CL-033Clinical Documentation

Plan of Care Configuration

Clinical Experience & Provider Productivity

Recommended pathConfigure / Activate
Capability status
To be confirmed with PRN
Transformation phase
To be confirmed with PRN
Effort
To be confirmed with PRN

Current State / What We Learned

Observed today, as captured in the corrected assessment.

PRN has uncoupled POC from progress notes, but workflow still creates unnecessary documentation in some cases

Desired Future State

The target way of working PRN and Raintree are aiming for.

Optimize POC and progress-note relationship

Requirement / Gap

Configure POC timing and requirements appropriately by payer/workflow

Raintree Recommended Path

  • Conduct POC configuration review alongside progress-note review
  • Only POC requirements in the system are ICD-10 codes, Planned Services, Frequency/Duration, at least one active goal, and Clinical Impression. These validations exist as part of the TVIST note and do not require the clinician to document them separately. The POC is only required to be updated if the patient’s plan runs out of planned visits or if the date range expires.

Dependencies / Considerations

Regional and payer requirements

Outstanding Questions / Decisions

Can POC and progress-note requirements vary by payer or region?

Evidence

Supporting screenshot 1 for CL-033 — Plan of Care Configuration
Supporting screenshot 2 for CL-033 — Plan of Care Configuration
Supporting screenshot 3 for CL-033 — Plan of Care Configuration

Supporting screenshots from the corrected Detailed Transformation Assessment.

Source

Detailed Transformation Assessment (Corrected)