FREE PREVIEW. AAFP members and paid subscribers: Log in to get free access. All others: Purchase online access.

FREE PREVIEW. Purchase online access to read the full version of this article.

Fam Pract Manag. 2016 Jul-Aug;23(4):39.

Ask about patients' future plans

Many times in busy practices, patient visits can become monotonous and businesslike and lose the human touch. To mitigate this, I end my visits by asking patients about their future plans – such as family reunions, graduations, or vacations – and write the information down in the progress note. During follow-up visits, I refer to these notes and ask my patients about these events. A good number of patients are surprised and appreciate that I am paying attention to their lives, not just their health.

Use color-coding to manage patient documents

Even with the increasing use of electronic health records (EHRs), paper documents containing patient information have not fully disappeared in the typical family medicine practice. It can be challenging to appropriately manage these documents while protecting patient confidentiality.

In our office, we use a color-coding system that indicates how urgently a document needs to be managed and the type of action required.

A red folder means the document inside needs to be dealt with right away. Blue indicates the matter is routine. Yellow signifies the document needs to be scanned into our EHR. Documents placed in a green folder are for shredding. Buff-colored folders hold administrative documents not related to patients.

Our office also has rules for how the folders are used. Most importantly, we never put documents for different patients in the same folder to avoid sending documents to the wrong patient. Most offices already have a system where clerks pick up and deliver documents several times each day. Our clerks must also distribute the empty color-coded folders where documents are generated so they are readily available.

This approach helps everyone in our office know which documents they need to act on first and simplifies identifying items that must be either scanned into the EHR or shredded. It can be easily modified to meet your office's specific needs.

Update deceased patients' records

Many physicians may be unaware of a patient's death until they attempt to contact that person. To avoid this, we have a staff member check the daily obituaries. If she learns of a death we didn't already know about, she updates our practice management system and notifies the primary care physician.

This approach makes our quality metric reporting more accurate and serves as a backup if a family member or hospital does not notify the practice of a patient's death.


Practice Pearls presents readers' advice on practice operations and patient care, along with tips drawn from the literature. Send us your best pearl (250 words of less), and you'll earn $25 if we publish it. We also welcome questions for our Q&A section. Send pearls, questions, and comments to, or add your comments below.


Copyright © 2016 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions

CME Quiz


Sep-Oct 2016

Access the latest issue of Family Practice Management

Read the Issue

Email Alerts

Don't miss a single issue. Sign up for the free FPM email table of contents and e-newsletter.

Sign Up Now