How to Avoid Documentation Landmines
Program Description
Physicians will benefit from an increased awareness and understanding of risks associated with electronic health record documentation. This program will provide information and guidance on best practice medical record documentation in specific areas of the medical record. The session will also illustrate risks identified in malpractice litigation and during audits of office practice medical records. Strategies to reduce and avoid risks in documentation will be presented.
Objectives
After completing this activity, learners will be able to:
- Discuss the rationale for accurate and complete electronic health record (EHR) documentation in the medical practice.
- Recognize two areas of risk related to EHR and medical record documentation.
- Assess two priority areas for documentation improvement in your current medical practice.
Disclosure
No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests.
Faculty
Mariel Kagan, RN, MSN, JD, CHC, CHPC, CCEP, Patient Safety Risk Manager, Department of Patient Safety and Risk Management, The Doctors Company
Continuing Education Credit
The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educational activities for physicians.
The Doctors Company designates this activity for a maximum of one (1) AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
| Course ID#: | TDS 16824 |
| Issue Date for This Activity: | 11/28/16 |
| Expiration Date for This Activity: | 01/05/17 |
Disclaimer
The information and guidelines contained in this activity are generalized and may not apply to all practice situations. The faculty recommends that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes and should be used as a reference guide only.
Complies with State Requirements
RCW 48.22.080 Health care liability risk management training program. Effective July 1, 1994, a casualty insurer’s issuance of a new medical malpractice policy or renewal of an existing medical malpractice policy to a physician or other independent health care practitioner shall be conditioned upon that practitioner’s participation in, and completion of, an insurer-designed health care liability risk management training program once every three years.
Contact Us
If you have questions, contact educationsupport@thedoctors.com or call (800) 421-2368, extension 1243.