Quality of Documentation Clause Samples
Quality of Documentation. The BVHP Behavioral Health Department identifies any areas of improvement needed in clinical services through regular chart reviews and staff evaluations. In line with meeting quality assurance guidelines, all clinical staff participate in regularly scheduled clinical case conferences which provide ongoing opportunities for case presentation, plan development, and feedback. All pre-licensed clinicians and trainees receive weekly individual supervision and group supervision from a licensed clinical supervisor where discussions focus on the elements of client cases such as assessment and treatment planning, case formulation, continuity of care, and discharge planning. All licensed staff participate in weekly consultation groups to focus on similar elements of client cases. All new staff are subject to ongoing documentation review by the clinical supervisor. The duration of this type of oversight is left to the discretion of the supervisor to determine when a staff member is consistently documenting services according to Medi-Cal standards. Once a staff member no longer requires supervision and monitoring (either because they are licensed or waivered), their notes, assessments, and other work are still reviewed quarterly for a proportion of their caseload in order to ensure quality and consistency. As of 2021, BVHP Behavioral Health Department resumed the Program Utilization Review Quality Committee (PURQC) delegation which meets for the purpose of reviewing client charts. The PURQC process includes review of documents based on an identified checklist, review of compliance to documentation, and feedback and recommendations to clinicians regarding charts scheduled in this process. The department adheres to relevant PURQC guidelines and assures compliance to its mandates and propriety.
Quality of Documentation. The program follows the Progress Foundation Integrity and Compliance Policy to assure the technical and quality standards for documentation. The program submits weekly chart reviews to ensure that charts and services provided meet the standards of all regulatory agencies that oversee the programs. Program leadership staff is expected to review all clinical charts on a daily/weekly basis. This process assures that the assessment, community functioning evaluation, and treatment plans are completed in a timely basis with all the required components. This daily/weekly review process also includes progress notes. All necessary progress notes are reviewed for content as related to the treatment plan and co-signed as needed. The review includes an assessment of quality of services provided to clients. The report of the review is submitted to the Director of Clinical Administration. The agency Director of Transitional Residential Programs and Supported Living performs periodic chart reviews specifically progress notes to assure timeliness and content of progress notes. The Director of Clinical Administration performs a monthly review of agency charts using the DPH chart review worksheet.
Quality of Documentation. The program follows the Agency Integrity and Compliance Policy to assure the technical and quality of the documentation. The program submits weekly chart reviews to ensure that charts and services provided meet the standards of all regulatory agencies that oversee the programs. Program leadership staff is expected to review all clinical charts on a daily/weekly basis. This process assures that the assessment and the authorizing note, are completed in a timely basis with all the required components. This daily/weekly review process also includes every progress notes. The review includes an assessment of quality of services provided to clients. The report of the review is submitted to the Director of Crisis Services. The agency Director of Clinical Administration and Director of Crisis Services perform regular chart reviews specifically the assessment and progress notes to assure timeliness and content of progress notes. The agency performs a monthly review of agency charts using the DPH chart review worksheet.
Quality of Documentation. The program follows the Progress Foundation Integrity and Compliance Policy to assure the technical and quality standards of documentation. The program submits weekly progress note reviews to ensure services provided meet the standards of all regulatory agencies that oversee the programs. Program Director is responsible for reviewing the clinical charts during the PURQC process. This process assures that the assessment, and treatment plans are completed in a timely basis with all the required components.
Quality of Documentation. The program follows the Progress Foundation Integrity and Compliance Policy to assure the technical and quality standards of the documentation. The program submits weekly chart reviews to ensure that charts and services provided meet the standards of all regulatory agencies that oversee the programs. Program leadership staff is expected to review all clinical charts on a daily/weekly basis. This process assures that the assessment, community functioning evaluation, and treatment plans are completed in a timely basis with all the required components. The agency Director of Transitional Residential Treatment Programs and Supported Living Program perform periodic chart reviews specifically progress notes to assure timeliness and content of progress notes. The Director of Clinical Administration performs a monthly review of agency charts using the DPH chart review worksheet. This daily/weekly review process also includes every progress notes. All necessary progress notes are reviewed for content as related to the treatment plan and co-signed as needed. The review includes an assessment of quality of services provided to clients. The report of the review is submitted to the Director of Clinical Administration.