Defensible Documentation For Nursing & Therapy printable pdf download

Defensible Documentation For Nursing & Therapy

Presents a 4 part webinar Series:

TPL

F2F

Defensible Documentation for

Nursing & Therapy

ADRs

DSS Audits

Thursdays, November 6, 20, 2014

Tuesdays, December 2, 16, 2014

12:00 to 1:30 PM Eastern

The ability to create defensible documentation that clearly and concisely supports medical necessity continues to

challenge all disciplines providing care in home health. Although specific attention keeps therapy services in the

cross hairs of denials, audits efforts clearly indicate that the deficits being used to deny payment are seen just as

often in nursing notes as well. Many clinicians are quick to lay a degree of blame on the documentation tools they

are given to use. Both paper and electronic options are far too often held more accountable than the person

competing the form and actually responsible for the content.

Many home health veterans and tool developers have the battle scars of trying to change documentation tools as

there never seems to be one that fixes the problems completely let alone make everyone happy. The focus has been

on the end product of content and attempts to find fixes that actually decrease clinical decision making by relying

heavily on check boxes or drop down choices.

This series of four webinars will create a change in how clinicians think about documentation by peeling back

layers of myth and unclear directions and getting back to the very foundational components of good content

creation‐ subjective information, objective data, assessment of patient response and performance and planning for

ongoing care. The necessary level of content is driven by the clinician having the right focus and not a new form.

Series Topics

Each session will build upon the previous session and will use SOAP charting as its foundation.

Session 1:

Thursday, November 6‐ 12‐1:30 pm

Session 2:

Thursday, November, 20‐ 12:1:30pm

Subjective Documentation

Objective Documentation

Session 3:

Tuesday, December 2‐ 12‐1:30 pm

Session 4:

Tuesday, December, 16‐ 12‐1:30pm

Assessment Documentation

Plan Documentation

If you have any questions,, or call 603‐225‐5597

Defensible Documentation For Nursing & Therapy