As therapists, we face many daily challenges, including weekly notes, recertifications, orders, schedules and so on. As we provide skilled services, we must justify services via documentation, making it essential to have the equipment necessary to do so.
With technology and the correct devices, we are able to accomplish our daily tasks with reduced legwork. We no longer have to chase down a chart; we can access all of the pertinent information at our fingertips. In our industry, regulations change frequently, and with the use of technology, we are able to stay ahead of the curve and incorporate the changes to ensure compliance.
For example, we use systems such as Rehab Optima, PCC, RO5, in conjunction with devices such as COWs (computers on wheels), laptops and iPads. In Rehab Optima, we have access to reports that allow therapists and nurses to see which patient is being seen by which therapist and what room number the patient is in, as well as weekly reports, recertification, upcoming discharges and productivity/efficiency.
Challenges
Change is not always welcome. Our therapists first had to get used to switching from paper documentation to computer documentation. Many of them were not accustomed to typing, often taking longer to type up notes rather than write them, and lacked education on how to use various technologies.
Progress
Therapists and assistants are getting used to providing accurate, effective point of service documentation. We are seeing increased productivity as therapists no longer have to search for charts and have patient information readily available, such as goals, PLOF, precautions and notes.
Today, we’re seeing enhanced communication among therapists, standardized assessments with less paper involved, and a greater ability to track outcomes. Our team has made big strides forward as we combine technology and rehab for the benefit of patients and therapists alike.
By Scott Dagenais DOR, Palm Terrace Healthcare & Rehabilitation, Laguna Hills, CA