Master Treatment Plan


Master Treatment 



Special permissions are required to perform the operations in this section (see Permissions).

Navigation

To create a new Master Treatment Plan for a student, navigate to their face page and click on the Med/Clinical button. This will open a new window which will display the Master Treatment Plan Worksheet.
 

Creating a new Master Treatment Plan

There are three field types to work with throughout the worksheet. The first is the date field which is indicated by the presence of a date picker icon. To fill these fields out, click on the date picker icon and select the desired date. The second type of field you will encounter in the Master Treatment Plan Worksheet are the addition fields which are recognized by the presence of the plus icon next to the field. These fields are populated by clicking on the plus icon and making selections within the new window. The third field type is the free text field, recognized by the light green tint and dotted line outline. These fields are activated by clicking within the field. Once the field is activated, a few basic text styling tools at the top of the box will appear. Begin typing within the field to enter data. With the Master Treatment Plan Worksheet open, a master treatment plan can now be created. 

 

Required Signatures



The header information is pulled in automatically from the student's information previously entered.

At the top of the Master Treatment Plan Worksheet is a “Required Signatures” dropdown box. This is the area is to designate whose signatures are required in order for this document to be complete. When a signature is required to complete a master treatment plan, a “signature required” button next to this entry in the student's activity log will appear as well as in the General log and For Review log. If a document requiring a signature has been created while the user is logged off, then when the user logs in or returns to the dashboard the For Review tab will be highlighted in orange and the list of documents requiring a signature will be displayed. If a document requires a signature, click on the signature required button then click insert signature.

Filling Out the Diagnosis

Diagnostic codes


All diagnostic material comes directly from the DSM IV.

When clicking on the plus icon to begin filling out the Diagnosis, a new window will appear where you will be able to select a category and code. Once the code is selected, several options as well as a body of text from the DSM IV will be displayed. Three options will appear above the Diagnostic text regarding the use of the text in the finished master treatment plan.

 If the first option is selected, then the highlighted text from below will be used as one of the problem areas to be focused and have goals, objectives, and interventions attached to it in the finished master treatment plan. Choosing the second option will include the problem in the finished master treatment plan but will not have goals, objectives, or interventions associated with it. When the third selection is chosen, this code will only appear in the diagnostic section of the master treatment plan.

 Within the body of the diagnostic text, certain sections will be highlighted in grey. These grey sections are chosen for inclusion into the finished master treatment plan by clicking on them, which highlights the section in blue.  This text will be inserted into the finished master treatment plan if the first option from above is selected.

 When a user is finished creating a diagnosis and highlighting key text, click on the “next” button. If anything but the first option is selected, this will take the user back to the master treatment plan worksheet. When the first option is selected, the “next” button will take the user to the long term goals section.

 

Long Term Goals

In the Long Term Goal selection screen you will be shown a list of predefined goals as well as blank spaces to enter your own goals. Next to each goal is a check box to click if you want the goal inserted into the final master treatment plan. When finished selecting goals click the “next” button, this will take you to the objectives selection screen.


Objectives

A list of predefined objectives are provided in this section as well as space to create your own objectives. Next to each objective is a check box to click if the objective needs to be inserted into the final master treatment plan. When finished selecting objectives, click the “save and continue” button. This will take the user back to the Interventions selection screen.


Interventions

A list of predefined interventions are provided in this section as well as space to create your own objectives. Next to each intervention is a check box to click if the intervention needs to be inserted into the final master treatment plan. When finished selecting interventions, click the “save and continue” button. This will return the user to the master treatment plan worksheet.



Each intervention allows the flexibility to enter in the frequency that they will occur.

Each of the three areas Long Term Goals, Objectives and Interventions is edited from the Tx Plan Library section in the settings area of BestNotes.


Filling out the master treatment plan cont.

When the diagnostic section is completed, continue filling out the rest of the master treatment plan worksheet by filling out each free text field. When finished with the master treatment plan worksheet, scroll to the bottom of the page to view a preview of the completed master treatment plan.

 

Saving Master Treatment Plan

Once everything is complete, click on the “save snapshot” button at the top right hand side of the screen to lock the master treatment plan, notify individuals of required signatures, and post the finished master treatment plan to the student’s activity log.


Viewing/Editing previous Tx Plans

To view a completed MTP click on the associated link within the student's activity log. To edit a master treatment plan once it is complete, click on the vitals/tx plan button. This will display the information from the most recent update to the master treatment plan. To edit sections of the plan to reflect the student's current progress, scroll through the document and make changes just like creating a new document. It is possible to enter a date time stamp to verify the time the student's document was reviewed or updated. Below each objective appears an “add objective” button, which allows the user to add more objectives as the student completes previously assigned objectives. Once the changes are finished, click the “save snapshot” button to create a new entry in the student’s activity log.


Treatment Plan Customization

Some vocabulary of the Treatment plan can be edited. Here is a list of areas that can be changed to better fit a program's needs.

  • Document Level
    • Titles for all four tabs (i.e. 'Master Tx Plan' to 'Tx Plan')
    • Titles of the documents (i.e. 'Master Treatment Plan' to 'Treatment Plan')
    • Abbreviations of the documents (i.e. 'MTP' to 'TP')
  • Under Master Problem List
    • Title of Master Problem List (i.e. 'Master Problem List' to 'Treatment Goals') This is the most requested.
    • Date Problem is created (i.e. 'Date' to 'Date Initiated')
    • Problem Header (i.e. 'Problem' to 'Goal') This will also feed down to the Problem Area to keep the terminology consistent.
    • Estimated Completion Date (i.e. 'EST Completed' to 'Target Date')
    • Date Resolved (i.e. 'Date Resolved' to 'Date Completed')
  • Under the Problem Area
    • Long Term/Discharge Goals (i.e. 'Long Term/Discharge/Graduation Goals' to 'Discharge Goals')
    • Objective (i.e. 'Objective' to 'Target Skill')
    • Short-Term Objective (i.e. 'Short-Term Objective' to 'Short-Term Goal')
    • If a company does not use interventions they still have to go through the wizard but we can hide that line on their MTP.

Medications

This is a Medication Tracking System, but not a full MAR. This system allows staff to input the medications that the clients are on with dosage, frequency, and refill information. The current list of medications can be pulled into the Templates where needed. There is a read-only view that allows staff to see what medications the clients are on currently.