Date
of Last Review 10/13/08
SME: Director of Social Services
Social Services staff document their work with patients in the Progress Note
section of the electronic medical record.
The Social Services staff select some of the following information according to the type of the note required:
 | Date of note |
| Time of note |
| Date of group |
| Time of group |
| Master treatment plan number |
| Name of group |
| Data: gathered by observation and/or patient self-report |
| Assessment: measure of patient's progress toward MTP goal |
| Plan: course of action for continuation of treatment i.e. action toward patient's goal |
| Reason for patient not attending group, if applicable |
| Electronic Signature |
The staff member must complete a progress note and enter charges into the financial system within 24 hours from scheduled group time or indicate that it is a late note.
See Legibility and Unacceptable Abbreviations
Related to regulatory standards
If you have questions regarding the content of this site please contact the Policy and Procedure Committee. If you experience any technical problems please contact the MIS Department.
