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Digital Seminar

Module 2: Documentation - Reporting Skill and Progress

2 Hours 57 Minutes
Audio and Video
Jan 02, 2019
Product Code:
Media Type:
Digital Seminar


Third party payers such as CMS and private insurers believe that documentation is a tool that can drive good patient care. Therapists typically see documentation as a necessary evil that takes time away from patient care, but allows them to get paid.


In truth, both are correct.


Documentation has improved over the years, but capturing the essence of skilled patient assessment and treatment quickly and succinctly is an ongoing challenge. We are doctors now, thus more is expected of our profession than ever before.


How do we do it in a way that doesn’t take excessive amounts of time from patient care? That is the point of this course.

This 5hour video course presents real patient examples, hilarious interactive vignettes, shortcuts and skilled terminology handouts and flow sheets to help clinicians become more efficient and effective documenters.


* Credit Note - ***CE Details Can Be Found Under the First Module



Carole Lewis, PT, DPT, GCS, GTC, MPA, MSG, PhD, FSOAE, FAPTA's Profile

Carole Lewis, PT, DPT, GCS, GTC, MPA, MSG, PhD, FSOAE, FAPTA Related seminars and products

Carole Lewis, PT, DPT, GCS, GTC, MPA, MSG, PhD, FSOAE, FAPTA, is well known as leader and innovator in the area of rehabilitation and optimal aging. She has served as the Editor-in Chief of an award winning international journal for over 30 years and has received top honors from the American Physical Therapy Association and The Gerontological Society. She has worked in home health, long-term care, acute hospitals, rehabilitation departments and outpatient clinics. In 1983, she started a private practice in Washington, D.C. and continues to work as a clinician. Dr. Lewis received two Master’s degrees, Health Care Management and Gerontology, from the University of Southern California and a PhD in Health Education from the University of Maryland. She currently serves on the Medical Faculty at George Washington University as a full adjunct professor in the Department of Geriatrics.
Her professional awards include the APTA’s Lucy Blair Service Award, the Section on Geriatrics’ Clinical Excellence Award and the Academy of Geriatric Physical Therapy’s highest honor, the Joan Mills Award. She is an APTA Catherine Worthington Fellow and in 2016, she received the Mary McMillan Lecture Award from the APTA, their highest honor.

Speaker Disclosures:
Financial: Carole Lewis is an adjunct professor for George Washington University Medical Center Department of Health Care Sciences. She is president of Great Seminars and Books. She is a journal editor for Aspen Publications. She receives a speaking honorarium from PESI, Inc.

Non-financial: Carole Lewis has no relevant non-financial relationship to disclose.


  • Introduction and pre-test
  • Documentation Essentials
  • Case Study Reviews
  • Documenting a live case (high level patient)
  • Documenting a live case (low level patient)
  • Take home message
  • Culminating assignment: Design aspects of a drop down electronic reporting system OR improve documentation for a case study
  • Post Test


  1. Compile an arsenal of helpful tools to make documenting skill and progress easier and more user friendly
  2. Appraise the quality of initial, progress, and discharge notes
  3. Design drop down menus that reflect therapist skill in daily notes
  4. Compose an initial progress or discharge note that contains excellent examples of skill and progress
  5. Adapt one’s current methods to incorporate useful tools and words that demonstrate skill and progress

Target Audience

Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Certified Occupational Therapy Assistants



Overall:      5

Total Reviews: 1


Kathleen F

"I am very impressed with Dr Lewis and overall with the course content, delivery and expert guests/presenters"

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