Section 1: Introduction to Medical Records
- Identifies the six reasons medical records need to be viewed as a key ingredient of each practice’s most valuable assets.
- Articulates how entries generate presumptions that what was entered GOT DONE and what was not entered did NOT.
- Describes the doctors and practices that are most vulnerable to state board investigations and discipline.
Section 2: How Board Investigations of Alleged Violations Work
- Explains the process state boards purse as they investigate consumer complaints.
- Learn how to respond to complaints without alienating the complainers.
Section 3: Going to Court Is NOT Fun - Paw & Order: The Profession On Trial Video
- Go to court with Dr. Obermeyer and see firsthand the importance of good recordkeeping after viewing the only veterinary version of the television show, Law & Order. Share with your staff.
Section 4: What Gets Entered & What Does NOT – Case Example
- Identify and explain the risks from the omissions in a multi-page medical record as discussed with students in an Iowa State veterinary school classroom setting.
Section 5: Board Regulations, Laws of Evidence and Their Effect on Admissibility
- Analyze how the laws of evidence keep information out of trials or allow it in.
- Discover how easy it is to access your state's medical record laws among the handouts included with the course.
Section 6: Common Medical Record Errors
- Identify the most common, key data points that are missing in patient records and information that SHOULD vs. SHOULD NOT be entered.
Section 7: Creativity Makes Recordkeeping Fun
- Examine the 86-page handout and see its examples of innovative, efficient recordkeeping ideas.
Section 8: The Nature of Court Hearings and Trials
- Compare and contrast the Four “A’s” – alterations, amendments, addenda and adulterations and their effect on Board disciplinary actions.
- Learn the 10 reasons clients say “no” and why documenting that reason is so important.
Section 9: The Epiphanies of an Expert Witness
- Discuss your own “ah ha” moments after seeing and hearing those offered by the most experienced medical record reviewer in the country.
Section 10: The Nature of Court Hearings and Trials
- Learn the pros, cons, difficulties, and value of replacing paper with electronic medical records.
- Effectively use the client consents that come with the course to educate clients, fulfill board requirements and build a legal defense.
I found Dr. Wilson's class to be very interesting, practical and thought provoking. It helped me to correct deficiencies in my records that may save me a lot of stress and anxiety in the future. My biggest concern was taking a course on line as I am very technologically challenged. I found the course format to be very user friendly and the technical support staff to be courteous and helpful. Thanks for a great class experience.
Sue Swanson, DVM, Minnesota