OT 222 - Technology in Documentation and Research

• utilize the computer to access appropriate databases reflective of clinical and professional research;
• search for evidenced-based research to make practice decisions in collaboration with the occupational therapist;
• apply the use of technology in electronic documentation;
• apply the use of technology in distance communication, virtual environments, and telehealth/telemed to support performance, participation, and well being of individuals receiving OT services;
• demonstrate documentation of OT services to ensure accountability of service provision and meet standards for reimbursement of services adhering to facility, governmental. and reimbursement agencies;
• effectively document the need and rationale for OT services;
• describe the various reimbursement systems (eg. federal, state, third party, private-payers) and documentation requirements that affect the practice of OT services;
• demonstrate understanding of legal and ethical guidelines for documentation and transfer of patient information;
• write goals and treatment plans, progress notes, ADL assessments, and home assessments;
• write goals and treatment plans, progress notes, ADL assessments, and home assessments; and
• write a discharge summary to demonstrate the need for termination of OT services when stated outcomes have been achieved or it has been determined that they could not be achieved.