Progress Notes: The Narrative
GIRPS
G
Goal(s) and Objective(s)
What Goal(s) and objective(s) from the ITP were addressed?
I
Intervention
What were the interventions used by staff?
R
Response
How did the recipient Respond to each intervention(s)?
P
Plan
What is the Plan for the next session?
S
Significant Observations
What are the Significant observations?
The progress note is more than the sum of the data elements that are required by federal and state regulations. The heart of the progress note relates to the narrative. When a rehabilitation intervention has been delivered, the progress note should answer four to five primary questions to ensure good communication and billing support.