The Golden Thread-Connecting the Dots
{"Image DocumentName": "The Golden Thread-Connecting the Dots", "Image ImageDescription": "Colorado Compliance Project. The Golden Thread-Connecting the Dots. Each piece of documentation must flow logically from one to another such that someone reviewing the record can see the logic. The assessment must lead to the treatment plan and be coherent and cohesive and establish medical necessity. The progress notes must flow from the treatment plan and document the services provided and the individual\u2019s response to treatment. The progress notes lead to the treatment plan review/update that lead to the progress notes, etc. Chapter 1 and Chapter 5 of the training manual discuss the Golden Thread. This is an important concept emphasizing how all the documentation must be tied together. The idea is that you can\u2019t look at your documentation in isloation from the rest of the medical record. When writing your note think about how it ties in to the treatment/service plan and how it makes sense in light of the assessment and problem/needs list. Remember, the auditors will not be reading your note in isolation. They will be asking themselves these questions; What treatment plan goal/objective does this note address? How does this follow from the assessment I just read? What is the continuity from the last session note I just read? Is this medical record telling me a story with a beginning, a middle and an end that all tie together or does it seem like a disconnected series of events? Can the auditor say, I can see where the treatment is going and it does follow the plan I read earlier. Copyright Mary Thornton & Associates and NWBCC.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}