Telehealth, Documentation, & Assistive Technology

when using telehealth a practitioner must...

meet state licensure laws, obtain consent, use HIPPA-compliant platforms

what does documenting with CARE stand for?

- C = clarity

- A = accuracy

- R = relevance

- E = exceptions

what does the C mean in documenting with CARE?

clear/concise

what does the A mean in documenting with CARE?

reflects what actually happened

what does the R mean in documenting with CARE?

relates to identified needs and purposes

what does the E mean in documenting with CARE?

unusual occurrences, non-compliance, or any changes

what does SOAP notes stand for?

- S = subjective

- O = objective

- A = assessment/interpretation

- P = plan/recommendations

what does subjective mean in SOAP notes?

patient goals, concern areas, relevant patient history

what does objective mean in SOAP notes?

assessments used, scores, observations

what does assessment/interpretation mean in SOAP notes?

impact on functional performance/functioning

what does plan/recommendations mean in SOAP notes?

activities for next session, recommendations for reassessment or other services

what are factors to consider in regards to privacy/consent of patients?

- HIPPA compliance

- FERPA (school-based)

what is assistive technology (AT)?

- replaces or supports an impaired function (doesn't change person's need of functioning)

- ex. wheelchair replaces function of walking

what are some assistive technology terminiology?

- no technology = build up handles (ex. grab bars)

- low technology = inexpensive (ex. sock aids, reachers)

- high technology = expensive (ex. AAC devices)

what are some evaluation considerations that practitioners must identify regarding AT?

- task

- client's ability

- environment

- devices

- funding source