Charting the Course: The Interdisciplinary Chart Format

ABSTRACT:

Discover how the Interdisciplinary Chart Format satisfies Surveyor requirements for maintenance of the clinical record. Learn to incorporate Culture Change principles to satisfy OBRA expectations for documentation of the resident’s progress, change in condition, and changes in treatment. An illustrative case study demonstrates the process.

3 NAB Clock Hours

OBJECTIVES:

Upon completion of this course, the learner will be able to:

1. Explain the weaknesses of the multidisciplinary medical record format.
2. Discuss the various roles of the clinical record.
3. State how the Interdisciplinary Chart Format meets surveyor requirements under Federal Tags: F153, F272, F279, F280, F309, and F514.
4. Explain how the Interdisciplinary Chart Format facilitates ease of navigation and retrieval of resident information.
5. State how the clinical record can support the Culture Change Principle “Know each person.”