical exam, is flagged for the clinician to complete.
During the pilot, median time to a signed well-child note was 3 minutes, and clinicians spent about 2 fewer hours a week charting in the evening. The practice now records every well-child and sick visit.
