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Best Practices in Documentation for Rehab Providers
Documentation is a critical component of therapy services. Your documentation is used to communicate with other healthcare professionals, evaluate the effectiveness of treatment, and substantiate billing by justifying the care provided. Individuals who review your documentation in the medical record will never see the therapy sessions, so you have to “tell the story” by including the necessary components to justify services for reimbursement. This course covers general guidelines for documentation, components to improve documentation, and special considerations. Practical examples are provided to help you incorporate best practices into your documentation.
Identify five required components of therapy goals.
Determine at least three ways to improve documentation through the use of evidence-based practice and demonstration of skilled need and medical necessity.
Recall at least four documentation requirements across all settings.
Maintaining Professional Boundaries
As a healthcare professional, you may find yourself in situations where issues with professional boundaries develop. Some boundary violations can be quite serious for you, your team members, your organization, and the people you provide care for. For this reason, it is important for you to be aware of these risks.
You should understand the difference between a boundary crossing and a boundary violation. You must also be able to recognize situations that may lead to a boundary crossing or violation and know how to prevent problems.
The goal of this course is to share with general staff in any setting the basics of how to maintain professional boundaries.
Describe the difference between a boundary crossing and a boundary violation.
Recognize common situations that may lead to a boundary crossing or violation.
Identify ways to prevent boundary crossings and violations.
Working with Difficult Individuals
There are many reasons that it can be difficult working with certain people. There may be communication breakdowns, personality clashes, or conflicting work habits. You may not like everyone you work with, but you do have to respect everyone. By learning ways to reduce conflicts, you’ll likely become more respected, too. In this course, you’ll learn strategies to calmly address misunderstandings before they become actual conflicts. Professional relationships can improve when you know how to deal with differences, communicate clearly, and listen respectfully.
Apply appropriate interventions to help manage high-risk or crucial situations that can lead to difficulties in communication and workflow with coworkers.