Documentation Essentials

Register Here

Overview:

Today more than ever, complete and objective documentation is essential! Join us for this information packed session that will describe the importance, the details, and operational strategies for accurate and adequate documentation for success, quality and compliance.

Objectives:

1. Describe the basic requirements of charting resident condition to substantiate care and services
2. Verbalize the importance of objective vs. subjective documentation
3. Identify specific charting elements for critical resident conditions, pressure ulcers, falls, and condition changes
4. Describe documentation essentials for quality communication and regulatory compliance
5. Describe how to manage charting effectively under time limitations

Presenter:

Kimberly Stenzel, RN, Pathway Health Services

Kimberly Stenzel, brings 23 years of long term care clinical management experience to her role as a Nurse Consultant. Her clients benefit from her expertise in providing skilled mentoring to Nursing Directors; particularly in the areas of Clinical Reimbursement, Restorative Nursing, Quality Assurance, HIPAA and State Health Survey related issues. Additionally, she has 11 years of experience as an MDS/Care Plan Coordinator and has the ability to guide nurses and skilled nursing facilities through the maze of current MDS regulations and policies. Besides leading multiple clinical operations, multiple performance improvement initiatives and clinical service lines; Ms. Stenzel has achieved top results in regulatory surveys and quality outcome measures.

Ms. Stenzel has experience as a Legal Nurse Consultant, including expert witnessing, and providing careful guidance through research, standards and regulations to assist facilities and counsel through legal related issues.

Registration:

Registration for this webinar is per connection needed at a facility. This allows multiple staff members to participate in the education using one connection. Prior registration is required to ensure connection information and applicable materials are distributed prior to the webinar. The registration fee for this webinar is $49 per SDAHO Member facility /$99 per non-member facility. CE’s: NHA & SW