5 Quick Tips to Make Documentation EasierDr. Maelisa Hallwww.qaprep.com

Tonight’s Webinar:• Why I’m talking about this

• 5 tips for awesome documentation

• Your questions answered

• How you can get more help

Quick Info on Me• Clinical Psychologist

• Owner of QA Prep

• Self-proclaimed Documentation Diva

Quick Tip #1Get the mindset• Documentation helps your clients

• Documentation is meaningful to you

• Your documentation is whatever you want it to be

Quick Tip #2Create a schedule• For reviewing policies and forms

• For introducing clients to intake forms

• For writing regular case notes

• Hourly, daily, weekly

Quick Tip #3Review your documentation regularly• Choose two client records right now and read the

files back to back

• Is it a true reflection of the client’s journey?

• Would someone else be able to tell you’re providing good care?

• Make a plan to do this 1x/month or 3x/year, etc.

Quick Tip #4Use electronic tools• EHR

• Dictation software

• Client surveys and outcomes

Quick Tip #5Don’t worry about note length• Content is king (even for insurance)

• Focus on reflection

• What did your client learn?

• How did you lead them toward _____?

• Who needs to do what after the session?

How I can help further• Notes reviews, in-depth training and information

sharing

• Meaningful Documentation group program

• 8 weeks of support to get you writing rock solid documentation

• Worksheets, templates, training videos

• Feel confident and carefree- starts this Monday, June 1st!

Your questions = ANSWERED!

Thanks for joining! www.qaprep.com