Documentation Skills

Documentation means

• Keeping your meeting notes

• Keeping a record of information relevant to your job

• To have all documents on your desk safe and sound

• To record the mission and vision for your organization

What would you be documenting as a Community Health Worker? Select all that apply

• What kind of car does your client drive?

• Appointment times and referrals

• Patient Information

• Insurance and financial information

As a Community Health Worker, documentation is CRUCIAL

• True

• False

Proper documentation does NOT ensure that

• You are effectively able to follow up with patients regarding their care

• You have a reliable record of services you have provided to patients

• The client is caught up in a lie and loses medical assistance from CHW

• Everyone on the healthcare team has access to information they need

What are the 4 effective methods of documentation?

• Clarity, consistency, accuracy, and subjectivity vs objectivity

• Accuracy, note-taking, objectivity, and consistency

• Consistency, clarity, accuracy, and subjectivity

• Accuracy, organization, note-taking, clarity

It is important to be aware of maintaining ________ regarding patient information in health and social service settings

• Good notes

• Secrets

• Professionalism

• Confidentiality

What are the 3 documentation challenges

• Time constrain

• Chatty client

• Complicated process

• Information Barrier

What does HIPAA stand for?

• Healthcare Institution Protecting of All Act

• Health Institution Portability and Accountability Action

• Health Insurance Portability and Accountability Act

• Health Insurance Protection for All Act