Medical Records Documentation: Pitfalls & Legal Considerations

Program Description

The Special Feature Webinar: “Medical Records Documentation: Pitfalls and Legal Considerations” will review the legal ramifications following adverse events that result from lackluster medical record documentation. The educational information will also offer health care providers additional resources on ways to manage risk appropriately and implement patient safety protocols to improve patient care.

Target Audience

This activity provides continuing education for physicians, nurses, physician assistants, pharmacists, pharmacy technicians, occupational therapists, physical therapists, psychologists, social workers, kinesiotherapists, optometrists, case managers, and healthcare executives.

Learning Objectives

  1. Review medical malpractice cases and how they are litigated.
  2. Understand the role of the medical record in a litigation setting.
  3. Identify improper documentation and the negative impact it has on the outcome of patient care and litigation.
  4. Apply best practices to medical record documentation.

Additional Information

Virtual COPE Course ID #: 
63421-PM
Virtual COPE Activity/Event #: 
117782
CCMC Activity Code: 
H00038983
Course summary
Available credit: 
  • 1.50 AAPA
    DHA J-7 CEPO has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.50 hours of AAPA Category 1 CME credits. Physician assistants should only claim credit commensurate with the extent of their participation.
  • 1.50 ACHE
    DHA J-7 CEPO is authorized to award a maximum of 1.50 hours of pre-approved American College of Healthcare Executives (ACHE) Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.
  • 1.50 ACPE Pharmacist
    UAN JA4008136-0000-20-035-H04-P
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 1.50 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.50 ACPE Pharmacy technician
    UAN JA4008136-0000-20-035-H04-T
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 1.50 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.50 AMA PRA Category 1 Credit™
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Enduring Material (Home Study) activity for a maximum of 1.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.50 ANCC
    DHA J-7 CEPO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. DHA J-7 CEPO designated this Enduring Material (Home Study) activity. Continuing Nursing Education activity for a maximum of 1.50 contact hours Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 1.50 APA
    Continuing Education (CE) credits for psychologists are provided through the co- sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs. DHA J-7 CEPO designated this activity for a maximum of 1.50 CE credits. The instructional level of this activity is intermediate. There is no cost to participate.
  • 1.50 ARBO/COPE
    This activity has been approved by ARBO/COPE. The Defense Health Agency J-7 Continuing Education Program Office designated this activity for a maximum of 1.50 credit hours. Optometrists should only claim credit commensurate with the extent of their participation in the activity.
    COPE Course ID #: 63421-PM
    COPE Activity/Event #: 117782
  • 1.50 ASWB
    As a Jointly Accredited Organization, DHA J-7 CEPO is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. DHA J-7 CEPO maintains responsibility for this course. Social workers completing this course receive a maximum of 1.50 ASWB continuing education credits.
  • 1.50 Certificate of Attendance
  • 1.50 CCMC
    This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for up to 1.50 CE contact hours.
    Activity Code: Activity code: H00038983 Approval Number: 190003505 Approval Number: 190003505
  • 1.50 COPSKT
    This continuing education activity has been accredited by The Council on Professional Standards for Kinesiotherapy (COPSKT) to include 1.50 contact hours/0.15 CEU. DHA J-7 CEPO accredits enterprise-wide continuing education activities for military and civilian health care professionals. These courses are critical to DHA’s goal of providing the best possible quality care to active duty service members, veterans, and their families.
  • 1.50 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 1.50 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA J-7 CEPO. DHA J-7 CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) to provide continuing education for the health care team.
  • 1.50 Occupational Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. For the purpose of recertification, the National Board for Certification in Occupational Therapy (NBCOT) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Occupational Therapists may receive a maximum of 1.50 hours for completing this Enduring Material (Home Study) activity.
  • 1.50 Physical Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. Physical Therapists will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. Physical Therapists may receive a maximum of 1.50 hours for completing this Enduring Material (Home Study) activity.
Course opens: 
01/01/2020
Course expires: 
03/30/2020

Dana M. Bowers
Attorney-Advisor, Office of General Counsel
Walter Reed Med. Ctr.

Bethesda, MD


Dana M. Bowers currently serves as an Attorney-Advisor specializing in Healthcare Law for Walter Reed National Military Medical Center in Bethesda, Maryland. Her previous work experience includes serving as in-house counsel for West Virginia United Health System - an academic medical system located in Morgantown, West Virginia - where she provided legal counsel and litigation support to hospital staff regarding liability, medico-legal issues, licensure, and employment matters for System hospitals and associated clinics. Prior to that she practiced as a litigator in Chicago, Illinois for cases involving legal malpractice, construction negligence, industrial accidents, automobile accidents, insurance coverage, and premises liability. She received her undergraduate degree from the University of Florida in 2002, and her J.D. from Chicago-Kent College of Law in 2006. She is licensed to practice in Illinois and West Virginia.


 

Meghan R. Snide, BSN, MS
Chief of Risk Management Operations
Defense Health Agency

Falls Church, VA


Ms. Megan Snide is currently serving as the Chief of Risk Management Operations at the Defense Health Agency, located in Falls Church, Virginia. Ms. Snide has served on Quality Assurance and Risk Management Committees, on a Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) Preparation Working Group, as a JCAHO Chapter Champion, in Risk Management Operations and within the Quality Management Division of the DoD.

In her current position, Ms. Snide is responsible for planning and implementing policy and programs regarding health care risk management for the Air Force Medical Services (AFMS), ensuring corporate compliance with federal, DoD and Air Force Regulation and as the principal advisor to the AFMS personal and Air Force Surgeon General (AF/SG). She also serves as a subject matter expert to support the AF/SG “Trusted Care” task force to implement principles and practices of high reliability across the AFMS.

 

Ms. Snide received her Bachelor of Science in Nursing from the State University of New York located in Binghamton, New York and her Master of Science in Management from Troy State University, located in Troy, Alabama.


Jaclyn Castano, MSN, RN
Chief of Patient Safety
Madigan Army Medical Center

Tacoma, WA


Ms. Jaclyn Castano is currently serving as the Chief of Patient Safety at Madigan Army Medical Center in Tacoma, Washington. Her previous work experience includes serving as the Clinical Nurse and Supervisor for nine years in the emergency department of this same hospital. During this time, Ms. Castano expanded her professional knowledge in the health care arena and exposed herself to different accrediting and regulatory agencies, further developing her leadership skills. Prior to this, Ms. Castano worked at Shady Grove Adventist Hospital in Maryland.

She received her Bachelors of Science in Nursing from the Rochester Community and Technical College located in Rochester, Minnesota and her Masters of Science in Nursing and Nursing Education from Winona State University, located in Winona, Minnesota. She is currently licensed in the states of Washington and Maryland.

Available Credit

  • 1.50 AAPA
    DHA J-7 CEPO has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.50 hours of AAPA Category 1 CME credits. Physician assistants should only claim credit commensurate with the extent of their participation.
  • 1.50 ACHE
    DHA J-7 CEPO is authorized to award a maximum of 1.50 hours of pre-approved American College of Healthcare Executives (ACHE) Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.
  • 1.50 ACPE Pharmacist
    UAN JA4008136-0000-20-035-H04-P
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 1.50 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.50 ACPE Pharmacy technician
    UAN JA4008136-0000-20-035-H04-T
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 1.50 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.50 AMA PRA Category 1 Credit™
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Enduring Material (Home Study) activity for a maximum of 1.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.50 ANCC
    DHA J-7 CEPO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. DHA J-7 CEPO designated this Enduring Material (Home Study) activity. Continuing Nursing Education activity for a maximum of 1.50 contact hours Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 1.50 APA
    Continuing Education (CE) credits for psychologists are provided through the co- sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs. DHA J-7 CEPO designated this activity for a maximum of 1.50 CE credits. The instructional level of this activity is intermediate. There is no cost to participate.
  • 1.50 ARBO/COPE
    This activity has been approved by ARBO/COPE. The Defense Health Agency J-7 Continuing Education Program Office designated this activity for a maximum of 1.50 credit hours. Optometrists should only claim credit commensurate with the extent of their participation in the activity.
    COPE Course ID #: 63421-PM
    COPE Activity/Event #: 117782
  • 1.50 ASWB
    As a Jointly Accredited Organization, DHA J-7 CEPO is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. DHA J-7 CEPO maintains responsibility for this course. Social workers completing this course receive a maximum of 1.50 ASWB continuing education credits.
  • 1.50 Certificate of Attendance
  • 1.50 CCMC
    This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for up to 1.50 CE contact hours.
    Activity Code: Activity code: H00038983 Approval Number: 190003505 Approval Number: 190003505
  • 1.50 COPSKT
    This continuing education activity has been accredited by The Council on Professional Standards for Kinesiotherapy (COPSKT) to include 1.50 contact hours/0.15 CEU. DHA J-7 CEPO accredits enterprise-wide continuing education activities for military and civilian health care professionals. These courses are critical to DHA’s goal of providing the best possible quality care to active duty service members, veterans, and their families.
  • 1.50 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 1.50 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA J-7 CEPO. DHA J-7 CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) to provide continuing education for the health care team.
  • 1.50 Occupational Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. For the purpose of recertification, the National Board for Certification in Occupational Therapy (NBCOT) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Occupational Therapists may receive a maximum of 1.50 hours for completing this Enduring Material (Home Study) activity.
  • 1.50 Physical Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. Physical Therapists will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. Physical Therapists may receive a maximum of 1.50 hours for completing this Enduring Material (Home Study) activity.
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