Multidisciplinary Goals

[Guest guest]

In an attempt to be efficient with the PPS documentation requirements, would it

be appropriate to design a multidisciplinary goal form? Our facility has

elected to allow each discipline to perform their individual eval on the

patient. Problem list and plan will be included at the end of the eval.

However, we would like to combine the goals in the following manner:

On a single form, each primary discipline (P.T., O.T., Speech, Nursing, Social

Work and Dietary) will have a prewritten list of the recurring primary STG's for

patients typically seen in the unit. For example, O.T. may have " Pt/Resident

will increase balance form to in order to bathe self

with assist. " Obviously, there would also be other space for those

situations requiring customized STG'S when necessary. The LTG's would be multi

disciplinary and essentially become team discharge goals. A number of these

would be prewritten as well. For example, " Pt/Resident will demonstrate

functional mobility as evidenced by adequate safety for discharge destination. "

or " Pt/resident will demonstrate stable medical status as evidenced by adequate

hydration and nutritional status, stable vital signs and intact skin integrity. "

Each discipline would assign the appropriate STG's for the patient at the time

of eval and the LTG's (or Team discharge goals) will be be assigned at the first

staffing of the patient. Review of these LTG's would take place at each patient

staffing. The obvious goal is to streamline documentation while maintaining

professional identity and expertise. Is this effort appropriate? Any ideas?

^^^^^^^^^^^^^^^^

Todd Cepica, P.T.

Assistant Director

Physical Medicine and Rehabilitation

University Medical Center

Lubbock, Tx 79417

Ph: Fax:

ntc@...

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