PPT-A General Overview of Effective Case Work Documentation for

State and Community Case Work Notes 10242016 1 What is a Note 2 What Should I Write a Note About 3 What Information Should NOT b e i n a Note 4 Why are Notes Important 5. Data Dictionaries. 1. Prerequisites. Recommended modules to complete before viewing this module. 1. Introduction to the NLTS2 Training Modules. 2. NLTS2 Study Overview. 3. NLTS2 Study Design and Sampling. Presenter’s . Name • Date. 2. Introduction. The . goal of . good documentation is to create a record of employment, including facts of incidences and the steps and actions by the employer in an employment matter. Effective documentation serves as an aid to future managers and HR professionals for historical perspective, audits, and legal claims.. Telana . Fairchild. Nurse Practitioner Students. UMass - Worcester, . Graduate School of Nursing. N/NG . 603B. 1. Narrative. Focused. Flow-sheet. By exception. Problem . oriented. Types of Documentation. ethical, legal and clinical issues. Margaret . BROWN. Research . Fellow, Hawke Research Institute, University of South . Australia. Ravi RUBERU. Geriatric . Registrar, Royal Adelaide . Laura Triplett, Director, HIM. Roseann Kilby, Clinical Informatics Analyst. Becky Crane, Clinical Risk Manager. 367 Bed Community Health System in Quincy, Illinois . 2,000 Employees. 240+ Physicians. (State and Community). Case Work Notes. 10/24/2016. 1. What is a Note?. 2. What Should I Write a Note About?. 3. What Information Should . NOT. . b. e . i. n a Note?. 4. Why are Notes Important?. 5. California Department of Aging. Documentation Rule #1. Documentation. Utilizing the Participant Form Checklist. Official Document or . Business Record. Confirmation of . Signature and Date. Make sure that forms are . Documentation tells a story. Quality documentation tells a story that everyone can understand. What does your documentation say about you? . Financial implications. Documentation is a receipt, warranty and guarantee for payments received.. RCPA Conference. October 8, 2014. Agenda . Behavioral Health Services Cultural Overview. Current Regulatory Environment – New Compliance Challenges. Function of the Progress Note. Defensive Maneuvers – Audit Proof Documentation. Jan Malone 8. th. floor Nurse Educator. Importance of Documentation. Helps us track our patient’s progress. Conveys information between disciplines and shifts. Can determine therapy. Is part of the permanent record. ICD 10 is being mandated by CMS. Compliance date is set at October 2015.. . ICD-9 Diagnosis Codes = 14,000 . ICD-10 Diagnosis Codes = 69,000 . ICD-9 Procedure Codes = 3,800 . ICD-10 Procedure Codes = 71,000 . ICD 10 Documentation Specialty Introduction ICD 10 is being mandated by CMS. Compliance date is set at October 2015. ICD-9 Diagnosis Codes = 14,000 ICD-10 Diagnosis Codes = 69,000 ICD-9 Procedure Codes = 3,800 Update CSS Guide for PeopleSoft Fluid User Interface May 2015 Oracle PeopleSoft PeopleTools 854 Product Documentation Update PeopleSoft Fluid User Interface Copyright 2015 Oracle and/or its aff Agenda. Understand ‘ audit documentation’ . So that . we can prove that we have . complied with the requirements . in our . audit and assurance assignments.. Scope Para of Auditor’s Report. “.