Progress notes definition

Progress notes means permanent written or electronic record of services and supports provided to an individual documenting the individual's participation in, and response to, treatment, progress in recovery, and progress toward intended outcomes.

Progress notes means a chronological written description of services provided to a consumer, resident, client, or patient that documents, utilizing acceptable documentation practices, the consumer’s response related to the intervention plan or services provided.

Progress notes means individual-specific documentation that contains the unique differences particular to the individual's circumstances, treatment, and progress that is also signed and contemporaneously dated by the provider's professional staff who have prepared the notes. Individualized and member-specific progress notes are part of the minimum documentation requirements and shall convey the individual's status, staff interventions, and, as appropriate, the individual's progress, or lack of progress, toward goals and objectives in the ISP. The progress notes shall also include, at a minimum, the name of the service rendered, the date of the service rendered, the signature and credentials of the person who rendered the service, the setting in which the service was rendered, and the amount of time or units/hours required to deliver the service. The content of each progress note shall corroborate the time/units billed. Progress notes shall be documented for each service that is billed.

Examples of Progress notes in a sentence

• Progress notes (therapies or other treatments administered) must provide data relative to accomplishment of the treatment goals in measurable terms.

• Progress notes also must document significant events that are related to the person's treatment plan and assessments and that contribute to an overall understanding of the person's ongoing level and quality of functioning.

• Progress notes must be recorded chronologically and documented consistent with CDDP policies and procedures.

• Progress notes must include the date, time, duration, participant names, and a brief summary of the session and the name of the staff member who provided it.

• Progress notes shall be recorded by the physician, social worker and others involved in active treatment modalities at least as often as the patient is seen.

More Definitions of Progress notes

Progress notes means the notations in the individual’s record documenting significant information concerning the individual and summarizing progress made relevant to the objectives outlined in the residential service plan.

Progress notes means written entries made in the clinical record that specify the intervention provided, and document progress or lack thereof toward meeting treatment plan objectives, and which generally address the provision of services, the individual’s response to those services, and significant events.

Progress notes means written reports in the participant's file of staff discussions, conferences, or consultation with family or caregiver, for the purpose of evaluation of a participant's progress and any other information as required by Rule .0501 in this Subchapter regarding the participant's situation.

Progress notes means a complete chronological written description of services provided to a consumer and includes the consumer's response and is written by the individual or clinical team delivering the gambling treatment services.

Progress notes means written reports in the participant's file of staff discussions, conferences, or

Progress notes means written reports in the participant's file of staff discussions, conferences, or consultation with family or other interested parties, for the purpose of evaluation of a participant's progress and any other information regarding the participant's situation.

Progress notes means notes used to document the decline or improvement in a resident's status.