ArkCloud Rehab
Re-evaluation
A new formal evaluation within an episode, made when there is new clinical information or a significant change. It may re-set the goals and the plan of care. It is its own note type, not a progress report.
Written for: Physical therapists · Occupational therapists · Speech-language pathologists
When you use it
When the patient's condition or the clinical picture has changed enough that you are evaluating again: a new injury, surgery, a significant decline, or new information that changes your assessment. If you are reporting progress against the existing plan, use a Progress Report instead. Whether a payer covers a re-evaluation is a payer question; ArkCloud does not decide it.
The menu always offers Re-evaluation, because an episode can have more than one.
Start, complete and sign
ArkCloud Rehab → Records and revenue → Episodes → the episode → Notes → Clinical documentation
- In New document, choose Re-evaluation, choose the visit it was done at, and press Start.
- Record new findings where they belong on the episode (body map, mobility, outcome scores) and confirm them.
- Write the sections. Insert confirmed findings, reviewed outside-record entries or score lines where you choose. Nothing is prefilled.
- If goals or the plan change, also revise them on the episode's goals panel and treatment plan, so the tracked goals and the plan billing reads match what you wrote.
- Press Sign.
Sections
| Field or control | What it means |
|---|---|
| Reason for re-evaluation | The new clinical information or change in condition that prompted it. |
| Interval history since last evaluation (optional) | What happened since. |
| Progress toward current goals (optional) | Where the patient stands against the goals you may now replace. |
| Re-assessment findings | What you found today. |
| Functional limitations (optional) | Current limitations. |
| Clinical assessment | Your reasoning. |
| Revised measurable goals | The goals from here. |
| Revised plan of care | The plan from here. |
Example (synthetic patient)
SLP, outpatient. A patient treated for word-finding difficulty develops coughing during and after the swallow. Reason for re-evaluation: new swallowing signs. Re-assessment findings record the bedside signs observed. Because an aspiration statement needs an instrumental study (VFSS or FEES), the revised plan records a referral for one rather than a conclusion. Synthetic data.
Drafting help
| Capability | Status | What that means here |
|---|---|---|
| AI drafting for evaluations, re-evaluations and plans of care | Available | On any unsigned templated note, including an Initial Evaluation, a Re-evaluation and a Plan of Care, the AI action beside a field drafts that section from what the clinician typed, confirmed findings and guided answers, with its sources; too little to draft from gets questions instead. For PT, Draft assessment is shaped by the note type: an evaluation, a visit (follow-up), a progress report and a discharge summary each get their own structure and evidence rules, and a progress report needs an earlier and a current value before it is drafted. OT and SLP assessments keep the general structure. There is no one-click whole-SOAP draft for these notes, and nothing enters the note until the clinician inserts it. |
| Recording a visit or an evaluation | Limited preview | Built into visit notes (Record this visit, Dictate a summary) and into evaluations, re-evaluations, progress reports and discharge summaries (Record this evaluation). Not yet released for routine clinical use. A Plan of Care has no recording.Requires: Switched on for your organisation, the recording permission, and an approved speech-to-text service. |
There is no AI draft and no prefill for a Re-evaluation. Where recording is switched on, Record this evaluation works as on an Initial Evaluation: rule-based proposals you accept, correct or reject. Guided-screening proposals are not made for SLP episodes.
After signing
- The text freezes; changes are amendments.
- For the Medicare progress-report billing check it counts like a progress report.
- It appears in the note list and under the Re-evaluation chip, on the episode timeline and on the Health timeline.
- Signing it does not change the episode's tracked goals or treatment plan; you change those on the episode.
Troubleshooting
| Field or control | What it means |
|---|---|
| The plan billing reads still shows the old frequency | The structured treatment plan was not revised, or the revision is not signed yet. The old plan stays in force until the new one is signed. |
| Sign is refused | See Review, signing and amendments for the signing requirements. |