Rehab administrators answer questions regarding documentation transparency. IPRC archives information collected by the Pediatric Rehab Administrator’s ListServ as a public service to the entire Pediatric Rehabilitation Community. All information is posted in summary format and has been de-identified. Search through past queries for responses to rehabilitation related questions.
Topic/Original Questions:
Currently, our therapy notes are not automatically shared with families through our EMR/EPIC. Families can request copies through our Health Information Management Department. With new CMS guidelines, the suggestion has been made that therapy notes should be changed to auto share with families through the EMR. I anticipate this is going to cause some anxiety with our staff.
If yes, are there any notes that you do not auto share?
2. Has this caused any challenges/issues? And if so, what types?
3. Did your therapists change anything with their documentation practices as a result of auto sharing?