Session Notes
We've designed GoalMinder so that your notes will be "state-of-the-art", containing all features recommended by risk management experts. Here's how it works:
The scheduler "communicates" to the session notes panel to list all appointment times and dates for a given client. Clicking on a date entry brings up the notes for that session. Dates that are asterisked signify that no note ha been entered, thus allowing the therapist to instantly review whether the chart is curent or not. Pop-down lists help the therapist format the report for the type of service provided (CPT expalnations) and the therapy modality utilized that session (cognitive-behavioral, etc.)An outline of the note sections including headings such as Observations, Mental Status, and Plan are also provided, and of course, are all user modifiable. All the therapist needs to do is type the actual note, either using the outline format or not. When used in conjunction with the newer dictation programs such as IBM's ViaVoice (tm) or Dragon Dictate (tm), all the therapist need do is dictate his/her notes. Many therapsts prefer using a laptop computer during sessions for this task, however, so that the session is recorded as therapy is conducted.When the note is printed, GoalMinder automatically fetches the name of the patient, name of the therapist, focal diagnosis, original treatment plan list, and includes any laboratory or medication data that has changed between the current session and the last session. An electronic signature function is included to "lock" the note when the therapist is satisfied with the record. From that point on, the note cannot be changed. To see what it all looks like,
