Patient Role: CHF
Provider: Holly Brooks
Holly was in a secure location that was well-lit and uninterrupted.
Critical Behavior:
1. Orientation: 5
2. Verbal Clarity: 5
3. Active Listening: 5
4. Patient-Focused: 5
5. Tone of Voice: 5
6. Eye Contact: 5
7. Other Body Language: 5
8. Empathy: 5
9. Rapport: 5
10. Respect: 5
11. Therapeutic Alliance: 5
12. Environment: 5
Overall rating: 5
Holly, you were knowledgeable and explained everything on my level. You taught me how to take my pulse and did the appropriate assessment. I felt respected and comfortable during my visit and you were able to educate me appropriately.
Telehealth Exam/Education Rubric
1. Identifies reason for the visit 1/1
2. Confirms that the patient agrees with the reason for the visit and accepts that it is delivered by telehealth 1/1
3. Obtains history of symptoms or situation 1/1
4. Obtains approaches/treatments the patient has taken to address the issue 1/1
5. Conducts an appropriate physical using equipment at home, and/or other individuals to assist, or provides telehealth education using an appropriate learning style 1/1
6. Discusses findings/Overview of education 1/1
7. Develop plan (follow-up, referral, medication, etc.) 1/1
8. Determines patient’s understanding of plan/education 1/1
9. Determines how patient will get information on the visit (email, portal, secure text, etc.) 1/1
Holly verbalized the reason for my visit and built off of that during the visit. She asked appropriate questions and made sure I didnt have any questions. she explained the importance of taking my lasix and gave recommendations to make it easier for me to be compliant.