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Clinical Forms for Assessment & Care Planning

CovetCare develops tools (forms and systems) for cost-effective and time-efficient medical record documentation.

Prior to development of an electronic medical record, CovetCare created forms and systems that long term care providers/clinicians must have, under PPS, to ensure documentation of pertinent data and ease and efficiency in validating information for Minimum Data Set (MDS) purposes. Policies and procedures are available for each medical record form.

CovetCare also offers objective quality assurance monitoring tools that provide a means for tangible and measurable indicators of assurance.

MDS is not an assessment of the resident, but of the resident’s medical record. Upon an external audit, if the medical record for the given period does not reflect the responses recorded on the MDS, the service or condition becomes invalid -- as does the patient classification and the related reimbursement.

CovetCare's tools for assessment and care planning achieve the following:

• Effectively educate and empower clinicians

• Ensure work is completed based on standards of practice and regulations

• Help attain and sustain optimal reimbursement outcomes

• Create a system through which existing clinical steps can be audited, analyzed and improved upon

• Accurate and effective patient-care documentation

• Flag and drive clinicians to address quality care issues

Disciplines Served:

Forms are available...

• Activities / Recreation Therapy Admission Assessment

• Activities / Recreation Therapy Care Plan

• Activities / Recreation Therapy Interim Assessment

• Nursing Admission Assessment

• Nursing Care Plan

• Nursing Interim Assessment

• Nutritional Admission Assessment

• Nutritional Care Plan

• Nutritional Interim Assessment

• Social Service Admission Assessment

• Social Service Care Plan

• Social Service Interim Assessment

• Medical Evaluation

• Comprehensive Care Plan

• Rehabilitation Notes

Manuals

CovetCare also offers providers manuals that depict the conceptual framework, system design and tools to facilitate implementation of practical and operational models of care. They include:

• Rehabilitation Nursing

• Infection Control

• Quality Assurance and

• Discipline-Specific Manuals

CovetCare forms and systems are copyrighted with the U.S. Library of Congress.

To learn more, or to order forms for your facility, contact us.