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Clinical Documentation with a Jury in Mind

Activity Type:

  • On Demand


Release Date: 2/1/2020

Expiration Date: 2/1/2023

  • AMA PRA Category 1: 1
  • Participation: 1

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Overview

This course describes the common claims against psychiatrists and how a complete and well-documented medical record becomes vital for defense against a claim or lawsuit. Through case examples, identification of best practices for documentation, and review of documentation practices to avoid, this course summarizes how to chart with not only the patient in mind but also with a jury in mind. 

Pricing

  • General Member - Free
  • Resident-Fellow Member - Free
  • Medical Student Member - Free
  • Non-Member - $25.00

Course References

  • Committee on Quality of Health Care in America, Institute of Medicine (US) . Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press (US); 2001.
  • Mangalmurti SS, Murtagh L, & Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010 Nov 18;363(21):2060-7.

Educational Objectives

  • Discuss common types of claims against psychiatrists and how documentation can make or break a defense
  • Describe common legal pitfalls in clinical documentation and how it could impact whether a patient files a lawsuit following an adverse outcome
  • Recognize sound documentation principles
  • Minimize risk by adopting best practices to avoid professional liability claims

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 60 minutes
Program Start Date: February 1, 2020
Program End Date: February 1, 2023

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate showing the date of completion and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Presenter:

  • Allison M. Funicelli, MPA, CCLA, ARM, Senior Risk Management Consultant, Risk Management Group. Reports no financial relationships with commercial interests.

Program Planners:

  • Anne Huben-Kearney, RN, CPHQ, CPHRM, CPPS, DFASHRM, AVP, Risk Management Group, AWAC Services. Reports no financial relationships with commercial interests.
  • Tristan Gorrindo, MD, Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

Need Assistance? contact educme@psych.org for questions about this course | contact learningcenter@psych.org for technical assistance

All materials copyright American Psychiatric Association ©2020.

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