Background: Cancer patients commonly suffer from pain and constipation, and a high number of patients have inadequate control of these symptoms. At the Cancer Center for Excellence at Grady Health System, a large public healthcare network in Atlanta, baseline QOPI measures for pain and constipation documentation were below benchmark levels. We conducted a quality improvement (QI) initiative to improve the management of pain and constipation. Methods: Given the low baseline rates of QOPI documentation for pain (58%) and constipation (60%) assessment, we aimed for a 20-percentage point increase in documentation of these measures. Cause and effect analysis identified causal factors. This led the team to develop a new note template that automatically integrates pain and constipation assessment data from the nursing note into the practitioner’s documentation. We developed a new process in the electronic medical record (EPIC) to link appropriate orders with the pain and constipation plan. Mandatory use of the new note began in June 2017. We reviewed documentation pre- (12 months) and post- (4 months) intervention. Results: Integrating a nursing assessment into the note for the practitioner increased pain score documentation from 66% to 87% and pain management from 47.2% to 83.2%. Similarly, documentation of constipation assessment increased from 18.9% to 82.8% and constipation management increased from 11.78% to 75%. This QI intervention improved pain control by the 3^rd visit from 47% to 57%. This strategy also reduced emergency department (ED) visits and hospitalizations from 21% to 9%. Conclusions: Using a standardized visit template and mandated assessment of constipation and pain lead to an increase greater than the 20% goal for documentation of these symptoms. This intervention resulted in improved pain and constipation control. This strategy suggests a reduction in ED visits.