Progressive Notes
Goal driven therapist documentation
Sam Wang, MD
Courtney Wang, MHS, OTR/L
- Clinical Director for Galaxy Brain & Therapy Center
Ann Arbor, MI
swang@galileomd.com
notes.progressivenotes.com
use your @spalding.com account
Documentation
If you didn't document it, it didn't happen
If it didn't happen, you dont get reimbur$ed
Subjective
SOAP style
Objective
Assessment
Plan
What's said / conveyed
Info you observed / collected
Your clinical summary
Plan for future treatment sessions
Subjective
Progressive Notes style
Objective /
Assessment
Plan
What's said / conveyed
Skilled education / treatment and response to therapy
- Make sure you're treating based off your goals
Plan for future treatment sessions
Progress towards goal
- Show progress towards goal to justify treatment
notes.progressivenotes.com
Evaluation
Daily note
Daily note
Daily note
Progress note
Patient
Treatment
goals
notes.progressivenotes.com
Evaluation
Daily note
Daily note
Daily note
Progress note
Patient
Treatment
goals
notes.progressivenotes.com
Student
starts/edits local draft
- eval note
- daily note
- progress note
Save &
Preview
(1 & 3)
Complete & Bill
(4)
Faculty reviews
(2)
notes.progressivenotes.com
(1)
(2)
(3)
(4)
notes.progressivenotes.com
Student
starts/edits
- eval note
- daily note
- progress note
Save &
Preview
Complete & Bill
Faculty reviews
(Publicly visible)
notes.progressivenotes.com
Patient List
- starring floats a patient to top of group
- create in right group
Patient
- patient demographics as part of header
- therapy recommendations entered once
Clinical scenario
36yo female with recent CVA 6 weeks ago and residual left sided weakness
- Post stroke - a simple effective way to put on and take off shirt:
https://www.youtube.com/watch?v=vZsBU51NQlQ
notes.progressivenotes.com
LOGOUT if on shared computers!
Progressive Notes
Questions or feedback?
Sam Wang, MD
Ann Arbor, MI
swang@galileomd.com
Thank you!
Progressive Notes
By Sam Wang
