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| examples of case management progress notes: The Hospital Case Management Orientation Manual Peggy Rossi, Bsn, Mpa, CCM, Karen Zander, 2014-06-12 The Hospital Case Management Orientation Manual Guide is a comprehensive resource that supplements of initial training for new case managers. This book explains what to document, where to document it to ensure appropriate level of care and reimbursement, and how to avoid unnecessary denials. This book's focus is utilization management, discharge planning, and relevant CMS regulations. It can help new case managers learn how to perform their jobs effectively on their own time. It can also serve as a wide-ranging resource for more experienced case managers, particularly those whose training was less than adequate. |
| examples of case management progress notes: Social Work Case Management Betsy Vourlekis, 2017-07-05 This new practice text provides a series of readings focusing on case management in a number of fields and in a variety of settings with different client populations. Each chapter examines a major component of case management practice by presenting information about an innovative program from a different location around the country. In conjunction, these readings provide a road map to social work case management.In addition to offering up-to-date practice approaches and examining the functions and skills of case management in depth, the authors provide the policy information needed for putting this traditional form of social work practice into today's service delivery context. |
| examples of case management progress notes: Case Management Arthur J. Frankel, Sheldon Gelman, Diane K. Pastor, 2019 Over the course of twenty years and across three editions, this text has approached case management as both an art and a science by providing students and practitioners with the basics of case management theory, skills, and applications. This fourth edition, which focuses on both the social work and nursing professions, offers trainers, instructors, and students detailed information about how case management is delivered, major issues encountered in practice, how services are affected by different populations, and the unique skills that are required by case managers in order to be effective. Chapter exercises and numerous case examples help readers practice some of the skills associated with the content offered.Case Management is unique in that it brings together the major professions that conduct case management in the United States. It is focused on skill learning more than on theory, and discusses not only the importance of case management in the current social work and medical milieu, but also the challenges that case managers face in helping clients. In addition, the text offers a model for integrated case management between professions and in numerous settings, including nursing centers, community mental health facilities, and criminal justice centers. |
| examples of case management progress notes: Case Conceptualization Len Sperry, Jon Sperry, 2020-05-27 Integrating recent research and developments in the field, this revised second edition introduces an easy-to-master strategy for developing and writing culturally sensitive case conceptualizations and treatment plans. Concrete guidelines and updated case material are provided for developing conceptualizations for the five most common therapy models: Cognitive-Behavioral Therapy (CBT), Psychodynamic, Biopsychosocial, Adlerian, and Acceptance and Commitment Therapy. The chapters also include specific exercises and activities for mastering case conceptualization and related competencies and skills. Also new to this edition is a chapter on couple and family case conceptualizations, and an emphasis throughout on trauma. Practitioners, as well as graduate students in counseling and in clinical psychology, will gain the essential skills and knowledge they need to master case conceptualizations. |
| examples of case management progress notes: Textbook of Basic Nursing Caroline Bunker Rosdahl, Mary T. Kowalski, 2008 Now in its Ninth Edition, this comprehensive all-in-one textbook covers the basic LPN/LVN curriculum and all content areas of the NCLEX-PN®. Coverage includes anatomy and physiology, nursing process, growth and development, nursing skills, and pharmacology, as well as medical-surgical, maternal-neonatal, pediatric, and psychiatric-mental health nursing. The book is written in a student-friendly style and has an attractive full-color design, with numerous illustrations, tables, and boxes. Bound-in multimedia CD-ROMs include audio pronunciations, clinical simulations, videos, animations, and a simulated NCLEX-PN® exam. This edition's comprehensive ancillary package includes curriculum materials, PowerPoint slides, lesson plans, and a test generator of NCLEX-PN®-style questions. |
| examples of case management progress notes: Health and Human Services Issues United States. General Accounting Office, 1993 Discussing major policy, management, and program issues facing Congress and the Clinton administration in the area of health and human services, this pamphlet provides recommendations for the Department of Health and Human Services (HHS) regarding the social security system, the welfare system, preventing child abuse, and safeguarding the nation's food supply. Following an overview of important issues facing the nation, the second section suggests steps to bolster public confidence in the social security system, including building the system's trust fund by increasing contribution levels and modernizing computer systems. The next section provides recommendations for continuing the welfare reform movement and the implementation of the Family Support Act, such as developing automated data systems to effectively manage caseloads, setting goal-oriented program performance standards, and identifying and sharing effective initiatives between states. The fourth section suggests that HHS provide states with greater flexibility in using government funds to prevent child abuse through early intervention and that a national foster care system be developed to provide outcome-oriented data on child welfare services. The final section proposes that an agency-wide system for tracking regulation development be implemented in the Food and Drug Administration to improve agency effectiveness and better allocate existing resources. Includes references for 22 related GAO products. (BCY). |
| examples of case management progress notes: Writing Patient/Client Notes Ginge Kettenbach, Sarah Lynn Schlomer, Jill Fitzgerald, 2016-05-11 Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model. |
| examples of case management progress notes: Foundations for Community Health Workers Timothy Berthold, Darouny Somsanith, 2024-05-21 A practical guide to becoming a community health worker Foundations for Community Health Workers provides a practical and comprehensive introduction to essential skills for professionals in community health roles. In the wake of the COVID-19 pandemic, there is a greater need than ever for compassionate community health workers trained in the core competencies and guiding principles that can empower individuals to lead healthy lives. With an emphasis on social justice, cultural humility, and client-centered practice, this book offers a solid background in professional skills and their application. Real-life case studies and quotes from community health workers illustrate the challenges and successes that learners will face on the job. Readers will also gain skills in conflict resolution, group facilitation, community organizing, trauma support, and more, equipping them to enter the public health field with confidence and safety. Learn about the public health field and the skills needed to become a community health worker Gain skills in interacting with people from diverse backgrounds and circumstances Develop a background in client interviewing, community advocacy, and facilitating community health trainings Read case studies from real community health workers This book, in its updated Third Edition, is a valuable introduction and reference for anyone working toward a career as a community health worker. |
| examples of case management progress notes: Case Management Suzanne K. Powell, 2000 The Second Edition of this comprehensive how to text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition--chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies. |
| examples of case management progress notes: Fundamentals of Nursing Carol R Taylor, Pamela Lynn, Jennifer Bartlett, 2022-08-04 Trusted for its holistic, case-based approach, Fundamentals of Nursing: The Art and Science of Person-Centered Nursing Care, 10th Edition, helps you confidently prepare the next generation of nursing professionals for practice. This bestselling text presents nursing as an evolving art and science, blending essential competencies—cognitive, technical, interpersonal, and ethical/legal—and instilling the clinical reasoning, clinical judgment, and decision-making capabilities crucial to effective patient-centered care in any setting. The extensively updated 10th Edition is part of a fully integrated learning and teaching solution that combines traditional text, video, and interactive resources to tailor content to diverse learning styles and deliver a seamless learning experience to every student. |
| examples of case management progress notes: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. |
| examples of case management progress notes: Life Care Planning and Case Management Across the Lifespan Tanya Rutherford-Owen, Mary Barros-Bailey, Roger O. Weed, 2023-11-23 Celebrating 25 years since its first publication, the fifth edition of this best-selling text is the most up-to-date and complete resource available on what a life care planner does, how the life care planner does it, and issues that affect the day-to-day role of a life care planner. Now featuring new material on pediatric life care planning and case management, including brachial plexus injuries and neurodevelopmental disorders, this new edition provides guidance and planning for cases across the lifespan. It begins with a series of chapters examining ten different professional specializations that often contribute to a life care plan, before providing critical information for developing life care plans for individuals with different physical, mental, and cognitive conditions including spinal cord injury, brain injury, and chronic pain. Uniquely comprehensive, the book also includes chapters on the forensic and legal context of life care planning, as well as equipment/technology, evidence-based literature/resources, and special education/special needs planning relevant to pediatric life care planning. Also including chapters dedicated to life care planning methodology and life care planning research, this is an essential resource for anyone practicing or studying life care planning or managing the needs of those requiring chronic medical care over the lifespan. |
| examples of case management progress notes: Essentials for Nursing Practice - E-Book Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall, 2018-03-12 Get a solid foundation in essential nursing principles, concepts, and skills! Essentials for Nursing Practice, 9th Edition combines everything you need from your fundamentals course and streamlines it into a format that's perfect for busy nursing students. The ninth edition retains many classic features, including chapter case studies, procedural guidelines, and special considerations for various age groups, along with new content including a chapter on Complementary and Alternative Therapies, interactive clinical case studies on Evolve, a new Reflective Learning section, and QSEN activities to encourage active learning. Thoroughly reviewed by nursing clinical experts and educators, this new edition ensures you learn nursing Essentials with the most accurate, up-to-date, and easy-to-understand book on the market. - Progressive case studies are introduced at the beginning of the chapter and are then used to tie together the care plan, concept map, and clinical decision-making exercises. - Focused Patient Assessment tables include actual questions to help you learn how to effectively phrase questions to patients as well as target physical assessment techniques. - Nursing skills at the end of each chapter feature full-bleed coloring on the edge of the page to make them easy to locate. - Safety guidelines for nursing skills sections precede each skills section to help you focus on safe and effective skills performance. - Detailed care plans in the text and on Evolve demonstrate the application of the 5-step nursing process to individual patient problems to help you understand how a plan is developed and how to evaluate care. - Unexpected outcomes and related interventions for skills alert you to possible problems and appropriate nursing action. - Patient Teaching boxes help you plan effective teaching by first identifying an outcome, then developing strategies on how to teach, and finally, implementing measures to evaluate learning. - Care of the Older Adult boxes highlight key aspects of nursing assessment and care for this growing population. - Key points neatly summarize the most important content for each chapter to help you review and evaluate learning. - Evidence-Based Practice boxes include a PICO question, summary of the results of a research study, and a F description of how the study has affected nursing practice — in every chapter. - Patient-Centered Care boxes address racial and ethnic diversity along with the cultural differences that impact socioeconomic status, values, geography, and religion. - 65 Skills and procedural guidelines provide clear, step-by-step instructions for providing safe nursing care. - 5-step nursing process provides a consistent framework for clinical chapters. - Concept maps visually demonstrate planning care for patients with multiple diagnoses. - NOC outcomes, NIC interventions, and NANDA diagnoses are incorporated in care plans to reflect the standard used by institutions nationwide. |
| examples of case management progress notes: Registries for Evaluating Patient Outcomes Agency for Healthcare Research and Quality/AHRQ, 2014-04-01 This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. |
| examples of case management progress notes: CMSA Core Curriculum for Case Management Hussein M. Tahan, Teresa M. Treiger, 2016-07-05 The fully updated CMSA Core Curriculum for Case Management, 3rd edition, is the definitive roadmap to an informed, effective, collaborative case management practice. This comprehensive, expertly-written guide provides those directly or indirectly involved in case management with information about best practices, descriptions of key terms, essential skills, and tools that fulfill the current Case Management Society of America’s (CMSA) standards and requirements. Addressing the full spectrum of healthcare professional roles and environments, this is both a crucial certification study guide and vital clinical resource for the case management professionals in all specialty areas, from students to veteran case managers. This unique resource provides the core knowledge needed for safe, cost-effective case management with the following features ... NEW text boxes highlighting key information and vital practices in each chapter NEW and updated Standards of Practice implications in each chapter NEW and updated content on transitions of care, community-based care, care coordination, Value-Based Purchasing, ethics and social media, the impacts of health care reform, and digital technology NEW and updated content on accreditation in case management NEW chapter that lists key additional resources, by topic Official publication of the Case Management Society of America, connecting CMSA core curriculum to current CMSA Standards of Practice Easy-to-grasp, detailed topical outline format for quick scan of topics Complete, updated core knowledge required of case managers, with expert descriptions and direction on areas including: Case management roles, functions, tools, and processes Plans, clinical pathways, and use of technology Transitional planning Utilization management and resource management Leadership skills and concepts Quality and outcomes management; legal and ethical issues Education, training, and certification Health care insurance, benefits, and reimbursement systems Practice settings and throughput Interdisciplinary teams’ needs in: hospitals, community clinics, private practice, acute care, home care, long-term care and rehab settings, palliative care, and hospice settings Up-to-date guidance on case management specialty practices, including: nursing, life care planning, workers’ compensation, disability management, care of the elderly, behavioral health, transitions of care, subacute and long-term care, utilization review/management, primary care and medical/health home, and more Essential content for academic reference, training, certification study, case management models design, performance or program evaluation |
| examples of case management progress notes: Essential Readings in Case Management Catherine M. Mullahy, 1998 Bullets in Emergency Medicine: Review and Reminders in Pursuit of Evidence-Based Decisions is a concise guide to the diagnosis and treatment patients in the Emergency Department. Arranged by signs and symptoms as well as by system, this accessible handbook is an ideal reference for use in the Emergency Department and a perfect review for the ACEP boards. |
| examples of case management progress notes: Clinical Psychology for Trainees Andrew C. Page, Werner G. K. Stritzke, Peter M. McEvoy, 2022-04-28 This third edition provides a thorough real-world exploration of the scientist-practitioner model, enabling clinical psychology trainees to develop the core competencies required in an increasingly interdisciplinary healthcare environment. The book has been comprehensively revised to reflect shifts towards transdiagnostic practice, co-design principles, and personalized medicine, and features new chapters on low intensity psychological interventions and private practice. Fully updated for the DSM-5 and ICD-11, provides readers with a contemporary account of diagnoses. It covers practical skills such as interviewing, diagnosis, assessment, case formulation, treatment, case management, and process issues with emphasis on the question 'how would a scientist-practitioner think and act?' The book equips trainees to deliver the accountable, efficient, and effective client-centred service demanded of professionals in the modern integrated care setting by demonstrating how an evidence-base can influence every decision of a clinical psychologist. Essential reading for all those enrolled in, or contemplating, postgraduate studies in clinical psychology. |
| examples of case management progress notes: The Handbook of Child and Adolescent Clinical Psychology Alan Carr, 2003-09-02 Alan Carr provides a comprehensive, thorough and practical guide to modern child and adolescent psychology. The Handbook of Child and Adolescent Clinical Psychology covers all central concerns for practitioners in a single manual, including: conduct problems, emotional problems, learning disabilities, child protection, somatic illness, major depression, suicide, drug abuse, schizophrenia, divorce, foster care and bereavement. It will be essential reading for child and adolescent clinical psychologists, and valuable to many professionals in training, including educational psychologists, counselling psychologists, health psychologists, child psychotherapists, family therapists, psychiatrists, psychiatric nurses, counsellors and child care workers. |
| examples of case management progress notes: Fundamentals of Nursing & Midwifery Helen Hall, Paul Glew, Johanna Rhodes, 2022-01-03 A trusted person-centred resource to start you on the path to professional success Fundamentals of Nursing and Midwifery is a popular foundational nursing text specifically developed for Australian and New Zealand students. This comprehensive resource provides a detailed overview of key information with person-centred care highlighted throughout to focus on the individualistic, interactive and holistic nature of nursing and midwifery practice. It uses accessible language that introduces students to the ‘why’ as well as the ‘how’ of nursing and midwifery. It focuses not only on a person’s physical healthcare needs, but also on the intellectual, emotional, sociocultural and spiritual aspects of care. In this way, students learn to be holistic health care professionals while acquiring the foundational knowledge, procedures and skills required for successful nursing or midwifery practice. |
| examples of case management progress notes: Nursing Administration Handbook Howard S. Rowland, Beatrice L. Rowland, 1997 With the recent new and radical developments in the health care field that have been introduced at a breathless pace, nurse administrators must work to stay informed of the developments that affect their nursing departments both directly and indirectly. The Nursing Administration Handbook has a long track record, both as a textbook and as a hands-on tool for nurse executives seeking insight and step-by-step guidance in all aspects of administration. The fourth edition of this text surveys the entire field of nursing administration and incorporates the most significant new developments and current practices. |
| examples of case management progress notes: Handbook of Home Health Care Administration Marilyn D. Harris, 1997 Table of Contents Foreword Introduction Ch. 1 Home health administration : an overview 3 Ch. 2 The home health agency 16 Ch. 3 Medicare conditions of participation 27 Ch. 4 The joint commission's home care accreditation program 63 Ch. 5 CHAP accreditation : standards of excellence for home care and community health organizations 71 Ch. 6 Accreditation for home care aide and private duty services 81 Ch. 7 ACHC : accreditation for home care and alternate site health care services 86 Ch. 8 Certificate of need and licensure 92 Ch. 9 Credentialing : organizational and personnel options for home care 101 Ch. 10 The relationship of the home health agency to the state trade association 111 Ch. 11 The national association for home care and hospice 115 Ch. 12 The visiting nurse association of America 124 Ch. 13 Self-care systems in home health care nursing 131 Ch. 14 Home health care documentation and record keeping 135 App. 14-A COP standards pertaining to HHA clinical record policy 147 App. 14-B Abington Memorial Hospital home care clinical records 150 Ch. 15 Computerized clinical documentation 161 Ch. 16 Home telehealth : improving care and decreasing costs 176 Ch. 17 Implementing a competency system in home care 185 Ch. 18 Meeting the need for culturally and linguistically appropriate services 211 Ch. 19 Classification : an underutilized tool for prospective payment 224 Ch. 20 Analysis and management of home health nursing caseloads and workloads 236 Ch. 21 Home health care classification (HHCC) system : an overview 247 Ch. 22 Nursing diagnoses in home health nursing 261 Ch. 23 Perinatal high-risk home care 274 Ch. 24 High technology home care services 279 Ch. 25 Discharge of a ventilator-assisted child from the hospital to home 291 Ch. 26 Performance improvement 301 Ch. 27 Evidence-based practice : basic strategies for success 310 Ch. 28 Quality planning for quality patient care 315 Ch. 29 Program Evaluation 320 App. 29-A Formats for presenting program evaluation tools Ch. 30 Effectiveness of a clinical feedback approach to improving patient outcomes 341 Ch. 31 Implementing outcome-based quality improvement into the home health agency 352 Ch. 32 Benchmarking and home health care 383 Ch. 33 Administrative policy and procedure manual 395 Ch. 34 Discharge planning 399 Ch. 35 Strategies to retain and attract quality staff 421 Ch. 36 Evaluating productivity 436 Ch. 37 Labor-management relations 448 Ch. 38 Human resource management 459 Ch. 39 Staff development in a home health agency 474 Ch. 40 Transitioning nurses to home care 484 Ch. 41 Case management 495 Ch. 42 Managed care 499 Ch. 43 Community-based long-term care : preparing for a new role 507 Ch. 44 Understanding the exposures of home health care : an insurance primer 519 Ch. 45 Budgeting for home health agencies 527 Ch. 46 Reimbursement 535 Ch. 47 How to read, interpret, and understand financial statements 549 Ch. 48 Management information systems 558 Ch. 49 Legal issues of concern to home care providers 571 Ch. 50 Understanding the basics of home health compliance 590 Ch. 51 The HIPAA standards for privacy of individually identifiable health information 616 Ch. 52 Ethical practice in the daily service to home care client, their families, and the community 666 Ch. 53 Participating in the political process 675 Ch. 54 Strategic planning 693 Ch. 55 Marketing : an overview 708 Ch. 56 The internet in home health and hospice care 723 Ch. 57 Disease management programs 736 Ch. 58 The process of visiting nurse association affiliation with a major teaching hospital 756 Ch. 59 Grantsmanship in home health care : seeking foundation support 771 Ch. 60 Home care volunteer program 778 Ch. 61 The manager as published author : tips on writing for publication 796 Ch. 62 Student placements in home health care agencies : boost or barrier to quality patient care? 810 Ch. 63 A student program in one home health agency 818 Ch. 64 The role of the physician in home care 834 Ch. 65 Research in home health agencies 840 Ch. 66 Hospice care : pioneering the ultimate love connection about living not dying 850 App. 66-A State of Connecticut physician assisted living (PAL) directive 863 App. 66-B Summary guidelines for initiation of advanced care 864 Ch. 67 Safe harbor : a bereavement program for children, teens, and families 866 Ch. 68 Planning, implementing, and managing a community-based nursing center : current challenges and future opportunities 872 Ch. 69 Adult day services - the next frontier 883 Ch. 70 Partners in healing : home care, hospice, and parish nurses 891 Ch. 71 Meeting the present challenges and continuing to thrive in the future : tips on how to be successful as an administrator in home health and hospice care 899. |
| examples of case management progress notes: Model Rules of Professional Conduct American Bar Association. House of Delegates, Center for Professional Responsibility (American Bar Association), 2007 The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts. |
| examples of case management progress notes: Solution-Focused Supervision Frank N. Thomas, 2013-01-05 New data have come to light through the Solution Focused Brief Therapy Association Archive (hereafter, the Archive). This information is drawn from manuscripts and video featuring one of the SF founders, Insoo Kim Berg, MSW. Archive video examples of Ms. Berg conducting supervision, therapy teams, and case consultation as well as unpublished manuscripts written by her provide unique opportunities to illustrate specific assumptions and techniques rarely seen before. The documents outline Ms. Berg’s philosophy, assumptions, and techniques to conduct supervision, and the videos offer in vivo examples of her supervision and team/case consultation style. Together, the Archive materials offer a rich resource for a book that both informs and illustrates SFS. |
| examples of case management progress notes: Nursing Care Plans & Documentation Lynda Juall Carpenito-Moyet, 2009 The Fifth Edition of Nursing Care Plans and Documentation provides nurses with a comprehensive guide to creating care plans and effectively documenting care. This user-friendly resource presents the most likely diagnoses and collaborative problems with step-by-step guidance on nursing action, and rationales for interventions. New chapters cover moral distress in nursing, improving hospitalized patient outcomes, and nursing diagnosis risk for compromised human dignity. The book includes over 70 care plans that translate theory into clinical practice.Online Tutoring powered by Smarthinking--Free online tutoring, powered by Smarthinking, gives students access to expert nursing and allied health science educators whose mission, like yours, is to achieve success. Students can access live tutoring support, critiques of written work, and other valuable tools. |
| examples of case management progress notes: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| examples of case management progress notes: Home Health Assessment Criteria Barbara Acello, Lynn Riddle Brown, 2015-05-28 Ensure that no condition or symptom is overlooked and documentation is as accurate as possible with Home Health Assessment Criteria: 75 Checklists for Skilled Nursing Documentation. |
| examples of case management progress notes: Documentation Basics Mia L. Erickson, Becky McKnight, 2005 Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. Necessary for both students and clinicians, Documentation Basics: A Guide for the Physical Therapist Assistant will teach and explain physical therapy documentation from A to Z. Documentation Basics: A Guide for the Physical Therapist Assistant covers all of the fundamentals for prospective physical therapist assistants preparing to work in the clinic or clinicians looking to refine and update their skills. Mia Erickson and Becky McKnight have also integrated throughout the text the APTA's Guide to PT Practice to provide up-to-date information on the topics integral for proper documentation. What's Inside: Overview of documentation Types of documentation Guidelines for documenting Overview of the PTA's role in patient/client management, from the patient's point of entry to discharge How to write progress notes How to use the PT's initial examinations, evaluations, and plan of care when writing progress notes Legal matters related to documentation Reimbursement basics and documentation requirements The text also contains a section titled SOAP Notes Across the Curriculum, or SNAC. This section provides sample scenarios and practice opportunities for PTA students that can be used in a variety of courses throughout a PTA program. These include: Goniometry Range of motion exercises Wound care Stroke Spinal cord injury Amputation Enter the physical therapy profession confidently with Documentation Basics: A Guide for the Physical Therapist Assistant by your side. |
| examples of case management progress notes: Clinical Supervision and Professional Development of the Substance Abuse Counselor United States. Department of Health and Human Services, 2009 Clinical supervision (CS) is emerging as the crucible in which counselors acquire knowledge and skills for the substance abuse (SA) treatment profession, providing a bridge between the classroom and the clinic. Supervision is necessary in the SA treatment field to improve client care, develop the professionalism of clinical personnel, and maintain ethical standards. Contents of this report: (1) CS and Prof¿l. Develop. of the SA Counselor: Basic info. about CS in the SA treatment field; Presents the ¿how to¿ of CS.; (2) An Implementation Guide for Admin.; Will help admin. understand the benefits and rationale behind providing CS for their program¿s SA counselors. Provides tools for making the tasks assoc. with implementing a CS system easier. Illustrations. |
| examples of case management progress notes: Kozier & Erb's Fundamentals of Nursing Australian Edition Audry Berman, Shirlee J. Snyder, Barbara Kozier, Glenora Lea Erb, Tracy Levett-Jones, Trudy Dwyer, Majella Hales, Nichole Harvey, Lorna Moxham, Tanya Park, Barbara Parker, Kerry Reid-Searl, David Stanley, 2014-12-01 Kozier and Erb’s Fundamentals of Nursing prepares students for practice in a range of diverse clinical settings and help them understand what it means to be a competent professional nurse in the twenty-first century. This third Australian edition has once again undergone a rigorous review and writing process. Contemporary changes in the regulation of nursing are reflected in the chapters and the third edition continues to focus on the three core philosophies: Person-centred care, critical thinking and clinical reasoning and cultural safety. Students will develop the knowledge, critical thinking and clinical reasoning skills to deliver care for their patients in ways that signify respect, acceptance, empathy, connectedness, cultural sensitivity and genuine concern. |
| examples of case management progress notes: Becoming an Addictions Counselor Peter L. Myers, Norman R. Salt, 2007 Becoming An Addictions Counselor: A Comprehensive Text, Second Edition, Is The Only Addictions Counseling Text To Address Knowledge, Skills, And Attitudes. An Experiential Learning Approach Is Encouraged With Structured Activities And Exercises, And Its Devotion To Significant Coverage Of Ethics, Treatment Planning And Case Management. The Text Also Covers Mentally Ill Chemical Abusers, Individual, Group, And Family Counseling Skills, And Clinical Treatment Issues. |
| examples of case management progress notes: Introduction to Concept Mapping in Nursing Patricia Schmehl, 2014 Introduction to Concept Mapping in Nursing provides the foundation for what a concept map is and how to create a map that applies theory to practice. This excellent resource addresses how students will think about applying nursing theory as it relates to concept mapping. This book is unique because it focuses on a broad application of concept mapping, and ties concept mapping closely to critical thinking skills. Furthermore, this book will prepare nursing students to learn how to map out care plans for patients as they talk with patients.Key Features & Benefits* Demonstrates how students can think through every aspect of care by using compare and contrast tactics, critical thinking skills, and experiences a nursing student may encounter * Includes thought-provoking questions to guide the reader through the text * Provides a section on nursing theory complete with exercises and rationales that include concept maps so that students can understand how theory is applied to practice* Written for students with various learning styles, so a broad range of learning activities are included to help readers understand the material |
| examples of case management progress notes: Documentation for Rehabilitation Lori Quinn, James Gordon, 2015-12-11 Better patient management starts with better documentation! Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy, 3rd Edition shows how to accurately document treatment progress and patient outcomes. Designed for use by rehabilitation professionals, documentation guidelines are easily adaptable to different practice settings and patient populations. Realistic examples and practice exercises reinforce concepts and encourage you to apply what you've learned. Written by expert physical therapy educators Lori Quinn and James Gordon, this book will improve your skills in both documentation and clinical reasoning. A practical framework shows how to organize and structure PT records, making it easier to document functional outcomes in many practice settings, and is based on the International Classification for Functioning, Disability, and Health (ICF) model - the one adopted by the APTA. Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, and nursing homes, as well as a separate chapter on documentation in pediatric settings. Guidelines to systematic documentation describe how to identify, record, measure, and evaluate treatment and therapies - especially important when insurance companies require evidence of functional progress in order to provide reimbursement. Workbook/textbook format uses examples and exercises in each chapter to reinforce your understanding of concepts. NEW Standardized Outcome Measures chapter leads to better care and patient management by helping you select the right outcome measures for use in evaluations, re-evaluations, and discharge summaries. UPDATED content is based on data from current research, federal policies and APTA guidelines, including incorporation of new terminology from the Guide to Physical Therapist 3.0 and ICD-10 coding. EXPANDED number of case examples covers an even broader range of clinical practice areas. |
| examples of case management progress notes: Skills and Tools for Today's Counselors and Psychotherapists Ed Neukrug, Alan M. Schwitzer, 2006 Learn essential skills; understand the nature of helping; learn about change strategies, diagnosis, and treatment planning; explore ethical, professional, and cross-cultural issues; and apply your new skills to the helping relationship ... After reading about the fundamental skills and techniques of counseling in the text, you can access complementary role plays, skill demonstrations, and process stages ... to see the same essential principles in action. -Back cover. |
| examples of case management progress notes: Treatment Program Monograph Series National Institute on Drug Abuse, 1977 |
| examples of case management progress notes: Record Keeping in Psychotherapy and Counseling Ellen T. Luepker, 2022-03-17 Record Keeping in Psychotherapy and Counseling: Ethics, Practice and Supervision, grounded in contemporary challenges, emphasizes protecting the therapeutic and supervisory relationship through offering an essential framework for thoughtful record keeping within legal, ethical, supervisory, and clinical contexts. A reader-friendly conversational style plus compelling case examples from a variety of settings—clinic to courtroom—bring dilemmas and strategies to life. New case studies invite readers to examine principles of ethical decision-making in order to reach sound decisions, meeting a critical need in training and continuing education. New material on telehealth and electronic records, the impact of digital communications on the therapeutic relationship, and experience implementing the Health Insurance Portability and Accountability Act (HIPAA) bring this book up to date. Sample forms for readers’ use and modification are available on the publisher's website. Practitioners in all mental health disciplines, from students to seasoned clinicians, the supervisors, and teachers will continue to rely on this book for protecting themselves, their patients, and their trainees. |
| examples of case management progress notes: Training and Employment Report of the Secretary of Labor United States Department of Labor, 1998 |
| examples of case management progress notes: Fundamentals of Nursing Carol Taylor, Pamela Lynn, Jennifer Bartlett, 2018-10-05 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Proven, approachable, and part of a complete course solution, Fundamentals of Nursing, 9th Edition, makes essential concepts accessible and help students develop the knowledge and clinical skills to succeed throughout their nursing education. This comprehensively enhanced edition equips students for today’s clinical environment with coverage of emerging practices and technology, new multimedia learning tools, and case studies that reflect the clinical application of chapter concepts and prepare students to excel throughout their nursing careers. Features New! Reflective Practice Leading to Personal Learning callouts cultivate a person-centered approach to nursing care. New! Clinical vignettes personalize the clinical application of concepts and integrate with vSim for Nursing for patient-specific reinforcement of commonly encountered scenarios and conditions. New! Technology Alerts familiarize students with emerging devices and software they’ll likely encounter in the clinical setting. New! Informatics chapter reflects the increasingly important role of data and information technology in patient care. New! QSEN boxes in every chapter help students ensure compliance with Quality and Safety Education for Nurses competencies. NEW! Legal Alerts help students ensure compliance with important laws and considerations related to clinical practice. New! Watch & Learn Videos clarify key concepts and procedures in engaging detail. Revised! Illustrated Concept Maps engage visual learners, simplify complex topics, and strengthen students’ clinical reasoning skills. Case scenarios in each chapter encourage holistic patient care and reflection on critical thinking questions. |
| examples of case management progress notes: Nursing Diagnosis Lynda Juall Carpenito-Moyet, 2006 Revised to incorporate the latest NANDA-approved nursing diagnoses, the Eleventh Edition of this classic text offers definitive guidance on key elements of nursing diagnosis and its application to clinical practice. Section 1 thoroughly explains the role of nursing diagnosis in the nursing process and in care planning. Section 2 is a comprehensive A-to-Z guide to current nursing diagnoses. Section 3 focuses on collaborative problems. This edition lists associated NIC (Nursing Interventions Classifications) and NOC (Nursing Outcomes Classifications) for every NANDA diagnosis. New diagnoses added and modified in accordance with the latest NANDA meeting are in an appendix for easy access. |
| examples of case management progress notes: The Professional Practice of Rehabilitation Counseling Michael T. Hartley, PhD, CRC, Vilia M. Tarvydas, PhD, CRC, 2022-09-28 The most current book available on rehabilitation counseling! This textbook is a comprehensive introduction to rehabilitation counseling, encompassing its history, values, knowledge, skills, and links to the disability community. Underscoring disability as a common part of the human experience, it highlights the knowledge and competencies all rehabilitation counselors need to provide ethical and effective services. To reflect emerging trends, 13 chapters are either completely rewritten or significantly revised. This text offers a stronger focus on psychiatric rehabilitation and mental health counseling practiced by clinical rehabilitation counselors and incorporates new research and knowledge from breakthroughs in neuroscience and psychopharmacology, innovations in digital communication and technology, and shifts in the economy. The book examines the broad ranging practice of rehabilitation counseling as an evolving amalgamation of CORE and CACREP and delves into the impact of current societal changes—COVID-19, the economic turndown, issues of diversity, equity, and inclusion. It provides an enhanced focus on the demand for clinical and mental health counseling from a rehabilitation perspective and introduces specialized competencies to foster the development of strong advanced skill sets. The text also focuses on the importance of having persons with disabilities participate in their own rehabilitation and as an important component of the development of the field itself. The text is supported by rich ancillaries for educators, including Instructor's Manual, PowerPoints, and Test Bank. New to the Third Edition: New chapter authors are high caliber experts with unique voices and perspectives who have partnered with senior scholars from previous editions This new edition is significantly updated to reflect emerging trends that are impacting the professional practice of rehabilitation counseling Updated chapter on technology in rehabilitation counseling includes distance education, assistive technology and telemental health New chapter on Counseling and Mental Health Key Features: Conceptualizes rehabilitation counseling and its complementary relationship to counseling Each chapter addresses CACREP standards and includes learning objectives, reflection activities, and content review questions Extensively addresses both aspects of CACREP specialty identity: traditional rehabilitation counseling and clinical rehabilitation counseling Includes Appendices with a guide to key acronyms and scope of practice Case conceptualizations focuses on the delivery of services |
| examples of case management progress notes: Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine Virginia M. Miori, Daniel J. Miori, Flavia Burton, Catherine G. Cardamone, 2023-11-15 Informing both research and practice, Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine brings attention to an important issue that lies at the intersection of medicine, science, and digital technology and communication. |
Examples - Apache ECharts
Apache ECharts，一款基于JavaScript的数据可视化图表库，提供直观，生动，可交互，可个性化定制的数据可视化图表。
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Apache ECharts
ECharts: A Declarative Framework for Rapid Construction of Web-based Visualization. 如果您在科研项目、产品、学术论文、技术报告、新闻报告、教育、专利以及其他相关活动中使用了 …
Events - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Examples - Apache ECharts
Apache ECharts，一款基于JavaScript的数据可视化图表库，提供直观，生动，可交互，可个性化定制的数据可视化图表。
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; …
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Apache ECharts
ECharts: A Declarative Framework for Rapid Construction of Web-based Visualization. 如果您在科研项目、产品、学术论文、技术报告、新闻报告、教育、专利以及其他相关活动中使用了 Apache …
Events - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; …
Examples - Apache ECharts
Apache ECharts，一款基于JavaScript的数据可视化图表库，提供直观，生动，可交互，可个性化定制的数据可视化图表。
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Apache ECharts
ECharts: A Declarative Framework for Rapid Construction of Web-based Visualization. 如果您在科研项目、产品、学术论文、技术报告、新闻报告、教育、专利以及其他相关活动中使用了 …
Events - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Examples - Apache ECharts
Apache ECharts，一款基于JavaScript的数据可视化图表库，提供直观，生动，可交互，可个性化定制的数据可视化图表。
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Examples - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
Apache ECharts
ECharts: A Declarative Framework for Rapid Construction of Web-based Visualization. 如果您在科研项目、产品、学术论文、技术报告、新闻报告、教育、专利以及其他相关活动中使用了 …
Events - Apache ECharts
Examples; Resources. Spread Sheet Tool; Theme Builder; Cheat Sheet; More Resources; Community. Events; Committers; Mailing List; How to Contribute; Dependencies; Code …
