10 Glossary

Captcha Code: is a type of challenge-response test used to ensure the response is generated by a

human and not generated by a computer.

Catalog: The ready-made question sets that come with an edition of a standard, offered on the Import Question Set page. See Importing a Question Set.

Chart Review: A review of one person’s record. A question set marked for chart review shows each question’s chart review wording, where the standard provides one. See Chart Review.

Confirmation Code: A unique, computer generated captcha code presented to a user if the user exceeds the maximum number of unsuccessful login attempts. The presented captcha code must be re-entered successfully along with the username and password.

Gold Thread-Qualitative: (Evaluation, Treatment Plan, Services provided, Progress Notes, Treatment Plan Review, Discharge Planning)

“Gold Thread” is a term coined by mental health consultant David Lloyd, of MTM Services. It refers to the concept that risk free and clinically sound documentation in a medical chart demonstrates that each service ordered on the treatment plan comes from a need identified in the diagnostic assessment; that each service, including frequency and duration, is medically (clinically) necessary to improve the client’s functioning; and that the progress notes chart directly to the plan of care, justifying the charge to the payer. Anyone who audits for Gold Thread should be terminally licensed in his/her field meeting the requirements of Mental Health Professional.

Gold Thread consistency establishes a legal justification for the services provided. Medical necessity should drive every treatment decision from intake to discharge.

Icon: a graphic symbol (usually a simple picture) that denotes a program or a command or a data file or a concept, e.g.,

Answer Questions View Report Add/Edit Notes Edit Audit Archive Help Back

PDF: (Portable Document Format) is the file format in which reports within this software are produced. Browsers display PDF documents themselves; a separate PDF reader, such as Adobe Reader, is optional.

Policy Admin: A user with the right to fill in the policy documents’ values and choose their chapters. Organization admins have it already. See Who Can Do What.

Policy Document: A starter written policy for one chapter of a standard, downloaded as a Word document with the organization’s values filled in. See Policy Documents.

Policy Note: The line that appears under a No answer on a Joint Commission question, naming the policy document or register that covers the requirement. It is not saved with the audit.

Question Set: Groups of questions based on either standards, e.g., Joint Commission, or custom questions. A Question Set may be based solely on standards, standards and custom questions combined or custom questions only. A question set built on a standard is built on one version of it; one that follows the standard moves to each new version when it takes effect.

Register: An Excel workbook for a log or record a chapter of the standard asks the organization to keep, set up and ready to fill in. See Downloading Documents and Registers.

Ribbon:  A collection of questions in the interface that can be collapsed to a single line or expanded to reveal all questions.  Individual ribbons can be opened or closed by Clicking on the ribbon header.

Silver Thread-Quantitative: “Silver Thread” is a term used to mean the presence, absence, and timeliness of documentation. The medical record staff members often conduct Silver Thread audits.

Standards Dashboard: The screen (Menu > Standards) where organization, question and policy admins see which version of their standard is in effect, what is coming, and which question sets to move; for CARF, the edition the organization works from and which question sets to promote. See The Standards Dashboard.

Value: Something a policy document asks the organization for, such as the title of its clinical director, shown in the library as a name in double brackets, like [[CLINICAL_DIRECTOR]]. A value not yet answered appears in the document that way.

Version of a Standard: One revision of a standard, which takes effect on a date. The Joint Commission and CARF call their versions editions. An organization using CARF works from the edition it chooses (see CARF Editions). See Question Sets and Versions of a Standard.