Facility Stuff
Groups should never ever have more than this many patients in them.
50 Bonus points: Is there any exception to this rule?
9 patients
Bonsu: No. Not even one exception.
Name each document that is due within 72 hours of admission (50 points for each document)
Treatment Plan
Initial Academic Growth Plan
Provider Communication Note (Admission)
This is the person you contact within 72 hours of admission to coordinate care (bonus points if you can tell us where to find this person's information)
Referral Source
True or False: Treatment Plan interventions should mirror what you are actually doing in sessions with your patients.
True. Duh.
This is the person who is ultimately responsible for everything in the patient's chart
The assigned therapist
Per the property management company, this is where ALL company business has to be conducted.
10 bonus points to list all the places business cannot be conducted.
Inside the facility.
Bonus: outside, courtyard, grassy area, parking lot
This document is due at step-down and discharge
School/Work Re-Entry Plan
These are the tasks you must complete if your patient is absent (50 points per task)
100 Bonus points: This task is required if your patient is absent from an individual or family session.
Absent Note
Update tracker
Bonus: Absence Note for Individual/Family Session
Suicide Reassessments need to be completed at this frequency for each risk level (Low, Moderate, High)
Bonus Point: Therapist needs to inform WHO within 24 hours of completing a suicide reassessment
Low: As needed/when indicated
Moderate: Every 7 days
High: Daily
Bonus: Clinical Supervisor
These are the administrative tasks associated with a suicide reassessment (50 points for each task):
-Completing the assessment, including risk criteria and clinical judgment
-Reviewing safety plan
-Updating risk level on face sheet
-Contacting parents to inform of safety concerns
-Documenting phone call to parents
-Reassessing within appropriate timeline
Medical waste box should not be more than this amount full at any given time.
PHP patients also require this to track weekly progress with academics.
Weekly Academic Progress Note
This is the reason(s) we limit discharges to one per day (50 points per answer).
To slow the administrative process for therapists.
To prevent having a million admissions at once.
To ensure our census doesn't dip so low that we risk a hiring freeze.
Because we have mapped it out clinically so that we are using all of the patient's authorized days.
Treatment Plans need to be updated at this frequency
Checklists are required to be used in what situations and at what timeline? 50 points for each correct answer.
Step Up/Step Down Checklist: Within 24 hours of step up/step down
Discharge Checklist: Within 24 hours of discharge
Weekly Checklist: As you wish
These are *required* to be completed at admission, step-up/down, and discharge.
Checklists.
Seriously, do them.
This is the format that clinical progress notes should be written in.
50 bonus points to identify extra step for progress notes.
P (Presenting Problem)
I (Intervention Used)
R (Patient Response to Intervention)
P (Plan moving forward)
Bonus: Link to Golden Thread with specific intervention used
Name all of the tasks that need to be completed weekly by the therapist. 100 points for each correct answer.
Individual/Family session and note
Updating Tx Tracker with treatment days
Updating group assignments with treatment days
Treatment Team Summary
Weekly Family Contact Note
IOP patients need to attend at least this many days per week. If they are absent, they should plan to ______.
3 days; make up missed day during the same week
Every patient, regardless of Level of Care, should have at least this many documents in their "Academic/Vocation" Tab by the time they discharge
Bonus Points: Name the documents
Two
These are the things people often forget to do (50 points for each answer)
-Update weekly schedule on LOS tracker
-Update group assignments on Tracker
-Checklists
-Chart audits
-Clean up group rooms after group
-Clean fidgets
-Get rid of patient binders after discharge
-Update risk level on Kipu Face Sheet
-Absence Notes
-Getting consents/ROIs signed
For safety reasons, every patient needs at least one of these in their chart.
ROI for Emergency Contact (non parent)
Suicide Assessment
Name all of the departments that depend on accurate clinical document to complete their role within the treatment process. 100 points for each correct answer.
Admissions
Utilization Review
Billing
Community Outreach
CSQM
The Discharge Plan should be created AT ADMISSION so that this department can utilize the form to connect the patient with appropriate resources, in lieu of using the Treatment Team Assessment.
Community Outreach Coordinator (for referrals)
Everything needs to be in "complete" status after discharge within this timeframe to stay within Joint Commission standards.
Bonus: What "status" does the chart go into if it is still open two weeks after discharge?
2 weeks after discharge date
Bonus: Delinquent