This course provides training in professional documentation, record keeping for accountability and reimbursement. Focus is also on other verbal and nonverbal professional communication. Content includes structure and function of daily note writing, patient/client evaluation such as data gathering, reassessment, treatment recommendations, home programing and discharge planning. Students learn to write behavioral objectives and assist the occupational therapist with goal writing. Documentation for quality assurance, insurance systems, and various methods for documentation are explored. Legal and ethical implications for documentation are included.
Prerequisites
Eight/Nine Quarter Programs: Admission to the Professional Curriculum of the OTA Program