Documentation & Record Keeping Flashcards
7 cards from real CDT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Documentation & Record Keeping flashcards as text
A student's IEP states a goal of 'improving reading fluency.' Why is this goal considered poorly written for documentation purposes?
Answer: It lacks a measurable criterion, baseline, and timeframe
A well-written IEP goal must include a baseline, measurable criterion, and timeframe to allow objective progress monitoring.
What does a CDT record in a 'running record' during oral reading assessment?
Answer: Each word read correctly, substituted, omitted, or self-corrected
A running record marks each word as correct, substituted, omitted, inserted, or self-corrected to analyze error patterns.
Under HIPAA, how long must a covered healthcare provider generally retain adult patient records?
Answer: At least 6 years from the date of creation or last effective date
HIPAA requires covered entities to retain records of PHI for at least 6 years from creation or the last effective date.
When graphing a student's CBM (Curriculum-Based Measurement) scores, what does the 'aimline' represent?
Answer: The projected rate of progress needed to reach the goal by the deadline
The aimline is a drawn line from the student's baseline score to the goal score at the goal date, showing the expected growth trajectory.
Which statement BEST describes the purpose of error analysis in CDT documentation?
Answer: To identify patterns in reading or spelling errors that inform instructional decisions
Error analysis reveals systematic patterns (e.g., vowel team confusions) that guide targeted instruction rather than merely tallying mistakes.
A CDT working in a private practice setting should store physical student files in what manner?
Answer: In a locked file cabinet with access limited to authorized staff
Physical records must be stored in a locked, secure location with access restricted to authorized personnel to protect student confidentiality.
In dyslexia therapy documentation, what is the primary purpose of a 'baseline assessment'?
Answer: To establish a starting point against which future progress can be measured
Baseline assessment data creates a measurable starting point so that gains in skill can be objectively quantified over time.