Problem Oriented Charting Skills
Problem Oriented Charting (POC, poc.connect-care.ca) is an approach to clinical documentation that emphasizes what links new and important health developments to patients' health conditions organized in a Problem List. Clinicians can track multiple evolving issues. They do this collaboratively and so reduce the information burden shouldered by any one clinician.
Gaining proficiency in problem list management is a prerequisite for problem oriented charting. Additionally, clinical groups should jointly adopt POC workflows. Once a "charting compact" is endorsed, all team members should complete self-directed POC training. This section supports that need with illustrated tips for admission, daily rounds, discharge or outpatient documentation.
Problem Oriented Charting Tips and Demos
POC workflows can seem daunting at first. With a little habituation, documentation burdens are reduced and more than compensate for the time invested learning new skills. The following tips illustrate little things that can make POC easier and more impactful. Most tips include short video demonstrations (1-3 min each; those who prefer visual learning can focus on the demo links in square brackets below).
A few online presentations explain the rationale for and approach to POC:
The POC tips are listed, in order:
Finding Problem Oriented Charting (POC) tools
Shared documentation building blocks
POC Progress Notes
POC Summative Documentation