This is a mandatory training requirement for all new and existing clinical staff within Rural Clinics, and is designed to build upon existing knowledge and skills obtained through education, training, and professional experience. This training is intended to "set the clinician up for success" in adhering to Rural Clinics' Clinical Documentation procedure while ensuring clinicians are able to efficiently provide a high standard of care.
In this training, we will cover the following areas:
- The Flow and Purpose of Clinical Documentation
- What's The Point of Diagnosis?
- The Requirements, Purpose, and Process of Treatment Planning
- Establishing Medical Necessity
- Treatment Planning and Case Conceptualization
- Progress Notes and Discharge Summary
- Supervision, PARs, Legal 2000, and Consumer Requests for Written Information
Supplemental information that can be used to support the presentation as well as a reference for daily use can be found in the "Clinical Documentation Desk Manual," which can be obtained from the additional resources provided in Module 1, your Clinic Director or Rural Clinics Administration.