PPT-Social Work Documentation

Accurate Factual ConciseBrief Objective Detailed vs Vague What to includeWhat not to include Dos and Donts DO Keep quotes to a minimum Use an active voice Record immediately after each session. 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. Anthony Jukes. CRLD, La Trobe University. Things to consider. What kind of project? . Size/scope. Time constraints. Who is the audience?. What kind of outcomes do you/the community want?. What skills do you have?. Cheryl Bernknopf R.N., BScN. Assistant Director Centauri Summer Camp. Co- Chair OCA Healthcare Committee. Board Member of the ACN. PURPOSE. To provide the multidisciplinary team with a structured note format for documenting. 1. Please turn your cell phones off or to vibrate mode.. Welcome to.... ICD-10 Coding. No Recording of ANY TYPE allowed. . Mind expansion in process.... About Dr. Mario Fucinari, DC, CCSP, MCS-P. Certified Chiropractic Sports Physician (CCSP). For Charter Educators . Sara . Hardner. Leon. Powell & Leon, LLP. Austin, Texas. The Objectives of Effective Documentation. The primary objective for creating effective employee documentation is to:. ethical, legal and clinical issues. Margaret . BROWN. Research . Fellow, Hawke Research Institute, University of South . Australia. Ravi RUBERU. Geriatric . Registrar, Royal Adelaide . Dr. Andrew Wallace PhD . BEng. (hons) . EurIng. andrew@cs.umu.se. Overview. Documentation. Javadoc. More documentation. Documentation. Document your program. For others. For yourself. Programs change over time. 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.. 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 ICD-. 10. . State. a. cuity. type . Acute . Chronic. Acute. on chronic . Classification. of respiratory failure . Hypoxemic. Hypercapneic. Both. . 3/1/14cditipsheet. Most important documentation requirement . Hospitalist . Presentation . 10/18/10. What is CDI?. BRIDGING THE GAP . Between what CMS (Center for Medicare & Medicaid Services) recognizes (technical terminology of the ICD-9 system) and the clinical language physicians use to describe the patient’s condition. Graphic Documentation Systems in Mural painting Conservation (GraDoc) in November 1999. Published proceedings of this seminar became a widely accepted document addressing purposes, requirements, and m 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. “.