Therapist's Chart     

Program             

Wellspring Family Services Residential

Client                 

Office Site       

Wheeling Moundsville New Martinsville Weirton Morgantown

QA Data         

Quarter           

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

Problem           

IP1Initial Plan Incomplete IP2 Initial Plan Missing MP1Master Plan Incomplete MP2 Master Plan Missing 2-90day Missing TX1 TX Plan Goal/Objective Problems A1 CAFAS/PECFAS A2 WVFunctional Assessment A3 BPRS A6 Integrated Summary A7 Connection Form A8 BLSD A9 Psychological A10 PsychInterview A11 JASE A12 Nutritional Assessment DX1 DX Does Not Match Connection/TxPlan/Assessments DC1 Discharge Plan Incomplete DC2 Discharge Plan Missing CS1 Continued Stay Criteria Incomplete CS2 Continued Stay Criteria Missing CS3 Admission Criteria Checklist D1Documentation Does Not Identify Problem Listed D2 Documentation Does Not Identify Completion of Assessment D3 Documentation Does Not Identify Completion of TP D4 Documentation Does Not Reflect Progress/Lack of D5 Documentation Does Not Reflect Service Provided D6 Documentation Does Not Reflect Service Billed D7 Documentation Does Not Reflect Why assessments are completed D8 Documentation Other L1 Leagal Documents No Errors

Description