What is an After Visit Summary?
An After Visit Summary (AVS) is a paper or electronic document given to patients at the end of a medical appointment. It summarizes the visit, provides key health information, and guides the patient's next steps in their care.
The AVS serves as a critical communication tool that helps patients remember what was discussed, understand their treatment plan, and know when to follow up or seek additional care.
Why AVS Matters
What to Include in an After Visit Summary
A comprehensive AVS should cover these essential sections:
Patient Information
- Full name and DOB
- Medical record number
- Visit date and time
- Provider name
Visit Summary
- Reason for visit
- Diagnoses addressed
- Key discussion points
- Vital signs recorded
Medications
- Current medication list
- New prescriptions
- Medication changes
- Instructions for each
Test Results
- Lab results reviewed
- Imaging findings
- Pending tests
- Normal vs. abnormal
Treatment Plan
- Treatments ordered
- Procedures scheduled
- Lifestyle recommendations
- Goals of care
Follow-Up
- Next appointment
- Specialist referrals
- Warning signs
- When to seek care
Free After Visit Summary Template
Use this template as a starting point for your practice:
Diagnosis: [Diagnoses addressed]
Discussion: [Key points discussed]
Tests/Referrals: [Any pending orders]
Self-Care: [Instructions for home]
โข [Warning sign 1]
โข [Warning sign 2]
โข [Warning sign 3]
Patient Portal: [URL]
AVS Best Practices
Use Plain Language
Avoid medical jargon. Write at a 6th-8th grade reading level for maximum comprehension.
Be Specific with Instructions
Provide clear, actionable steps rather than vague guidance.
Highlight What's New
Clearly mark medication changes, new diagnoses, or updated instructions.
Include Warning Signs
List specific symptoms that warrant immediate medical attention.
Provide Contact Information
Include who to call for questions, refills, and emergencies.
Keep It Scannable
Use headers, bullet points, and white space for easy reading.
AVS in Common EHR Systems
Most modern EHR systems have built-in AVS functionality:
Epic MyChart
- Auto-generated AVS
- Patient portal access
- Customizable templates
- Smart Phrases support
Cerner PowerChart
- Integrated summaries
- Auto-population
- Print and electronic
- Care plan integration
Athenahealth
- One-click generation
- Patient messaging
- E-prescribe integration
- Quality reporting
eClinicalWorks
- Template library
- Multi-language support
- Patient education links
- Portal delivery
AVS vs. Discharge Summary
| Aspect | After Visit Summary (AVS) | Discharge Summary |
|---|---|---|
| Setting | Outpatient/Office visits | Inpatient hospitalizations |
| Length | 1-2 pages | 3-10+ pages |
| Audience | Patient-focused (plain language) | Clinical (other providers) |
| Content | Visit highlights, next steps | Full hospital course, procedures |
| Timing | Given at checkout | Within 24-48 hours of discharge |
Frequently Asked Questions
What is an after visit summary (AVS)?
An after visit summary (AVS) is a paper or electronic document given to patients after a medical appointment that summarizes their visit. It includes diagnoses, treatments, medications, test results, follow-up instructions, and upcoming appointments to guide patient self-care.
Is an after visit summary required by law?
While AVS was originally mandated under Meaningful Use Stage 1, CMS dropped the strict requirement in 2016. However, providing an AVS remains a best practice and is included in quality reporting under MIPS/MACRA. Most healthcare systems continue to provide AVS as a standard of care.
How do I get my after visit summary from Epic?
Epic automatically generates an AVS at the end of each visit. Patients can access their AVS through the MyChart patient portal under "Visit Summaries." The summary is also typically printed and given to patients at checkout.
What is the difference between AVS and discharge summary?
An AVS is for outpatient/office visits and is simpler, focusing on visit highlights and next steps for the patient. A discharge summary is for inpatient hospitalizations and is more comprehensive, including the full hospital course, procedures, and detailed transition of care information for other providers.
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