Speech Therapy EMR (SLP EMR)

How SLP sessions flow in PBS EMR

• Prep: device notes, domain targets, risks (aspiration, vocal load, cognitive/red flags), and plateaus surfaced first.
• Session: warm‑up → target drills → generalization/carryover → partner training/AAC → wrap‑up/HEP.
• Note: AI suggestions include inclusion cues and stop criteria; you remain decision‑maker. Plan/HEP update automatically.

Outcomes that map to what you did

Accuracy %, WPM, intelligibility, MPT/s‑z ratio, CPIB/PROs, VHI, FOIS/EAT‑10, cognitive measures, and therapy‑domain tallies. Interventions are tied to outcomes so progress is obvious and defensible.

AAC & assistive technology

• Trials with device, access method (direct select, scanning), switch site, and mounting; vocabulary sets and partner training logged with cueing/accuracy.
• Caregiver handoffs and school notes; goals link to communication contexts (home, school, community).

Dysphagia workflows

• Oral‑mech, risk flags, PO trials by texture and strategy; FOIS/EAT‑10 tracked over time with recommendations and precautions.
• Diet changes and MD/SLP coordination documented clearly for audits and handoffs.

Voice & resonance

• MPT, s‑z ratio, CAPE‑V/GRBAS support; resonance/phonation tasks with vocal hygiene and load management.
• Progression blocks capture intensity, duration, and rest to keep programs reproducible and safe.

Fluency & speech sound

• SSI context, disfluency counts, stuttering modification and fluency shaping with cueing levels.
• Phonological processes, articulation targets, minimal pairs, and generalization steps in the same flow.

Language & literacy

• Expressive/receptive, morphosyntax, narrative, vocabulary, and pragmatics; readability and curriculum links for school‑age.
• Parent/caregiver coaching embedded for carryover.

Cognitive‑communication

• Attention, memory, executive function, problem‑solving; supports for environmental modification and task breakdown.
• Return‑to‑learn/work notes align with accommodations and measurable targets.

Delegation & compliance

SLPA‑ready delegation outlines sets, targets, cueing, inclusion cues, and stop criteria so documentation stays consistent across locations. Audit‑aware phrasing keeps notes payer‑friendly without slowing care.

Practice management that speeds cash

• Scheduling: evals, device trials, swallow re‑checks, and caregiver training slots.
• Eligibility & authorizations: verify benefits, visit limits, and expirations in‑chart.
• Billing: claim scrubber and direct‑to‑payer routing where supported, with ERA auto‑posting for fast reconciliation.
• Payments: accurate patient responsibility, statements, and secure links.

Education only; protocols and payer rules vary. Follow orders, clinic policy, and current safety guidelines.