Group Practice Tech

Episode 516: Documentation Dilemmas & Strategies with Dr. Maelisa McCaffrey of QA Prep


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Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech.

In our latest episode, we chat with Dr. Maelisa McCaffrey of QA Prep about common documentation issues that come up in group practice.

We discuss:

  • Maelisa's background and business, QA Prep
  • Why there aren't black and white guidelines for documentation
  • How to determine what to include in documentation
  • The most common people who will read your notes
  • Informed consent and documentation, especially for vulnerable populations
  • Progress note templates and policies
  • Collaborative documentation in group practice
  • Why clinicians find documentation so stressful
  • Our upcoming CE training with Maelisa on Client Centered Documentation

Listen here: https://personcenteredtech.com/group/podcast/

For more, visit our website.

PCT Resources
  • CE Training: Client-Centered Documentation: How to Write Ethical, Effective, and Efficient Progress Notes
    • Join Dr. Maelisa McCaffery as she offers a practical and principled guide to mastering progress notes that meet medical necessity standards, support continuity of care, and respect client rights and confidentiality. Plus: Dr. McCaffery's documentation packet to help you improve your notes including:
      • Sample progress note
      • Progress statement formula and examples
      • Phrases to use for sensitive and politically charged topics
    • 3 legal-ethical CE credit hours
    • Live (May 9th, 2025) *and* Recorded On-Demand Self-Study CE Training
    • Ideal for clinical leadership + all clinicians
  • Special Office Hours with Dr. Maelisa McCaffrey: Join Dr. Maelisa McCaffrey as she and the PCT team tackle *your* specific questions regarding documentation.
    • This is special access to top experts in our industry available only to Practice Care Premium members. Register to attend these special sessions through Practice Care Premium.
    • You can get Office Hours through Practice Care, or get 3 months of complimentary access through our Telemental Health Certificate Program.
  • Group Practice Care Premium
    • weekly (live & recorded) direct support & consultation service, Group Practice Office Hours -- including monthly session with therapist attorney Eric Ström, JD PhD LMHC
    • + assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost)
    • + assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more
  • HIPAA Risk Analysis & Risk Mitigation Planning service for mental health group practices -- care for your practice using our supportive, shame-free risk analysis and mitigation planning service. You'll have your Risk Analysis done within 2 hours, performed by a PCT consultant, using a tool built specifically for mental health group practice, and a mitigation checklist to help you reduce your risks.
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Group Practice TechBy Person Centered Tech

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