Online Course » Clinical Documentation: Writing Encounter Notes

Course Description:

This course provides an overview of how documentation fits within the bigger picture of an individual's care and focuses specifically on strategies and best practices for writing high quality encounter notes.

Course Objective:

At the end of this training, learners will be able:

  • Describe the foundational steps to good documentation.
  • Explain how encounter notes fit within the bigger picture of quality care.
  • Define an encounter note.
  • Explain how encounter notes are used by persons in care, direct service staff, provider agencies, and the government (Medicaid).
  • Write encounter notes that follow the "SIRP" structure.
  • Demonstrate best practices and effective strategies for writing detailed encounter notes.
Intended Audience:

Direct Service Staff

DBH Training Institute Certificate - view details
NAADAC CEH Certificate - view details
Social Work/Counseling CEU Certificate - view details

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