Webinar- Medical Record Documentation: The Good. The Bad. The Ugly.
- Date
- July 18, 2024
- Time
- 10:00am - 11:00am Pacific Time
- Audience
- CHI owner insured hospital risk managers, compliance officers, health information management personnel, clinical staff and educators, human resources, patient safety officers, quality improvement, and clinical and executive leadership.
Overview
The medical record is at the center of litigation of medical malpractice cases. The contents of the record, or the lack thereof, can either provide supportive documentation or create the appearance of lack of attention and care. This seminar will review best practices for medical record creation including a discussion of documentation regarding the “difficult patient,” chain-of-command issues, and disclosures.
At the end of the webinar, the participant should be able to:
- Demonstrate understanding of the importance of documentation accuracy, relevancy, completeness, and timeliness.
- Understand chain of command and the influence on charting: how to communicate and document when findings differ.
- Understand best practices and the importance of proper documentation in anticipation of litigation.
- Include transparency and disclosure in documentation.
- Evaluate areas where implicit bias can influence documentation and patient safety.
Provider approved by the California Board of Registered Nursing, Provider number 12205 for 1 contact hours.
This meeting has been approved for 1 contact hour of Continuing Education Credit toward fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and towards CPHRM renewal.
Faculty
Kathryn S. “Missy” Mosely is a partner with Leibl, Miretsky & Mosely, LLP. She is an Associate with the American Board of Trial Advocates and is AV rated by Martindale-Hubbell. For more than 40 years she has specialized in the area of professional liability, specifically the defense of hospitals and healthcare professionals in a wide variety of cases, including elder abuse and sexual assault. She has particular expertise in the defense of complex medical malpractice litigation with emphasis on catastrophic injury cases. Ms. Mosely handles matters relating to privacy, licensure, and policy development.
Handouts
Sign-In Sheet + Evaluation Form- Medical Record Documentation: The Good. The Bad. The Ugly.
Electronic Webinar Evaluation and Attestation of Attendance
Medical Record Documentation: The Good. The Bad. The Ugly. PowerPoint
Medical Record Documentation: The Good. The Bad. The Ugly. Handout
Web Access
Zoom connection information is auto-generated and emailed to the participant upon registration. Each participant has a unique link for connection.
Locations
Zoom connection information is auto-generated and emailed to the participant upon registration. Each participant has a unique link for connection.