EHR, Telemedicine, and E-risk

Jun 06, 2018
Five Best Practices to Meet MACRA/MIPS Requirements
Kim Hathaway, MSN, CPHRM, Healthcare Quality and Risk Consultant
In 2018, the MACRA threshold to avoid a penalty increases, as do the requirements to hit exceptional performance. Here are steps practices can take to succeed in MACRA/MIPS this year.

Jun 06, 2018
Is It Safe to Store PHI on Remote Cloud Servers?
David McHale, Senior Vice President and Chief Legal Counsel
Cloud storage is a convenient and cost-effective solution for medical practices and facilities, but precautions must be taken to ensure stored patient data (PHI) is secure. This article has tips for choosing a cloud service provider.

Jun 05, 2018
Define Your Core Values, Transform Your Medical Practice
Brandon Betancourt, practice administrator for Salud Pediatrics in Chicago, describes how his practice defined core values to address challenges and provide optimal patient care.

May 03, 2018
Healthcare Technology Risks and Rewards: Faster, Cheaper, Safer
David Chou, Vice President/Chief Information & Digital Officer, Children’s Mercy Kansas City, shares his insights on balancing the cybersecurity risks and patient care improvements of healthcare technology.

Apr 05, 2018
Big Data, EHRs, and Patient Care: How Healthcare Is Evolving
Shereese Maynard, a healthcare and health IT strategist, discusses how EHRs, cybersecurity, and big data are affecting medical practice management.

Feb 23, 2018
EHRs Can Advance Good Medicine―If Doctors Are Aware of the Risks
David B. Troxel, MD, Medical Director
Nearly all hospitals and 80 percent of medical practices use electronic health records, presumably to help improve access to health information and increase productivity. The problem is that none of these digital tools were designed specifically to advance the practice of good medicine.

Dec 19, 2017
Risks in Electronic Dental Records
Donald Wood, CRNA, CPHRM, Patient Safety Risk Manager II
System and user errors result in many EHR-related dental claims.

Dec 06, 2017
Electronic Health Record Closed Claims Study
David B. Troxel, MD, Medical Director, Board of Governors
Dr. Troxel provides a follow-up to his 2015 analysis of EHR-related claims.
From The Doctor’s Advocate

Nov 27, 2017
The Quality Payment Program: What You Need to Know for 2018
Beth Hickerson, Quality Improvement Advisor, Medical Advantage Group
The government recently announced 2018 changes to the Quality Payment Program. Many of these changes add flexibility and higher exemption requirements—welcome news to medical practices.

Oct 16, 2017
Electronic Health Record Closed Claims Study: Navigating the Rising Risks of EHRs
The number of malpractice closed claims in which EHRs were a contributing factor has increased continuously over the past 10 years. While EHRs have brought many positives, they have also created new risks and frustrations for doctors and patients.

Aug 28, 2017
The Search for Mary Smith
David B. Troxel, MD, Medical Director, Board of Governors
A case study illustrating the importance of researching healthcare technologies thoroughly before implementing them.
From The Doctor’s Advocate

Aug 15, 2017
Objective Review of Potential Risks in a Medical Practice Can Be Beneficial
Ted Abernathy, MD, Managing Partner, Pediatric & Adolescent Health Partners
Ted Abernathy, MD, Managing Partner of Pediatric & Adolescent Health Partners discusses his experience with an assessment service offered by The Doctors Company which provided his practice with a comprehensive checkup of key areas and customized action plan.

Jun 14, 2017
Take Note: How Medical Scribes Are Trained—And Used—Varies Widely
Jeffrey A. Gold, MD, Professor of Medicine, Director of Simulation, Oregon Health and Science University
Though it is the fastest growing medical field, there is little regulation or standardization for training scribes. In this article, Jeffrey A. Gold, MD, of Oregon Health and Science University discusses the risks of using scribes based on a national survey of The Doctors Company's members.

Jun 12, 2017
Cybersecurity Must Be Part of Every Healthcare Professional’s Job
Craig Musgrave, CIO, The Doctors Company
Recent cyberattacks have been devastating. They’ve cost billions of dollars, angered and potentially endangered patients, eroded the reputation of healthcare organizations, and left institutions and individual physicians exposed to HIPAA violations. Cybersecurity is no longer just an IT issue. Every employee and every organization needs do their part.

Jun 12, 2017
Cyberattacks Threaten Patient Safety
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management, The Doctors Company
When it comes to cybersecurity, more than money and IT security are at risk—patient safety is also compromised by a cyberattack.

Feb 03, 2017
To Text or Not to Text
Julie Song, MPH, Patient Safety Risk Manager II, and Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education.
Without appropriate safeguards, texting can lead to violations of the Health Insurance Portability and Accountability Act (HIPAA).

Dec 14, 2016
Perspectives on the Future of Medicine
Richard E. Anderson, MD, FACP, Chairman and CEO, in conversation with Robert M. Wachter, MD
From The Doctor’s Advocate

Oct 26, 2016
Optimize the EHR: Better Workflow Means Better Work-Life Balance
Chad Anguilm, Director of Professional Services, Medical Advantage Group. Medical Advantage Group is a wholly owned subsidiary of The Doctors Company.
There are tools that can streamline patient care and payment workflows in the electronic health record (EHR). By dedicating time and effort up front to optimize the EHR, physicians can get relief from administrative tasks, reduce duplicate entry of data, and save time by not having to search for records in multiple places.

Sep 22, 2016
Electronic Health Record Malpractice Risks
David B. Troxel, MD, Medical Director, Board of Governors
It is important for physicians to become familiar with liability risks associated with electronic health records.

Aug 16, 2016
Cybersecurity: Mitigate Against Hacking, Ransomware, and Data Breach Risks
Cybercrime costs the U.S. economy billions of dollars each year and causes organizations to devote substantial time and resources to keeping their information secure. These resources can help you protect your practice from this emerging area of risk.

Jul 26, 2016
Ransomware Attacks: HIPAA Burden Falls to the Hospital or Medical Practice
Craig Musgrave, Senior Vice President, Information Technology, The Doctors Company
Under its recently released guidance, the Department of Health and Human Services (HHS) now presumes that a ransomware attack compromises electronic protected health information (ePHI)—unless the HIPAA-covered entity can prove otherwise.

Mar 21, 2016
The Three Options in a Ransomware Attack: Restore If Possible, Pay, or Lose Patient Information
Craig Musgrave, Senior Vice President, Information Technology, The Doctors Company
Ransomware is an attack where a business or individual’s computer system is held hostage by cybercriminals until a ransom is paid. Hospitals, medical practices, and businesses should take full precautions to prevent a hack that results in ransomware being installed.

Jan 13, 2016
There’s an App for That: Benefits and Risks of Using Mobile Apps for Healthcare
Robin Diamond, MSN, JD, RN, Senior Vice President, Patient Safety and Risk Management, The Doctors Company
With over 100,000 mobile health apps now available, physicians now have to handle an increasing amount of constant data and patient information that they did not have in the past. Mobile apps offer many benefits, but the use of these apps does not come without liability risks for doctors.

Dec 07, 2015
Heed Those EHR Alerts
Jacqueline Ross, PhD, RN, Senior Clinical Analyst, Department of Patient Safety and Risk Management, and Susan Shepard, MSN, RN, Director, Patient Safety and Risk Management Education
EHR system design and human factors can affect patient safety.
From The Doctor’s Advocate

Nov 30, 2015
Electronic Health Record and Telemedicine Resource Center
As an acknowledged leader in the patient safety movement, The Doctors Company identifies developing issues before they become threats and gives you the tools you need to reduce risk. Our e-risk resource center can help you avoid the potential liability risks associated with new e-technologies.

Sep 22, 2015
Telemedicine: Creates Efficiencies, Requires Caution
Telemedicine allows physicians to reach patients in rural areas and helps busy practices manage increasing patient volume, but the use of Skype and other Webcam technologies for patient care requires specific considerations.

Apr 13, 2015
Damage Control: Dealing with Online Patient Complaints
Susan Shepard, MSN, RN, Director, Patient Safety Education, and David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management.
There is no easy remedy to completely eradicate negative comments once they are on the Internet.

Mar 25, 2015
Be Cybersecure: Protect Patient Records, Avoid Fines, and Safeguard Your Reputation
David McHale, Senior Vice President and Chief Legal Officer, The Doctors Company
Cybercrime costs the U.S. economy billions of dollars each year, and healthcare organizations are the most frequently attacked. This article outlines steps you can take to be fully compliant with HIPAA privacy and security rules and to avoid breaches.

Mar 16, 2015
Analysis of EHR Contributing Factors in Medical Professional Liability Claims
David B. Troxel, MD, Medical Director, Board of Governors
Dr. Troxel presents the first analysis of our EHR-related claims.
From The Doctor’s Advocate

Jan 26, 2015
Telemedicine as a Growing Practice Model
Til Jolly, MD
Healthcare delivery models such as telemedicine aim to address the long wait times and high administrative costs associated with traditional care and offer important insights for improving the healthcare process.

Dec 15, 2014
Remote Patient Monitoring: Real-Time Patient Data, Real Liability Risks
Susan Shepard, MSN, RN, Director, Patient Safety Education, The Doctors Company
Remote medical devices allow healthcare providers to closely monitor patients outside of the office, which can help improve patient health and contain healthcare costs. This article outlines the liability risks doctors face with using remote devices to monitor patients.

Dec 09, 2014
Telemedicine: Emerging Risks
Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company
Richard Cahill discusses the potential risks of telemedicine and provides tips that address the changing landscape.
From The Doctor’s Advocate

Sep 01, 2014
The Internet: Friend or Foe to Physicians
Robin Diamond, JD, RN; AHA Fellow-Patient Safety Leadership; Senior Vice President, Patient Safety.
Physicians must use care in dealing with Internet review sites used by consumers.

Jun 06, 2014
SAFER Guides for Electronic Health Record Implementation and Use
David B. Troxel, MD, Medical Director, Board of Governors
These online resources can help physicians, medical groups, and healthcare institutions tackle the organizational complexities associated with EHRs.
From The Doctor’s Advocate

Mar 02, 2014
An EMR-Related Claim
David B. Troxel, MD, Medical Director, Board of Governors
This detailed study examines a claim resulting from poor physician-patient communication and multiple EMR-related problems.
From The Doctor’s Advocate

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