A Check-up for Flawless Files
Doc-Ops
Welcome to the 'Doc-Ops' - a short training ground for keeping up impeccable documentation habits! Tailored to meet the standards of your college, this short essential checklist of effective and efficient documentation practices ensures we continue to meet standards and exceed them. Take your paperwork from a chore into an art form, ensuring compliance and clarity in every note you take!
Format
Online
Learning Tools
Self-reflection
Quiz
Learner
All clinical staff
Key Content
Consent
Goal Setting
Planning
Duration
10 minutes
Brought to you by:
Quality Team
TL ; DR - Document review
At Tall Tree, we’re committed to delivering top-tier healthcare, and that includes our documentation. The Document Review Program helps improve charting efficiency, effectiveness, and comprehensiveness, showcasing our clinical quality to stakeholders.
- Each clinician gets one document review per year (3 documents: intake form, chart note, report).
- Reviewers check documents using an internal checklist and provide feedback.
- The goal is to boost care quality, improve communication, and provide mentorship opportunities for clinicians.
No action needed from you; your Reviewer will handle the process and send you feedback.
Improve Patient Outcomes:
Comprehensive charts, consistent use of outcome measures, and client-centered care.
Mentorship Opportunities
Learn from colleagues, develop clinical reasoning skills, and understand documentation practices across disciplines.
Enhance Communication
Clear, timely, and legible charts that document patient care and clinical reasoning.
Brought to you by the Document Review Team
Doc-ops - ensure your documentation is clear, comprehensive, and always on point!