EHR, Telemedicine, and E-risk

Professional Education
Cervical Cancer Claims: A Review in Gynecology
Cervical cancer medical negligence claims are reviewed over a ten-year period to identify the major case types in which the gynecologist is the responsible party. The factors that contributed to those claims as identified by plaintiff and defense physician experts are discussed through case examples with learner questions. Risk mitigation strategies are identified to guide gynecologists in further providing the safest patient care and thereby improving their risk profile.
1.0 credit

Professional Education
Alzheimer's – 4 Addressing Patients' and Families' Needs through the Disease Stages of Dementia
This activity includes seven video lectures and is the fourth in a series of four courses that seek to educate clinicians on standardized screening, evaluation, and disease management of Alzheimer’s disease and related dementias. This fourth course covers life planning through disease stages, assessing and assisting caregivers, improving communications, utilizing community resources, and end of life decision-making. These sensitive conversations with patients. The course finishes with a focus on dementia resources, effective communication strategies, and understanding when it is time to make a referral to a specialist.
1.8 credits

Professional Education
Alzheimer's – 2 Evaluation and Diagnosis of Alzheimer’s Disease and Related Dementias
This activity includes eight video lectures and is the second in a series of four courses that seek to educate clinicians on standardized screening, evaluation, and disease management of Alzheimer’s disease and related dementias. This second course introduces the Alzheimer’s project evaluation algorithm and evaluation instruments and focuses on differential diagnoses. Finally, the course discusses how to prepare and engage in a sensitive dementia diagnosis disclosure with patients and caregivers.
1.5 credits

Professional Education
Alzheimer's – 3 Addressing and Managing Behavioral and Environmental Symptoms of Dementia
This activity includes eight video lectures and is the third in a series of four courses that seek to educate clinicians on standardized screening, evaluation, and disease management of Alzheimer’s disease and related dementias. This third course focuses on using the DICE method to assess behavioral symptoms of dementia and create and evaluation treatment plans. This course also covers the careful use of medication during disease management as wells as common behavioral issues with dementia patients including tools for management of these behaviors.
1.3 credits

Professional Education
Alzheimer's – 1 Screening for Dementia Among Adults with Cognitive Decline
This activity includes eight video lectures and is the first in a series of four courses that seek to educate clinicians on standardized screening, evaluation, and disease management of Alzheimer’s disease and related dementias. This first course focuses on introducing the Alzheimer’s Project and highlighting the increasingly important role of primary care providers in dementia care. This course also introduces the Alzheimer’s Project cognitive impairment screening algorithm and screening instruments and covers addressing reversible conditions that may present similar symptoms to cognitive impairment.
1.3 credits

Sep 07, 2021
Interstate Licensure for Telehealth Can Fuel Practice Growth
Chad Anguilm, Vice President, In-Practice Technology, Medical Advantage, David L. Feldman, MD, MBA, FACS, Chief Medical Officer, The Doctors Company and TDC Group, and Remi Stone, JD, Regional Director, Government Relations, The Doctors Company
Licensing restrictions have been eased to facilitate care during the COVID-19 pandemic, and the new normal of greater state-to-state cooperation for access to care may persist after the pandemic. Understanding the many restrictions that still apply, however, can help you reduce risk.

Professional Education
Patient Relations: Spotlight on Challenging Situations
The Doctors Company’s dedicated patient safety risk managers deliver a wide range of expert services and resources to our members—including personal telephone consultations to help guide members through challenging situations. A recent review of our call data shows that “patient relations” and “patient termination” consistently appear as the top reasons that members request assistance. The following strategies can help prevent challenging patient situations and provide guidance if one occurs.
0.5 credit

Aug 30, 2021
Telehealth: Frequently Asked Questions
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company
As the evolution of telehealth continues, we address questions asked by medical and dental practices.

Aug 30, 2021
Healthcare’s Digital Revolution: Are We Ready to Reimagine the Work?
David L. Feldman, MD, MBA, FACS, Chief Medical Officer, The Doctors Company and TDC Group; Senior Vice President, Healthcare Risk Advisors
As we complete the first stage of the healthcare digitization process, we enter an era that will allow us to take advantage of new tools and ways of thinking to improve healthcare value.
From The Doctor’s Advocate

Professional Education
Aducanumab for Treatment of Alzheimer's Disease – Controversy and Appropriate Communications
Panel discussion among neurologists and geriatric psychiatrists to clarify controversial issues surrounding the FDA’s recent approval of Aducanumab for treatment of Alzheimer's disease, and appropriate messaging to patients and family members. Following their presentations, the panel experts will conduct a question-and-answer session.
1.5 credits

Professional Education
Pathologists and Surgeons Can Collaborate to Reduce Diagnostic Error
The Doctors Company has updated the claims filed against pathologists between the years 2015 and 2020. The information provides quantitative and qualitative data that a pathologist and surgeon would find meaningful in reducing diagnostic error. This program provides a breakdown of where patient injuries occur involving pathologists and surgeons and how collaboration between the two disciplines can improve patient outcomes.
1.0 credit

Aug 16, 2021
ADA Accessibility for Healthcare Websites: How Practices Can Avoid Suits and Attract Patients
Chad Anguilm, MBA, Vice President, In-Practice Technology Services, Medical Advantage, Part of TDC Group
More than 3,000 digital accessibility lawsuits were brought in 2020—a 23 percent increase over the prior year. Healthcare practices and organizations, like businesses in many other industries, may be sued by web users who allege that there are site-use access barriers for those with disabilities and impairments that violate the Americans with Disabilities Act (ADA) and various state laws. Those caught up in these lawsuits can pay millions of dollars and be bound by the settlement to make specific changes to their websites.

Aug 05, 2021
Top Seven Tips for Telehealth
David L. Feldman, MD, MBA, FACS, Chief Medical Officer, The Doctors Company and TDC Group
Now that practitioners and patients are more comfortable with and able to resume in-person visits, virtual visits have declined—although not to the same level as prior to the pandemic. Many believe there will continue to be a desire on the part of patients and practitioners to use telemedicine for healthcare delivery going forward.

Professional Education
Patient Safety in Spine Surgery
Spine surgery requires a series of best practice patient safety interventions to reduce the frequency and severity of patient harm while giving the care team the resources to mitigate such harm. Evidence-based clinical methods, pathways, and tools coupled with an evolving culture of patient safety through effective communication, teams, and teamwork has shown to reduce patient harm exponentially. Patient and clinical team experiences are enhanced while ensuring a learning culture is built that approaches surgery from both a technical and nontechnical approach alike.
1.3 credits

Jul 16, 2021
Medical and Dental Record Issues: Frequently Asked Questions
Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company
We answer questions frequently asked by members about medical and dental records, such as length of retention, how to destroy hard copy paper records, and creating backups of electronic health records.

Professional Education
The Need for Close Monitoring in Hyponatremia: Osmotic Demyelination Syndrome
In reviewing closed malpractice claims, The Doctors Company identified mismanagement of sodium levels during correction of severe hyponatremia as a serious problem that can result in catastrophic permanent neurological injury due to osmotic demyelination syndrome (also known as central pontine myelinolysis). This article highlights the importance of close monitoring of sodium levels during correction of severe hyponatremia, with a slow and controlled pace of sodium correction. Contributing factors discussed include clinical judgment with regard to rate of rise of sodium levels, patient monitoring, choice of practice setting, and communication between providers, especially at points of transition in care.
0.5 credit

Professional Education
Risky Practices: Hidden Liabilities Identified by Medical Office Assessments
Office practice assessments by The Doctors Company's patient safety risk managers uncover hidden liability risks, often exposing areas where patients can "fall through the cracks" and leave the practice vulnerable to a malpractice claim. Our Practice Risk INSIGHT, an assessment tool customized by specialty, zeros in on problematic areas. The assessments have been completed across a range of practice environments around the country—from small offices to practices that are part of large integrated delivery systems. In this course, we analyze the results of the Practice Risk INSIGHT assessments, highlight problem-prone areas and offer strategies to minimize liability.
1.3 credits

Jun 17, 2021
Deferred, Delayed, Disrupted: Mitigating Risks from Care During COVID-19
Richard E. Anderson, MD, FACP, Chairman and Chief Executive Officer, The Doctors Company and TDC Group
The pandemic has disrupted healthcare so thoroughly that in some sense, COVID-19 has affected all of healthcare. The effect on care has been stunning in magnitude. By mid-2020, more than 40 percent of U.S. adults had delayed medical care or avoided it entirely, including care for urgent and emergent complaints.

Jun 09, 2021
Telehealth Tune-Up: Preparing for Care After COVID-19
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company
The pandemic prompted many practices to add telehealth services overnight. If your practice did, now is a good time to review the components of that implementation with these strategies for evaluating five key elements.
From The Doctor’s Advocate

Professional Education
Telehealth: Review Your Service Components
Many practices implemented telehealth overnight in response to pandemic restrictions on elective care. Practices already using telehealth saw huge increases in volume. This program presents a roadmap for practices to evaluate their telehealth implementation using the best practice tips identified herein and their own lessons learned.
0.8 credit

Professional Education
Dictation Errors in the Emergency Department
The Doctors Company identified dictation errors as a significant patient safety risk factor. The following case highlights the importance of timely recognition of dictation errors to ensure accuracy of the permanent electronic health record (EHR). This is particularly important when using a voice recognition program to document encounters in the busy emergency department. In this case, the voice recognition system was Dragon Direct Voice Recognition Program.
0.5 credit

May 14, 2021
Managing Healthcare Practice Operations during COVID-19
Debbie Kane Hill, MBA, RN, Senior Patient Safety Risk Manager
As COVID-19 cases continue to rise and fall across all regions of the United States, practices must adapt and adjust their operations according to regional mandates, which can transition overnight with the shifting environment. For areas where there is a resurgence of the virus or as new strains of the virus emerge, you will need to be attentive to newly imposed restrictions. If disease transmission slows further, authorities may lift additional restrictions.

May 13, 2021
Seven Tips for Telehealth Clinical Documentation
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company
Although the standards of care for telehealth are identical to those for onsite medical care, telehealth creates additional considerations for clinical documentation. Our strategies can help you ensure that your documentation is comprehensive and includes patient-centered language.

Professional Education
Breast Cancer Claims – A Review in Gynecology
Breast cancer medical negligence claims are reviewed over a ten-year period to identify the major case types in which the gynecologist is the responsible party. The factors that contributed to those claims as identified by plaintiff and defense physician experts are discussed through case examples with learner questions. Risk mitigation strategies are identified to guide gynecologists in further providing the safest patient care and thereby improving their risk profile.
1.0 credit

Apr 29, 2021
Interoperable Telehealth: Patient Safety Considerations
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company
Although telehealth is a perfect example of expanding data sources and users, it adds several layers of complexity to the already difficult challenges of interoperability.

Professional Education
A Deep Dive into Managing Orthopedic Risks (FORPG)
This course identifies the systems and processes that present risks for patient harm and have significant impact on patient outcomes in the orthopedic practice. The course draws from the results of the Orthopedic Office Practice Self-Assessments completed by The Doctors Company, members of the Florida Orthopedic Risk Purchasing Group, and from other orthopedic practices who are members of The Doctors Company.
1.0 credit

Video Apr 02, 2021
What Strategies Can Help Physicians Reduce Risk When Using Remote Patient Monitoring?
Chad Anguilm, vice president of In-practice Technology Services for Medical Advantage, part of the TDC Group of Companies, answers how physicians can reduce risk when using remote patient monitoring.

Professional Education
Interventional Radiology: Analysis of Closed Malpractice Claims
Studying interventional radiology malpractice claims provides an understanding of drivers of lawsuits and patient injuries that result. By analyzing these claims and identifying the contributing factors involved, risk mitigation strategies can be developed and implemented reducing adverse patient outcomes and increasing patient safety.
0.8 credit

Video Mar 29, 2021
How Can Remote Patient Monitoring Create a Potential Malpractice Risk?
Chad Anguilm, vice president of In-practice Technology Services for Medical Advantage, part of the TDC Group of Companies, explores the potential risk involved in using remote patient monitoring.

Mar 09, 2021
Dermatology: Patient Safety Strategies for Telehealth
Susan Shepard, MSN, CPHRM, Senior Director, Patient Safety and Risk Management Education, The Doctors Company
Many types of dermatologic conditions lend themselves to remote examination for diagnosis and management. These teledermatology strategies can help you reduce risks and keep your patients safe.

Mar 05, 2021
Strategies for Effective Patient-Assisted Telehealth Assessments
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company
Physicians who practice telemedicine must consider the components needed to complete an effective remote assessment and plan ahead based on their specialty area and the patient’s presenting complaint.

Mar 03, 2021
Healthcare Cybersecurity During COVID-19 and Beyond: How to Protect Your Practice
Kevin Casey, JD, CIPP/US, Assistant Vice President Claims, TDC Specialty Underwriters, Part of the TDC Group
Throughout the pandemic, cybercriminals have found additional opportunities to target the healthcare industry. Recent developments in ransomware sophistication and tactics are cause for added concern.
From The Doctor’s Advocate

Feb 23, 2021
Telehealth from the Field: Case Study Involving Remote Monitoring Problems
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company, and Chad Anguilm, MBA, Vice President, In-Practice Technology Services, Medical Advantage, Part of the TDC Group of Companies
Although remote monitoring technologies offer many benefits, they also present potential malpractice risks. Lessons from this case study highlight the importance of careful planning and preparation when incorporating technologies into patient care services.

Professional Education
TeamSTEPPS® Teamwork Training in the Office Practice
This course provides an overview of the evidence-based TeamSTEPPS® concepts, tools, and strategies based on the four areas of 1) leadership, 2) mutual support, 3) situation monitoring, and 4) communication. TeamSTEPPS training provides teachable/learnable skills that improve communication and teamwork among healthcare professionals in both acute care and ambulatory care environments.
1.5 credits

Professional Education
HIPAA Fundamentals: 2021 Edition
This on-demand program provides an orientation to the basic requirements of the Health Insurance Portability and Accountability Act (HIPAA). HIPAA gives patients many rights with respect to their health information.
1.0 credit

Video Jan 08, 2021
The Increased Use of Telehealth During the Pandemic
David L. Feldman, MD, MBA, FACS, chief medical officer of The Doctors Company and the TDC Group of companies, joins Katy Schuler, MSc, Marketing Manager for CRICO Strategies, to discuss the future of telehealth and potential liability risks.

Jan 06, 2021
Telehealth’s Newest Safety Risk: Distracted Patients
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II, The Doctors Company
The rapid implementation of telehealth services has raised new challenges for physicians—including risks created by patients who are distracted during telehealth visits.

Professional Education
Diagnostic Radiology: A Failure to Diagnose
In reviewing closed malpractice claims, The Doctors Company identified delayed diagnosis of a malignancy as a reoccurring problem. The following highlights the importance of recognizing a spinal abnormality and recommending further follow up of a lesion seen on imaging. Contributing factors include misinterpretation of radiologic studies, narrow diagnostic focus, lack of communication and failure to establish a differential diagnosis.
0.5 credit

Dec 23, 2020
Orthopedics Case Study: The Danger of EHR Templates
Robin L. Wessels, MBA, RN, Assistant Vice President, Department of Patient Safety and Risk Management, The Doctors Company
This example of an orthopedic claim involving accurate medical record documentation illustrates the importance of exercising caution when using EHR templates.

Professional Education
HIPAA for Managers: The High-Level View
The program explores and defines HIPAA policies and procedures, business associate agreements, security assessment and analysis, training requirements, HIPAA compliance requirements, breach events, and informed consent.
1.0 credit

Professional Education
Prevention of Diagnostic Error in Primary Care
Diagnostic errors occur often in primary care settings and can impact over 12 million outpatients annually. This is a top patient safety concern and a global burden. Significant patient harm can occur due to treatment delay, testing, or misdiagnosis. This course is an opportunity to promote awareness and visibility by identifying where these errors occur most often in the diagnostic process of care framework.
1.0 credit

Dec 14, 2020
How Medical Scribes Are Trained—And Used—Varies Widely
Jeffrey A. Gold, MD, Professor of Medicine, Vice Chair for Quality and Safety, Department of Medicine, Oregon Health and Science University
Though it is the fastest growing medical field, there is little regulation or standardization for training medical scribes.

Professional Education
It's the Little Things: An Introduction to Enhancing Patient Relations and Reducing Risks
It's the Little Things is designed to assist medical practices with improvements in patient interactions by looking at how incorporating hospitality as a focus makes a difference. It has been developed to improve multiple facets of patient interaction.
1.3 credits

Dec 02, 2020
Could COVID-19 Bring More Patient-Centered Care to Your Practice?
David L. Feldman, MD, MBA, FACS, Chief Medical Officer, The Doctors Company, and for the TDC Group of Companies
Our chief medical officer highlights how a patient-centered practice can yield positive outcomes.
From The Doctor’s Advocate

Nov 23, 2020
Ransomware Attacks Against Healthcare Providers Are on the Rise
By Kevin Casey, JD, CIPP/US, Assistant Vice President Claims, TDC Specialty Underwriters
The proliferation of simple-to-use “ransomware-as-a-service” kits is partially to blame for the rise in attacks. Less technically skilled attackers are provided with free and easy-to-use tools and agree to share a portion of the ransom payment with the ransomware developer. These trends are of particular concern to the healthcare industry, as it is one of the most targeted sectors by cybercriminals. Small to midsized healthcare entities are inviting targets, because they often lack the cybersecurity sophistication to respond to attacks and are known to store, transmit, and process monetizable data.

Professional Education
Lessons Learned – Plastic Surgery Closed Claims Study: An Expert Analysis of Medical Malpractice Allegations
This course is based on the findings of a study conducted by The Doctors Company that analyzed 415 claims that closed against plastic surgeons (from July 2015–December 2018).
1.3 credits

Nov 04, 2020
Smartphones, Texts, and HIPAA: Strategies to Protect Patient Privacy
Kim Hathaway, MSN, CPHRM, Patient Safety Healthcare Quality and Risk Management Consultant, The Doctors Company
The very convenience that makes using smartphone technologies so inviting may also create privacy and security violations.

Professional Education
Medical Error Prevention
The purpose of this monograph and continuing medical education activity is to provide physicians with the most current information regarding the prevention of common performance and diagnostic errors.
2.0 credits

Video Oct 19, 2020
What Are the Key Telehealth Risks Facing Physicians?
David L. Feldman, MD, MBA, FACS, chief medical officer of The Doctors Company and the TDC Group of Companies, shares insights on the key telehealth risks facing physicians today, and how to mitigate those risks.

Video Oct 19, 2020
Is There a Role for Telehealth in Plastic Surgery?
David L. Feldman, MD, MBA, FACS, chief medical officer of The Doctors Company and the TDC Group of Companies, explores the role of telehealth in plastic surgery.

Professional Education
Safe and Effective Opioid Prescribing – Florida Edition
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. Approved by the Florida Board of Medicine—Controlled Substance Prescribing.
2.0 credits

Professional Education
Cauda Equina Syndrome: A Failure to Diagnose
Failures of systems often prevent physicians from making timely diagnoses. Failures may result when patient assessments are incomplete, having a narrow diagnostic focus, or diagnostic test issues. Other factors that hinder timely diagnoses include failure to appreciate signs and symptoms, lack of consults, and failure to respond to repeated patient concerns/symptoms.
0.5 credit

Professional Education
Telemedicine to Telehealth: Trends and Emerging Risks
This course explores challenges and risks such as privacy and security, licensure, and technology concerns that might instigate a malpractice claim. The risks overlay the inherent challenge of replicating the interaction of a traditional, in-person encounter between a provider and a patient, without compromising the standard of care. It also provides resources for clinicians and practice managers to consider when making decisions about deploying telehealth services or to improve existing services.
1.3 credits

Sep 02, 2020
Remote Patient Monitoring
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II
The adoption of telehealth strategies has soared, including the use of remote devices that collect data and send it to the patient’s doctor in real time. Although remote monitoring has advantages for both providers and patients, it entails cyber liability risks.

Aug 07, 2020
Lessons Learned from COVID-19 in New York City: Preparation Is Key
Keith M. Blechman, MD, Plastic and Reconstructive Surgery
After some rocky early days, leaping the hurdles set by the COVID-19 pandemic has created positive outcomes for my practice, as I have made changes to become more efficient through integrated telemedicine.

Aug 04, 2020
Your Patient Is Logging On Now: The Risks and Benefits of Telehealth in the Future of Healthcare
Due to COVID-19, sweeping benefits from telehealth are still emerging—and so are its risks. Reduced infection risk and increased access to care are possible with recognition that telemedicine is not a panacea: Telemedicine is a helpful adjunct to in-person care, when supported by best known practices.

Professional Education
Making an Informed Consent an Informed Choice: Training for Healthcare Leaders
This activity is designed for healthcare professionals in leadership positions. It covers the principles of informed consent, crafting and disseminating an informed consent policy, and building systems to improve the informed consent process.
2.0 credits

Apr 24, 2020
Wearables Offer Wealth of Data During COVID-19, but Liability Risks Remain
John P. Erwin, III, MD, FACC, and Debra Davidson, MJ, ARM, CPHRM
The pressure that COVID-19 has placed on physicians, practices, and hospital systems to ramp up remote monitoring will no doubt accelerate the adoption of wearables into healthcare after this crisis passes. But at the same time, using data from wearables, especially those designed for consumer use rather than formal clinical monitoring, may bring liability risks.

Apr 09, 2020
Exclusively for Member Practices: Risk Management Fundamentals for the Practice Manager
Our complimentary program is exclusive to all member practice managers, both clinical and nonclinical, who are new to the role or seek further education regarding the application of risk management and patient safety measures (or principles) in an office-based medical or dental practice.

Apr 02, 2020
COVID-19: How to Temporarily Close Your Practice While Minimizing Risks
Richard Cahill, Vice President and Associate General Counsel; Todd Zeiter, Vice President, National Underwriting
During the COVID-19 pandemic, with patients and practices postponing care for nonemergent situations, many physicians are wondering how to temporarily reduce their hours or even close their practices—while minimizing risks.

Mar 06, 2020
Dealing with Online Patient Complaints
David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management, and Richard Cahill, JD, Vice President and Associate General Counsel
Physicians are understandably concerned about the consequences of negative posts about them on social media platforms.

Feb 25, 2020
Artificial Intelligence's Promise for Radiology: Reducing Risks
Bradley N. Delman, MD, MS, discusses the findings in a recent study of malpractice claims against radiologists, how artificial intelligence (AI) may help reduce the risk of patient injury, and—despite the benefits—the concerns he has with AI.

Professional Education
Internal Medicine: When Personal Relationships Interfere with the Standard of Care
Physicians and dentists are often faced with the decision whether to treat friends and families without realizing the inherent risks in doing so. A review of one case will highlight some common circumstances and risks associated with the treatment of friends and family members.
0.8 credit

Video Dec 16, 2019
Artificial Intelligence in Healthcare: Benefits and Risks
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.

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.

Aug 27, 2019
Electronic Health Records Continue to Lead to Medical Malpractice Suits
Darrell Ranum, JD, Vice President of Patient Safety and Risk Management
We analyzed 216 medical malpractice claims that closed from 2010 to 2018 in which EHRs contributed to patient injury. The pace of these claims grew, from a low of seven cases in 2010 to an average of 22.5 cases per year in 2017 and 2018. As EHRs approach near-universal adoption, they may become a more prevalent source of patient safety risk.

Professional Education
Physical Examination and Its Impact on Outcomes
Advancements in technology improve the timeliness and accuracy of many diagnoses but the technology does not replace a thorough physical examination. For some diseases, such as Parkinson’s disease, herpes zoster, cellulitis, and Bell’s palsy the PE is the only diagnostic tool available. This short course makes the case for reversing the downward trend for physical examinations.
0.8 credit

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 08, 2019
Cybersecurity and Data Breaches Report
It’s not a matter of if a data breach will occur in your medical practice—it’s a matter of when. Make sure your practice is prepared with this guide, which covers how to comply with HIPAA rules in the event of a breach, how to thwart ransomware attacks, how to combat password theft, and more.

Dec 01, 2018
Survey: Doctors Conflicted but Patients Still Top Concern
Bill Fleming, Chief Operating Officer
The Future of Healthcare Survey revealed a complicated picture about the attitudes of physicians towards the state of healthcare.

Professional Education
Medical Office Assessments Reveal Hidden Liabilities
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

Video Jul 27, 2018
The Stress Paradigm: Distracting Devices and Patient-Centered Care
The health environment has been invaded by not only medical technology, but by individuals who become too connected to their own devices. Steven Weintraub, MD, interviews Peter J. Papadakos, MD, FCCM, FAARC, on distracting devices and how they contribute to physician stress.

Video Jul 27, 2018
Addiction Indicators: Distracting Devices and Patient-Centered Care
The health environment has been invaded by not only medical technology, but by individuals who become too connected to their own devices. Steven Weintraub, MD, interviews Peter J. Papadakos, MD, FCCM, FAARC, about the potential for a physician to be perceived as addicted to a personal electronic device.

Video Jul 27, 2018
Malpractice Repercussions: Distracting Devices and Patient-Centered Care
The health environment has been invaded by not only medical technology, but by individuals who become too connected to their own devices. Steven Weintraub, MD, interviews Peter J. Papadakos, MD, FCCM, FAARC, about distracting devices in the context of patient-centered care and the malpractice repercussions that occur when practitioners appear to be distracted.

Jun 12, 2018
Digital Medicine and the Future of Healthcare
The digitization of medicine is transforming the entire healthcare system—new technologies like mobile apps and wearables bring both benefits and risks, patient access to healthcare is evolving, EHRs have created new patient safety risks, and artificial intelligence is evolving to play a role in future patient care.

Apr 23, 2018
Physician Beats Burnout and Restores Quality of Life—with Scribes
Hans Haydon, MD, an internal medicine physician, was distressed that time-consuming EHR documentation was driving up his work hours and stress. With the use of a medical scribe, Dr. Haydon was able to restore productivity, quality interactions with patients, and work-life balance.

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.

Video Nov 06, 2017
How to Reduce the Safety Risks of EHRs
Don't just rely on technology. It is vital that you have processes in place for auditing, backing up, and cross-checking data in your electronic health record (EHR), according to Lily Talakoub, MD, FAAD, of McLean Dermatology and Skincare Center in McLean, Virginia, and The Doctors Company's EHR Closed Claims Study. Dr. Talakoub discusses the biggest risks identified in the study, including that imaging and labs are often not found or not followed up on in the EHR or errors with copy and paste, and shares the processes that her office uses to lessen these risks.

Video Oct 25, 2017
The Dangers of Templates in EHRs
The role of electronic health records (EHRs) as a contributing factor to malpractice claims has increased over the past three years—with incorrect use of templates being a top risk factor. This case study from The Doctors Company’s EHR Closed Claims Study illustrates that danger.

Video Oct 23, 2017
The Dangers of Copy and Paste in EHRs
The role of electronic health records (EHRs) as a contributing factor to malpractice claims has increased over the past three years—with copy and paste errors appearing in 14 percent of these claims. These cases from The Doctors Company’s EHR Closed Claims Study illustrate that danger.

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.

Video Jun 27, 2017
What Healthcare Can Learn from Other Industries
As the healthcare industry makes the digital shift, healthcare professionals can look to the digitization of other industries for insight into a smooth transition. During digitization, many industries expect to see massive gains in quality and efficiency when they shift from analog, but in actuality they do not see that progress for almost a decade.

Video Jun 27, 2017
What Will Medicine Look Like in the Future?
What do physicians, patients, and industry professionals think healthcare will look like in the future? Interviews with 100 physicians, nurses, patients, and hospital CEOs reveal an optimistic outlook for the future of medicine.

Video Jun 27, 2017
Democratizing Healthcare
Healthcare will soon be democratized as patients’ increased access to technology enables them to more easily manage their own healthcare. The positive side of the patient’s new role is that they can diagnose and treat minor issues, but the downside could be a patient not seeing a doctor when it’s necessary to see a credentialed expert.

Video Jun 27, 2017
Artificial Intelligence vs. Healthcare
Will doctors be replaced with computers? In this digital age, technology like IBM’s computer Watson is creating uncertainty about human-powered professions, including those of physicians. This video describes how the need for empathy and the ability to evaluate hundreds of salient points at once will preserve the careers of physicians.

Video Jun 27, 2017
The Impact of Patient Portals
Patient portals are weaving together the doctors’ and patients’ electronic worlds, which is becoming increasingly important as the healthcare industry becomes digitized. The patient portal gives patients a look into the electronic health record (EHR) and enables them to do basic transactions such as scheduling appointments and requesting prescription refills. Currently, some patient portals even provide patients access to open notes, paving the way for all patient portals to provide this access in the future.

Video Jun 27, 2017
Evolving Patient-Facing Technologies
Patient-facing technologies are rapidly transforming. The federal government gave $30 billion to digitize the healthcare industry over the last five years, creating strong interest and advancements in health technology among technology companies. However, there are still things that must be worked out in order to ensure measurements in new tools are accurate, advice given to patients is appropriate, and that there is clear guidance when patients should see a doctor rather than manage their own care.

Video Jun 27, 2017
The Patient's New Role in Healthcare
Technology is changing the role of patients in healthcare. In the future, patients will have more access to the same tools and information that doctors have, enabling them to manage their own care. While this technology and increased access to information can be beneficial, it can also create the illusion that patients don’t need to see a doctor and patients may decide they are going to completely manage their health outside the supervision of an expert.

Video Jun 27, 2017
Personalized Medicine: Hype or Hope?
The concept of personalized medicine is promising, with the possibility of treatments and care based on genetic profiles. But before the potential of personalized medicine is fully realized, information technology and the healthcare industry’s understanding of links between genes and treatments must improve.

Video Jun 27, 2017
Open Notes: Friend or Foe?
Open notes—or physician’s notes that are available for the patient to read—are being accessed by nearly 5 million patients in the United States today and, in the next five years, open notes will be the norm everywhere. While the concept of open notes has created concern and anxiety among many doctors, this information sharing can improve the physician-patient relationship and foster more effective treatments and better outcomes for patients.

Video Jun 27, 2017
3 Ways to Improve EHRs
Electronic health records (EHRs) must improve in three areas to reach their full potential and enable physicians to provide better care. As important tools in modern patient care, today’s EHRs must improve in user-centered design, alerts and alarms, and interoperability.

Video Jun 27, 2017
How Wearables Are Changing Healthcare
Mobile technology, including wearables, apps, mobile devices, and sensors, are changing the relationship between physicians and patients, potentially reducing the need for office visits. Information from these devices could be sent to doctors for patient monitoring. But this technology also creates challenges for doctors.

Video Jun 27, 2017
Are Patient Identifiers Required for Interoperability?
A unique patient identifier such as a social security number would improve interoperability, allowing different doctors to access patient information in different hospitals and offices across the nation. Without this identifier, every healthcare system has a different patient number and interoperability is difficult to achieve at the point of care.

Video Jun 27, 2017
What Is the Solution for Interoperability?
One of the greatest challenges to achieving interoperability in the healthcare industry is identifying the technology that allows various machines and information to link. The application program interface (API), a set of software standards, is critical to achieving interoperability. Consistent APIs throughout the healthcare industry’s computer systems would enable information to be connected and shared seamlessly.

Video Jun 27, 2017
Transforming Medicine in the Digital Age
The digital age is transforming medicine. As healthcare undergoes this digital shift, there is immense pressure to improve the value of medicine with healthcare providers trying to figure out how to enhance quality, safety, the patient experience, access, and efficiency.

Video Feb 07, 2017
3 Steps for Ransomware Defense
While no environment is completely secure from cyberattack, a healthcare organization can take steps to reduce the likelihood that it will suffer the consequences of ransomware.

Video Feb 07, 2017
Paying Cyber Ransom: Pros and Cons
If ransomware strikes a healthcare organization, the cybercriminals behind the attack will demand a payment in exchange for restored access to the organization’s data. Typically the demand is for bitcoin equivalent to less than $10,000. Paying the ransom may be an attractive option if a healthcare organization’s entire network has been compromised and no reliable backup exists. However, there are several compelling arguments against paying.

Video Feb 07, 2017
Ransomware Threatens Patient Care
Cybercriminals typically target healthcare organizations using malicious software, or malware. Most malware is programmed to steal data and take it outside of the network. But cybercriminals today are often choosing a different form of attack: ransomware. A ransomware attack uses encryption to prevent the healthcare organization from accessing its PHI. This puts the healthcare organization in a serious crisis, as PHI is critical to providing care to patients.

Video Feb 07, 2017
Patient Data Trafficked on the Dark Web
Cyberattacks in the healthcare industry have proliferated for two main reasons. One, cybercriminals can sell PHI at a high price on the dark web (the online market where stolen data is bought and sold). Two, healthcare organizations are vulnerable to cyberattacks because they lack the defenses of banks and other financial institutions. Particularly attractive to cybercriminals are midsized healthcare organizations, which in general are underprepared to counter this threat.

Video Feb 07, 2017
Ransomware: Do's and Don'ts
Panic is the typical reaction when a healthcare organization suffers a ransomware attack. If an organization lacks a thought-out response plan for this type of crisis, people tend to overreact. They may do things that will make it harder to recover from the attack and could increase future liability. But an organization can avoid panic by having an incident response plan in place. This plan should provide a framework of actionable steps, including what to do, who is going to do it, and what is going to happen as a result.

Video Feb 07, 2017
Why Cybercriminals Prefer Bitcoin
Currency is a means of exchange typically sanctioned by a central body like a government or central bank. Bitcoin, however, is a decentralized digital currency based on a public ledger secured by cryptography. As a result, bitcoin transactions are largely irreversible and untraceable. This makes bitcoin and other digital currencies attractive to cybercriminals. They give cybercriminals a means of monetizing their attacks anonymously—one reason that ransomware attacks have proliferated.

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

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