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ForwardMedical 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, speech language pathologists, audiologists, and healthcare executives.
Learning Objectives
- Review medical malpractice cases and how they are litigated.
- Examine the role of the medical record in a litigation setting.
- Identify improper documentation and the negative impact it has on the outcome of patient care and litigation.
- Apply best practices to medical record documentation.
Additional Information
| Attachment | Size |
|---|---|
 Presentation | 958.48 KB |
 Webinar Questions | 148.57 KB |
| Accreditation Statement | 340.05 KB |
Dana M. Bowers, Esq 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. Non-financial relationshipsNo non-financial relationships have been disclosed. Financial relationships No financial relationships have been disclosed.
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Meghan R. Snide, BSN, MS 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. Non-financial relationshipsNo non-financial relationships have been disclosed. Financial relationships No financial relationships have been disclosed.
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Jaclyn Castano, MSN, RN 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. Non-financial relationshipsNo non-financial relationships have been disclosed. Financial relationships No financial relationships have been disclosed. |
Available Credit
- 1.50 AAPADHA 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 ACCME Non-Physician CME CreditDHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 1.50 hours for completing this Enduring Material (Home Study) activity.
- 1.50 ACHEDHA 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 PharmacistUAN JA4008136-0000-20-106-H03-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 technicianUAN JA4008136-0000-20-106-H03-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 ADAThe Defense Health Agency J-7 Continuing Education Program Office is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.
- 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 ANCCThe DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Enduring Material (Home Study) for a maximum of 1.50 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
- 1.50 APAContinuing 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 DHA, J7, CEPO maintains responsibility 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 ASHAAmerican Speech Language Hearing Association (ASHA)
Course # is ABIT2003
Intermediate level, Professional area LevelDefense Health Agency, J-7, Continuing Education Program Office is approved by the Continuing Education board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology, and audiology. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.
0.15 ASHA CEUs - 1.50 ASWBAs 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 CDR
The Defense Health Agency, J-7, Continuing Education Program Office is a Continuing Professional Education (CPE) Accredited provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 1.50 Continuing Professional Education units (CPEUs) for completion of this activity/material.
- 1.50 IPCEThis 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 Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.
