ABA Program and Data Management (Supervisors)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Treatment planning

• Turned in by deadline

• Graphs and data included

• Meets all criterion set forth in treatment plan template

• Clinically appropriate hours recommended

• Correct CPT codes used (based on insurance)

• Additional documents completed by deadline

• If applicable, plan uploaded to ABPathfinder

• Was this a progress report?

  Yes

  No

  N/A

• All base sections updated (history, assessment, schedule of services and discharge/fading)

• Goals Section

• Baseline was not removed from goals

• Updated status listed per goal

Procedures & Data

• Each goal has clear procedures

  Yes

  No

  N/A

• Number of incomplete goals

• Notes on any incomplete goals:

• Data book is set up

• Probe data is in data book

• Skill tracking sheets in data book

Parents

• Plan has been shared with parent

• New client folder has been shared with parent

• Parent has signed all forms

Acknowledgement

• We have reviewed the result of this assessment.

• Assessor

  Sign

• Assessed Staff

  Sign