Arley, I would love to compare our forms to see if I am missing anything. Interested in swapping? You can e-mail me privately. Jenny Daup [EMAIL PROTECTED]
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Johnson, Arley Sent: Sunday, September 02, 2007 2:52 PM To: OTlist@OTnow.com Subject: Re: [OTlist] Documentation discussion Jen: I refuse to believe that in low vision rehab there is such thing as wordy. Every word is justifying your expert training and intervention. Secondly, With all of the auditing going on in rehab nowadays, the constant theme is the documentation does not explain why therapy needed to be given in an intense setting. I recently reworked our forms after we were audited by our FI and that comment came back about the physician and nursing notes as well. I think many of the national rehab association are on the same page that more, organized documentation is better. Good luck! Arley Johnson, MS, OTR/L Operations Manager Rehabilitation Services Pennsylvania Hospital, the Nation's First Basement, West Wing 800 Spruce Street Philadlephia, PA 19107-6192 215-829-5018 - office 215-422-0174 - pager ________________________________ From: [EMAIL PROTECTED] on behalf of Jenny Daup Sent: Sun 9/2/2007 11:23 AM To: OTlist@OTnow.com Subject: [OTlist] Documentation discussion I am interested in this documentation discussion. When I was designing my new forms I talked to many people within the OT and PT crowd. The overwhelming idea among PTs was that OTs tend to be too wordy. "Being wordy" equated with an increased chance of a reviewer finding some little section within our ramblings that they could use as a reason to deny a claim. (I used the word "ramblings"...NOT the PTs.) I see this as a very valid point. On the other hand, our type of therapy is more complex (encompasses many more aspects of a person's life) and by its nature requires more words to describe. We are involved in quality of life and all the nuances that bring that quality to our clients. I can read 2 PT reports on 2 different patients and they will use identical words. Most of the time, the PT performed exactly the same exercise routine. And that is absolutely appropriate for physical therapy. I have rarely written 2 reports that are identical. I admit that I tend to be "wordy" but I use my notes to guide my next session. When I am in a hurry and quickly write a note with only the required parts of the note, I look back the next week and beat myself up because I don't have enough information to truly get a picture of what was accomplished and where I planned to go next. I work in low vision rehabilitation right now and one of my mentors told me that often the largest change from evaluation to discharge is reflected in the patient's perception of their life with vision loss. We teach clients all of these skills and how to compensate, but at the end, it is their ability to adapt to their current life situation and their satisfaction with their abilities that determine success or failure. I feel the need to be "wordy" on my documentation...can you tell that in my rambling here? Jenny Daup -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com **************************************************************************** ********** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************** ********** The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
