Patient clinical documentation in telehealth environment: are we collecting appropriate and sufficient information for best p

Course overview

Course Description: This course is based on material published in mHealth and is available as an open-access article. During the COVID-19 pandemic, the use of telehealth for patient visits grew rapidly and served an important role as a valuable and necessary resource. Although clinical documentation is critical for telehealth patient visits, there is limited information about how healthcare facilities manage telehealth patient visit documentation, technology used for telehealth visits, and the challenges encountered with telehealth patient visit documentation. This study aimed to assess the use of telehealth during the pandemic, the quality of clinical documentation in telehealth practice, and to identify challenges and issues encountered with telehealth patient visits in order to develop a strategy for best practices for telehealth documentation and data management. This course on clinical documentation in telehealth environments is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work. In addition, this course is appropriate for intermediate and advanced-level practitioners who wish to develop their knowledge of clinical documentation in telehealth environments. The course material includes a literature review of research. It may also be useful for licensed clinicians who require continuing clinical education courses for license renewal. Authors: Houser, Flite, Foster, Hunt, Morey, Palmer, Peterson, Pope, and Sorenson Learning Objectives: This course will provide the practitioner with detailed information regarding clinical documentation in telehealth environments. Specifically, a professional will: Identify the documentation elements that should be captured for a telehealth visit. Describe challenges and issues encountered when using telehealth. Recognize strategies for successfully documenting clinical health in telehealth environments. Citation: Houser, S. H., Flite, C. A., Foster, S. L., Hunt, T. J., Morey, A., Palmer, M. N., Peterson, J., Pope, R. D., & Sorensen, L. (2022). Patient clinical documentation in telehealth environment: are we collecting appropriate and sufficient information for best practice? mHealth, 8, 6. https://doi.org/10.21037/mhealth-21-30