Enhancements to Two Standard Document Sets

PRO-245G-E & PRO-245G-S

In response to recent legislative changes to MN State Statute Rule 245G, Procentive is updating two of our standard document sets. If you are using our ‘PRO-245G-‘  documents, you will see these changes take effect with newly created documents beginning July 15, 2019.

PRO-245G-E  “Expanded” Document Set Changes

PRO-245G-E1000 Initial Services Plan

  • Revised question text related to ‘Identified needs of the client DURING THE TIME BETWEEN DATE OF SERVICE INITIATION and development of the Individual Treatment Plan’.

PRO-245G-E1100 Comprehensive Assessment and Summary

  • Text change to narrative asking for a description of the circumstances ON THE DAY OF service initiation.
  • Added question regarding medical concerns:  Do these concerns need to be referred to an appropriate health care professional?
  • Revised question text to:  HOW HAS USE AFFECTED YOUR ability to function appropriately in an educational setting.
  • Revised question text to:  HOW HAS USE AFFECTED YOUR ability to function appropriately in a work setting.
  • Revised text to ‘# of Days (in last 30)’ for clarification in Substance Use history tables.
  • Added Amount, Frequency, Duration and Leisure Activities fields to Substance Use history tables.
  • Combined narrative area for entry of ‘Risk taking behaviors, including behavior that puts the client at risk of blood-borne or sexually transmitted diseases:’  Previously this was two separate areas.
  • Revised ‘Client Choices/Preferences’ header
  • Revised question text:  ‘Does the client recognize NEEDS related to substance use and is willing to follow treatment recommendations?’
  • Added question:  ‘Does the client desire family involvement in the treatment program?’
  • Added definition of ‘Problems’ within each Dimension.  Entered problems will dataflow to the Treatment Plan.
  • Added Edit List linked to Summary and Recommendations.
  • Added checkboxes for verification of client Eligibility, Income, Residency and Insurance.

PRO-245G-E1101 Comprehensive Assessment Summary

  • Added definition of ‘Problems’ within each Dimension.  If entered previously on the PRO-245G-E1100 Comp Ass & Summary, will dataflow into these areas.  Entered problems will dataflow to the Treatment Plan.

PRO-245G-E1200 Treatment Plan

  • Added dataflow of Problems from ANY.
  • Added dataflow of ‘Client indicated desire for family involvement in the treatment program’ from PRO-245G-E1100 and a new narrative for entry of ‘How will family or others be involved in the client’s treatment plan:’

PRO-245G-E1300 (RENAMED) Documentation of Treatment Services / Treatment Plan Review (prev Progress Note and Treatment Plan Review)

  • Added area for identification of Treatment Service Review Period Start Date and End Date.
  • Added checkboxes for ‘Denies’ to Care Coordination Activities, Medical Appointments Attended, Other Appointments Attended and Doc of Participation of Others areas.
  • Added radio button series to document whether Client’s IAPP has been reviewed and evaluated.
  • Added narrative for ‘Reason for Risk Rating’ in each dimension.

PRO-245G-E1400 (RENAMED) Service Discharge Summary (prev Discharge Summary)

  • Added dataflow of clients issues, strengths and needs from PRO-245G-E1100 Comp Assessment
  • Added Service Termination Diagnosis DSM5/ICD10 area.

PRO-245G-S  “Simple” Document Set Changes

PRO-245G-1100S Comprehensive Assessment

  • Text change to narrative asking for a description of the circumstances ON THE DAY OF service initiation.
  • Added question regarding medical concerns:  Do these concerns need to be referred to an appropriate health care professional?
  • Revised question text to:  HOW HAS USE AFFECTED YOUR ability to function appropriately in an educational setting.
  • Revised question text to:  HOW HAS USE AFFECTED YOUR ability to function appropriately in a work setting.
  • Revised question text:  ‘Does the client recognize NEEDS related to substance use and is willing to follow treatment recommendations?’
  • Added question:  ‘Does the client desire family involvement in the treatment program?’

PRO-245G-1101S Comprehensive Assessment Summary

  • Added definition of ‘Problems’ within each Dimension.  Entered problems will dataflow to the Treatment Plan.

PRO-245G-1200S Individual Treatment Plan

  • Added dataflow of Problems from PRO-245G-1101S Comp Ass Summary.
  • Added narrative area for:  ‘Client’s invovlement in the development of the plan:’
  • Added dataflow of ‘Client indicated desire for family involvement in the treatment program’ from PRO-245G-E1100 and a new narrative for entry of ‘How will family or others be involved in the client’s treatment plan:’

PRO-245G-1300S Documentation of Treatment Services / Treatment Plan Review

  • Added table allowing entry of services received including:  Date, Type of Service, Amount, and Client Response.

PRO-245G-E1400 Service Discharge Summary

  • No changes