Interprofessional Collaboration to Maximize Documentation of Health Outcomes in the Digital Age
by Expert Reviewer: Janet Graves-Wright, CCC-SLP, MM, MSEd; Expert Reviewer: Kathleen Smith-Wenning, AAS, Respiratory Therapy; Expert Reviewer: Laurel Koss, MS, OTR/L; Expert Reviewer: Sharon Kurfuerst, , Ed.D, OTR/L, FAOTA, FABC; Staff Writer: Susan Almon-Matangos, MS/CCC-SLP
Credentialed for: Occupational Therapy CEU |


i 1.00 CEH

Course Overview

Health records were first used to document professional encounters with a patient over time. Later, more systematic documentation was needed to compare patient healthcare and outcomes. Electronic health records are intended to not only collect that systematic information, but also integrate the documentation across various professions. With progressively complex healthcare teams and healthcare decisions, new models of documentation are needed to support coordinated collaborative interprofessional practice. The goal of this course is to describe how members of an interprofessional (IP) team can systematically document care plans and outcomes to best inform evidence-based practice.
The content in this course is applicable to occupational therapy, speech-language pathology, audiology, and social work professionals in acute care facilities.

About the Course Author

Janet Graves-Wright, CCC-SLP, MM, MSEd, is an independent healthcare consultant and bilingual speech-language pathologist based in New Rochelle, New York. Janet Graves-Wright, CCC-SLP, MM, MSEd has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
25 years of experience in the field of Respiratory Care as both a practitioner and educator; area of expertise - medical anthropology & cultural competency in healthcare Kathleen Smith-Wenning, AAS, Respiratory Therapy has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Laurel Koss MS, OTR/L, attended the University of Pittsburgh and completed her Occupational Therapy degree from Duquesne University. With over 21 years in clinical occupational therapy settings, Laurel has experience in skilled nursing facilities, outpatient orthopedic and neurology, long term care, rehab, and acute care. She also has extensive training and experience in upper extremity amputee care, orthotics and prosthetics, and research and development. Laurel has been an adjunct professor for Saint Petersburg College and Nova Southeastern University, Tampa campus and is currently the lead occupational therapy writer for the Rehab team with Relias. Laurel Koss, MS, OTR/L has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Sharon Kurfuerst, , Ed.D, OTR/L, FAOTA, FABC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Susan Almon-Matangos, MS/CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for a large contract therapy company, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association. Susan Almon-Matangos, MS/CCC-SLP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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Detailed Transcripts

License Tracking/Reminders

Accreditation Information

Certificates provided by accrediting body (6 Match)

  • American Occupational Therapy Association


    Relias Learning is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Category 3.
    This activity is approved for 1.0 contact hours.
  • American Speech-Language-Hearing Association


    This course is offered for 0.10 ASHA CEUs (Intermediate Level; Professional Area).
  • Florida Board of Occupational Therapy


    This course has been approved by the Florida Board of Occupational Therapy for 1.0 contact hours, approval number 20-714100.
  • Kansas Health Department of Aging and Disability Services (Speech)


    Approved for 1.0 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.0 contact hours.
  • Association of Social Work Boards


    Relias, LLC, #1273, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. ACE provider approval period: 02/10/2018-02/10/2021. Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, post-tests. This module is Reading-Based. Social workers completing this course receive 1.0 General continuing education clock hours.
  • Alabama State Board of Occupational Therapy


    Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
    Occupational Therapists will receive 1.0 contact hours for participating in this course.

Course Details

  • Course Code:

  • Hours:

  • Type:

    Online Course
  • Release Date:

  • Expiration Date:

  • Learning Objectives:

    Describe the history and purpose of health records; Describe the role of health information management (HIM) professionals as members of IP care teams; Determine patient roles and public policies regarding the use of EHRs; Explain how an IP team can use meaningful electronic health records (EHRs) to communicate effectively, influencing improved health outcomes; Identify how systematic documentation can be used to inform health outcomes
  • Outline:

    Section 1: Introduction
    About This Course
    Learning Objectives
    Section 2: Background, Purpose, and Requirements
    Meet Travis
    Background and Purpose of Documentation in the Health Record
    Structured vs. Unstructured Data Elements in the EHR.
    Documentation Standards and Requirements
    Meaningful Documentation for IP Collaborative Practice
    Section 3: Conclusion
    Appendix A: Sample Care Pathway
    Appendix B: Data, Information, Knowledge, and Wisdom Hierarchy
    Course Contributors
    Exam and BrainSparks

  • Target Audience:

    The target audience for this course is: entry level Occupational Therapists; intermediate level Speech and Language Pathologists; Social Workers; in the following settings: Acute Care Facility.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.
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