Although it is the least noticed by patients, effective documentation is one of the most critical skills that speech-language pathologists must learn.
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Nancy B. Swigert, MA, CCC-SLP, BCSS, speechlanguage pathologist, is the former director of SpeechLanguage Pathology and Respiratory Care at Baptist Health Lexington, an acute care facility in Lexington, Kentucky. Prior to that, her private practice, Swigert & Associates, Inc., provided services to children and adults for 26 years. In 2016-2017 she served as the Process Excellence Coordinator and a Certified Green Belt in Lean/Six Sigma in the Quality Outcomes Department at Baptist, where she coached teams to use data and Lean/Six Sigma process improvement methodologies. As president of Swigert & Associates., Inc., now a consulting company, she continues to teach and write in the areas of dysphagia, coding and reimbursement, and documentation.
Her main clinical interests are in the areas of pediatric and adult dysphagia. She has authored seven publications with ProEd (Linguisystems): The Source for Dysphagia (4th Edition), The Source for Dysarthria (2nd Edition), The Source for Pediatric Dysphagia (2nd Edition), The Source for Reading Fluency, The Source for Early Intervention, The Source for Children's Voice Disorders, and Reading Fluency and Comprehension. She lectures extensively in the areas of dysphagia and motor speech disorders. She has authored numerous book chapters and articles focusing on documentation and reimbursement.
She received her master's degree from the University of Tennessee-Knoxville. She is a former President of the Kentucky SpeechLanguageHearing Association and the Council of State Association Presidents. She was President of the American Speech-Language-Hearing Foundation in 2004-2005. She chaired the American Board of Swallowing and Swallowing Disorders from 2012-2014.
She has served in numerous volunteer capacities for the American SpeechLanguage-Hearing Association (ASHA). In the mid-1990s, she co-chaired the ASHA Task Force on Treatment Outcomes, which initially developed the National Outcomes Measurement System (NOMS). She served on the Health Care Economics Committee for 9 years and chaired it for 6. It was during that tenure that she gained invaluable knowledge about reimbursement and documentation requirements. She served on the ASHA Executive Board for 6 years, 3 as Vice President for Governmental and Social Policies and then as President-Elect, President (1998), and Past President. She is an ASHA Fellow and received the Honors of ASHA in 2015.
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