Ambulatory/Outpatient Care Facilities

Professional Education
Safe and Effective Opioid Prescribing - Georgia Edition
This three-hour learning activity provides instruction on controlled substance prescribing guidelines, recognizing signs of abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management, as delineated in Georgia Rule 360-15-.01. It also provides tools and resources to assist in educating staff and informing patients.
3.0 Credits

Professional Education
Prescribing Opioids Safely
Faced with an opioid-related epidemic that continues to bring addiction and deaths, it is important to define the role of opioids for both acute and chronic pain management. This activity spotlights the epidemic and presents the Centers for Disease Control and Prevention (CDC) guidelines, regulations, studies, and emerging solutions to address the epidemic and allow for effective and appropriate use of these drugs.
2.5 Credits

Professional Education
Safe and Effective Opioid Prescribing - Michigan Edition
This three-hour learning activity provides instruction on controlled substance prescribing guidelines, recognizing signs of abuse or misuse of controlled substances, and requirements delineated in Michigan’s law. It also provides tools and resources to assist in educating staff and informing patients.
3.0 Credits

Nov 26, 2019
How Healthcare’s Transformation Affects Physicians and Patients
Richard E. Anderson, MD, FACP, Chairman and CEO, The Doctors Company
Richard E. Anderson, MD, FACP, chairman and CEO of The Doctors Company, discusses some of the most pressing issues facing providers today, including rising healthcare spending and hospital mergers.

Professional Education
Safe and Effective Opioid Prescribing - Florida Edition
Note: this course includes information specific to physicians licensed to practice in Florida. Content is approved by the Florida Board of Medicine.
The Doctors Company recognizes the opioid epidemic in this country. This course provides insights into the risks of opioid usage, as shown by malpractice claims, and how to reduce those risks both for your patient and for your practice. The course presents updated guidance from the Center for Disease Control and Prevention, Health and Human Services, and providers into clinical applications, tips and strategies which help you and your patients manage pain. The course covers alternatives to opioids but also recognizes that opioids have a place in medicine, for example in treating cancer patients. It covers lessons learned about their appropriate and safe use, how to reduce the dosage and duration of opioids to prevent addiction, and the patient education that is essential to ending the epidemic. The information contained in this CME activity applies to dentists.
2.0 credits

Nov 12, 2019
Closing or Relocating a Healthcare Practice
Physician practices close for many reasons, including physician illness or death or a decision to sell, practice solo, join another group, relocate, or retire. These patient safety and risk management tips can help make the transition easier.

Oct 31, 2019
The Algorithm Will See You Now: How AI’s Healthcare Potential Outweighs Its Risk
A third of U.S. physicians are already using artificial intelligence (AI) in their practices, and many believe there is ample reason to think this advanced technology can help address diagnostic errors—the largest cause of malpractice claims. However, there are still unresolved questions about the risks.

Professional Education
HIPAA Fundamentals: 2019-2020 Edition
This program provides details on the HIPAA Privacy, Security, and Breach Notification Rules, such as the type of information that is protected, who must comply with the rules, and how patient information can be used and disclosed. This on-demand program includes many resources useful to staff training.
1.0 credits

Professional Education
Advanced Practice Providers Closed Claims: What Can We Learn?
The Doctor's Advocate CME
A recent study by the Association of American Medical Colleges predicts that the U.S. would need an additional 95,900 doctors, 22,700 NPs, and 12,800 PAs immediately if healthcare use patterns were equalized across race, insurance coverage, and geographic location. More understanding of the liability associated with APPs can help provide insight on the current situation and identify strategies that decrease risk, improve patient safety, and advance patient care.
1.0 Credits

Professional Education
Dementia Q&A: What Physicians Ask About Diagnosis and Treatment
The Alzheimer's Project Series
This course focuses on the common concerns and questions expressed by physicians about dementia and cognitive impairment. This course covers making the initial observation of cognitive decline and beginning a conversation with older adult patients; overcoming common barriers to making a definitive diagnosis of dementia; and managing the ongoing clinical needs of patients experiencing dementia.
1.5 Credits

Professional Education
Neurological Case Study: Management of the Surgical Patient
Claims Corner CME
This Claims Corner examines a neurosurgical case that alleges several failures to assess and treat a patient in a timely manner. It also highlights the importance of communicating with physicians and advanced practice providers involved with post-surgical care.
0.5 Credits

Professional Education
Ob/Gyn: Telephone Communications
Claims Corner CME
The most frequent inconsistent practice found in the Practice Risk INSIGHT assessments was telephone communication (22 percent not met). When appropriate and adequate systems are in place, the physician is less at risk for having a suit filed. This case-based study provides insights and risk management techniques to lessen the frequency and severity of such a claim.
0.5 Credits

Professional Education
Psychiatry: Preventing Adverse Outcomes
The Doctors Company study of closed claims reveals areas of higher risk in outpatient psychiatry practices. Using this as a foundation, the course provides information to evaluate your practice and make changes to improve decisions about treatment, operational processes, reporting, and documentation.
1.5 Credits

Feb 06, 2019
7 Critical Questions to Ask When Selecting Your Medical Malpractice Insurer
Whether you're choosing medical malpractice insurance for the first time or managing risk for a multi-state practice, selecting the right insurer is one of the most important decisions you'll make. This guide outlines the questions you should ask when choosing your medical malpractice carrier.

Feb 01, 2019
MACRA 2019 Changes Address Physician Concerns
By Kim Hathaway, MSN, CPHRM, Healthcare Quality Patient Safety and Risk Consultant
Centers for Medicare & Medicaid Services (CMS) is taking steps to ease regulatory burdens by removing process measures, developing more outcome measures, changing the fee schedule to support telemedicine technology, and focusing on EHR interoperability. The changes were effective on January 1, 2019.

Dec 21, 2018
Integrating Physician Practices into a Hospital-Based Risk Management Program
Amy Wasdin, RN, MBA, Patient Safety Risk Manager II
Overseeing risk management programs for acquired physician practices can be a daunting prospect for even the most seasoned hospital risk manager. This article provides tips for risk managers to identify and assess liability in an office setting.

Professional Education
Nursing Liability: Preventing Patient Falls
1.0 Credit

Nov 20, 2018
Physician Burnout: Perspectives, Stories, and Solutions
Growing administrative demands and distractions in our complex healthcare system conflict with how physicians want to provide care—contributing to alarming rates of physician burnout and potentially leading to more adverse events and compromising patient safety.

Professional Education
Medical Office Assessments Reveal Hidden Liabilities
The Doctor's Advocate CME
The Doctors Company’s patient safety risk managers conducted office practice assessments across a range of practice environments around the country. This activity analyzes the results, highlights problem-prone areas, and offers strategies to minimize areas where patients can “fall through the cracks” and leave the practice vulnerable to a malpractice claim.
1.0 Credit

Sep 27, 2018
Medical Office Assessments Uncover Hidden Liability Risks
Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education
From The Doctor’s Advocate

Jun 07, 2018
Team Synergy: A Critical Core Competency for Safe Care
Lisa McCorkle, MSN, MBA, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
An account of one group’s efforts to create and sustain a team-oriented culture through teamwork training.
From The Doctor’s Advocate

Professional Education
Teamwork Benefits: How Practices Build Effective Teams
The Doctor's Advocate
All healthcare professionals need a framework and tools to function as an effective team member in a hospital, clinic, or medical or dental practice. This activity highlights how teamwork contributed to performance improvement in one medical practice.
1.0 Credit

Professional Education
Nurse Practitioner Closed Claims Study
The Doctor's Advocate CME
The Doctors Company analysis of claims involving nurse practitioners revealed system failures and processes that result in patient harm. Nurse practitioners and physicians can examine risk mitigation strategies that, when applied, can improve patient safety and may prevent the injuries identified in the study. 
1.25 Credits

Professional Education
Teamwork Training! An Overview of TeamSTEPPS
This activity presents an overview of the evidence-based TeamSTEPPS concepts, tools, and strategies that are based on leadership, mutual support, situation monitoring, and communication. These teachable/learnable skills can improve communication and teamwork among healthcare professionals in both acute care and ambulatory care environments.
1.25 Credits

Professional Education
Patient-Physician Relationship: When Does It Begin and When Does It End?
This activity increases understanding of the principles that form a physician-patient relationship and the necessary considerations before terminating a relationship. It also highlights the importance of timely documentation when establishing or ending a physician-patient relationship.
1.25 Credit

Sep 03, 2015
Minimizing Surgical Errors
Jonathan Jones, MD
From The Doctor’s Advocate

Sep 03, 2015
Teamwork in the OR
Susan Shepard, MSN, RN, Director, Patient Safety Education, The Doctors Company
From The Doctor’s Advocate

Jul 17, 2015
Conscious Sedation in the Office
Susan Shepard, MSN, RN, Senior Director, Patient Safety Staff Education, and Ann S. Lofsky, MD, Governor Emeritus
Reduce potential liability with these risk management tips and guidelines for conscious sedation in the office.

Feb 14, 2014
Interactive Guide for Hospitals: Ancillary Care Areas: Radiology

Dec 20, 2013
Interactive Guide to Patient Safety for Office Practices
This interactive guide is designed to help you uncover areas of potential malpractice exposure in your practice.

Jul 22, 2013
Interactive Guide for Hospitals: Credentialing and Privileging: Medical Staff
Credentialing and privileging of medical staff can create areas of potential malpractice exposure, and this guide can help uncover risks.

Jul 22, 2013
Interactive Guide for Hospitals: Credentialing and Privileging: Non-Physician Practitioners
Credentialing and privileging of non-physician practitioners can create areas of potential malpractice exposure, and this guide can help uncover risks.

Oct 01, 2012
Interactive Guide to Patient Safety for Electronic Medical Records
This interactive guide focuses on risks seen in office practices that use an electronic medical record (EMR).

Dec 21, 2010
Fire Safety in the Surgical Suite
Susan K. Palmer, MD, Oregon Anesthesiology Group, and Ernest E. Allen, Account Executive, Patient Safety Department, The Doctors Company.
Besides conducting annual fire drills that include what to do if a fire occurs on a patient, it is also wise to review fire risks in high-risk procedures prior to the start of the surgical procedure.

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