Solo or Small Group Physician Practice

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.

Nov 05, 2019
When Treating Kids, Learn from the Emergency Department
Phyllis L. Hendry, MD, FAAP, FACEP
To prevent communication gaps when treating kids, all specialties can benefit from lessons learned in the Emergency Department, where conversations are rushed, stakes are high, teams are assembled ad hoc, and physicians seldom have relationships with the patient.

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

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.

Jul 26, 2019
Multi-Society Advisory on Gluteal Fat Grafting Safety
A task force of multiple plastic surgery societies has issued an urgent gluteal fat grafting safety advisory.

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

Jun 17, 2019
Terminating Patient Relationships
Julie Brightwell, JD, RN, Director, Healthcare Systems Patient Safety, Department of Patient Safety and Risk Management, and Richard Cahill, JD, Vice President and Associate General Counsel
It is an acceptable practice for doctors to end a patient relationship under most conditions, but some situations may require additional steps or delay of the termination.

Jun 13, 2019
The Waning of the Physical Examination and Its Impact on Outcomes
Howard Marcus, MD, FACP
The physical exam should remain a central tool for evaluating and managing patients.
From The Doctor’s Advocate

Jun 13, 2019
An Analysis of Malpractice Claims by Physician Gender
David B. Troxel, MD, Medical Consultant to The Doctors Company
A gender-specific analysis of 5,897 claims from six medical specialties.
From The Doctor’s Advocate

Professional Education
Alzheimer’s Disease and Related Dementias Evaluation and Diagnosis
The Alzheimer's Project Series
The second course introduces The Alzheimer's Project Evaluation Algorithm and Evaluation Instruments, and focuses on differential diagnoses. The course includes ideas for how to prepare and engage in a sensitive dementia diagnosis disclosure with patients and caregivers.
1.5 Credits

Professional Education
Dementia Behavioral and Environmental Symptoms Management
The Alzheimer's Project Series
The third course focuses on using the DICE (Describe, Investigate, Create Treatment Plan, and Evaluate) method to assess behavioral symptoms of dementia and to create effective treatment plans. The course also covers the careful use of medication during disease management, as well as common behavioral issues experienced by patients with dementia, including tools for management of these behaviors.
1.25 Credits

Professional Education
Dementia End of Life Planning: Effective Communications with Patients and Families
The Alzheimer's Project Series
The fourth course covers important end of life planning topics and concepts, and tips for having these sensitive conversations with patients and family members. The course finishes with a focus on dementia community resources, effective communication strategies, and understanding when it is appropriate to make a referral to a specialist.
1.0 Credit

Professional Education
Pharmacotherapy for Patients with Major Neurocognitive Disorder
The Alzheimer's Project Series
This activity includes video lectures and is the fifth in a series of courses that seek to educate clinicians on standardized screening, evaluation, and disease management of Alzheimer's disease and related dementias. This course focuses on the most frequently used prescription medications for Alzheimer's disease and dementias, the current research regarding its use, and guidelines for prescribing and discontinuing medication.
1.25 Credits

Professional Education
Dementia: Pharmacological Management of Behavioral and Psychological Symptoms
The Alzheimer's Project Series
This activity includes three video lectures and is the sixth in a series of courses that seek to educate clinicians on standardized screening, evaluation, and disease management of Alzheimer's and related dementias. This course focuses on the selection and appropriate usage of psychotropic prescription medications to manage the behavioral and psychological symptoms most frequently exhibited by patients with Alzheimer's and dementia diagnosis.
1.25 Credits

Professional Education
Dementia Screening Among Adults with Cognitive Decline
The Alzheimer's Project Series
The first course introduces The Alzheimer’s Project and highlights the increasingly important role of primary care practitioners in dementia care. It presents The Alzheimer’s Project Cognitive Impairment Screening Algorithm and Screening Instruments, and it addresses reversible conditions that may present similar symptoms to cognitive impairment. The course incorporates four videos, each followed by a series of related questions.
1.25 Credits

May 13, 2019
Challenges of Cultural Diversity in Healthcare: Protect Your Patients and Yourself
Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education
Physicians often care for a multicultural society complicated by literacy issues. To address cultural diversity in healthcare, physicians must understand how each patient’s sociocultural background affects his or her health beliefs and behavior.

Mar 13, 2019
Concerns About U.S. Measles Outbreak
Christopher M. Cirino, DO
A recent poll by The Doctors Company received 9,459 responses to the question: How concerned are you as a healthcare provider about the recent U.S. measles outbreak? Some 43 percent responded that they are very concerned. There are significant reasons for this level of concern.

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.

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.

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.

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.

Nov 14, 2018
Patient Selection for Elective Procedures
Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education
The patient selection process is a valuable tool for loss control, because many claims occur with patients who are not appropriate candidates for a procedure.

Video Oct 31, 2018
Surgeon General's 2018-2019 Key Initiatives
U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH, outlines his top three key initiatives: the opioid epidemic, demonstrating the link between community health and economic prosperity, and raising awareness about the connection between our nation's health and our national security. His comments were made to attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Video Oct 31, 2018
Threat of Global Epidemics: Surgeon General Speaks
There is a growing threat of global epidemics, including Ebola and Zika, and U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH, is working to address this threat and promote health through better community partnerships. He made his comments to attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Video Oct 31, 2018
Surgeon General's Priority: Partnering for Public Health
Community health and economic prosperity are connected, and healthcare professionals can partner with the business community to improve public health. This priority for public health was shared by U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH, with attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Video Oct 31, 2018
Fighting the Opioid Epidemic: Progress Report from Surgeon General
Programs for combatting the opioid epidemic, reducing overdose rates, and addressing other addiction epidemic issues (including heroin and fentanyl) are explored by U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH. His comments were made to attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Video Oct 31, 2018
Surgeon General's Strategies for the Opioid Epidemic
U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH, detailed some of the strategies, plans, and programs that can be effective in combating today's opioid epidemic when addressing attendees at The Doctors Company's 2018 Executive Advisory Board meeting. Topics include prescription drug monitoring programs, reasonable alternatives to opioids for acute and chronic pain management, medication-assisted treatment for those in recovery, and co-prescribing naloxone for those at risk of opioid overdose.

Video Oct 31, 2018
Healthcare Payment Models: Surgeon General's Perspective
Physicians and patients are now faced with changes in payment models, and doctors can help shape the future of healthcare toward being based on outcomes rather than fighting for reimbursements, individual procedures, or piecemeal parts of the healthcare system, according to U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH. His comments were made to attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Video Oct 31, 2018
Surgeon General Addresses E-Cigarettes and Vaping
Vaping and e-cigarettes present a significant healthcare challenge for physicians today. U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH, addresses this issue and the fact that young people are susceptible to developmental delays and effects on the brain from vaping and e-cigarettes, which prime them for addiction up to age 26. His comments were made to attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Video Oct 31, 2018
Naloxone to Fight the Opioid Epidemic: Surgeon General's Perspective
Co-prescribing naloxone can help turn around opioid overdose rates and is an important first step in fighting the opioid epidemic, says U.S. Surgeon General Vice Admiral Jerome M. Adams, MD, MPH. His comments were made to attendees at The Doctors Company's 2018 Executive Advisory Board meeting.

Oct 30, 2018
U.S. Surgeon General Discusses Public Health Issues
United States Surgeon General Vice Admiral Jerome Adams, MD, MPH, discusses how vaping and e-cigarettes present a significant healthcare challenge for physicians, as well as how changes in healthcare payment models are increasing the focus on public health.

Oct 30, 2018
U.S. Surgeon General Discusses the Opioid Epidemic
United States Surgeon General Vice Admiral Jerome Adams, MD, MPH, discusses the opioid epidemic’s huge impact and strategies to combat it, including prescription drug monitoring programs, medication-assisted treatment for those in recovery, and co-prescribing naloxone for those who are at risk of opioid overdose.

Professional Education
Medicare Fraud and Abuse: Prevention, Detection, and Reporting
Created by the Centers for Medicare and Medicaid Services (CMS), this activity is designed for all Medicare providers. You will learn what CMS defines as fraud and abuse, how the government fights it, and how to report it.
2.25 Credits

Oct 01, 2018
Virtual Reality for Pain Management: An Alternative to Opioids
Miranda Felde, MHA, CPHRM, Vice President, Patient Safety and Risk Management
Many physicians are exploring virtual reality (VR) technologies as an alternative to opioid prescriptions. VR addresses both attention paid to pain and the patient’s emotional state: The immersive distraction of VR can help a patient mentally transport to another space, such as an underwater seascape, which may also positively affect the patient’s emotional state.

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

Video Sep 27, 2018
Future of Healthcare: Physicians Won't Recommend Their Profession
The Future of Healthcare Survey of over 3,400 doctors shows physicians are disenchanted with practicing medicine, largely because of technologies and payment models they say are interfering with the doctor-patient relationship and their ability to provide quality care. Despite continuing volatility in the industry and resulting dissatisfaction, one of the predominant themes captured in this survey is the concern physicians share for their patients and the quality of the care they receive.

Video Sep 20, 2018
Training New-Hire Physicians on Practice Culture
Daniel Cassavar, MD, president and chief medical officer at ProMedica, explains how ProMedica has been successful in training new-hire physicians on practice culture as well as error prevention and provider burnout, resulting in a 98 percent retention rate.

Jul 30, 2018
Cybersecurity Insurance for Medical Practices—The Basics
David J. Eismont, ARM, Senior Director of Business Development
More medical practices are purchasing an insurance policy to cover the substantial costs of a data breach. Here is an overview of what your practice can expect from a cybersecurity policy.

Jul 27, 2018
Distracting Devices in Healthcare: Malpractice Implications
Shelley Rizzo, MSN, CPHRM, Patient Safety Risk Manager II
Digital distraction in healthcare is emerging as a great threat to patient safety and physician well-being. Personal electronic devices can create a digital distraction so engaging that it consumes awareness, potentially preventing healthcare providers from focusing on the primary task at hand—caring for and interacting with patients.

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.

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
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.

Professional Education
Distracted Practice Reduction: Strategies for Healthcare Leaders
Healthcare leaders play an important role in patient safety. This activity examines how distraction and interruptions impact safe patient care and identifies what leaders of organizations, teams, and departments can do to address the problem.
1.25 Credit

Jun 22, 2018
Sexual Harassment Allegations in Healthcare: Rising Risks
Richard Cahill, JD, vice president and associate general counsel
Healthcare providers are not immune from the growing number of reported incidents of alleged sexual harassment in the workplace. This article provides tips on how to protect physician practices from sexual harassment lawsuits.

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

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.

Video May 18, 2018
Obstetrics: Innovations in Patient Safety
Jay M. Berman, MD, FACOG, of the Wayne State University Physician Group in Detroit, Michigan, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Obstetrics Closed Claims Study. The study provided a common understanding on which colleagues, hospital administrators, residents, and nursing staff were able to work collaboratively to make changes to reduce the risk of shoulder dystocia and obstetric hemorrhage.

May 14, 2018
Improving Medical Office Communication and Safety
David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management
Develop procedures for your staff to help reduce communication errors with hospitals, labs, and other physicians, as well as communications within the office.

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.

Video Apr 12, 2018
How High Reliability Organizations Aspire to Zero Patient Harm and Tackle Physician Burnout
Robert Morton and Lisa McCorkle of The Doctors Company’s Department of Patient Safety and Risk Management talk with Stephen Beeson, MD, founder of The Clinical Experience Project, after a two-day intensive workshop on “Becoming Valued Advisors of a High Reliability Organization Journey, Data Use, Physician Engagement, and Burnout.”

Apr 10, 2018
Orthopedics: Informed Consent
Robert Morton, CPHRM, CPPS, Assistant Vice President, Department of Patient Safety and Risk Management, and Dana Faber, MS PSL, RN, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
Inadequate informed consent communication between the surgeon and the patient/family is a top factor contributing to claims against orthopedists.

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.

Mar 26, 2018
Nurse Practitioner Closed Claims: Risk Mitigation Strategies
Strategies to help nurse practitioners and physicians prevent patient injuries.
From The Doctor’s Advocate

Video Mar 26, 2018
Nurse Practitioners and the Changing Delivery of Primary Care
Increasingly, the growing need for primary care services will be met with nurse practitioners. The Doctors Company studied nurse practitioner medical malpractice claims over a six-year period and compared them to claims against primary care physicians (family medicine and internal medicine) to identify risk management issues that may be unique to nurse practitioners.

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
Taking the Mal Out of Malpractice: Incident Analysis Leads to Sustained Improvement
Improvements made in clinical care often result by looking beyond what seems to be the obvious cause to find the underlying or root of an actual or potential injury. This activity demonstrates how changes designed to tackle root cause(s) are more likely to produce sustainable improvements in your practice that prevent reoccurrence of an injury, error, or near miss.
1.25 Credit

Mar 09, 2018
Nurse Practitioner Closed Claims Study: Top Risks in the Changing Delivery of Primary Care
Our study of nurse practitioner medical malpractice claims, compared against family medicine and internal medicine claims, identifies the top patient safety risks that may lead to adverse events.

Video Feb 27, 2018
A Patient Safety Culture Is Key for Medical Practices
Do your practice's policies and culture promote patient safety or undermine it? Jason W. Miller, MPA, CMPE, chief executive officer at Reiter, Hill, Johnson & Nevin, the largest privately owned OB group in the DC metro area, used The Doctors Company's Practice Safety Culture INSIGHT Service to perform a diagnostic checkup on the practice's culture and its impact on patient safety. This confidential service assesses daily office routines, management practices, policies, procedures, and communication style and benchmarks the results against practices nationwide.

Video Jan 24, 2018
How to Spot Potentially Violent Patients
Healthcare workers face significant risk of job-related violence: 52% of all workplace violence occurs in healthcare. Mitigating the risk of violence includes early identification of high-risk patients.

Professional Education
The Alzheimer's Project
The goal of this series is to educate clinicians on standardized screening, evaluation, and management of Alzheimer’s disease and related dementias. The Doctors Company is pleased to support Champions for Health in training primary care physicians and other healthcare practitioners to diagnose and care for patients with Alzheimer’s or dementia.
Up to 9.0 Credits

Video Jan 09, 2018
Finding Hidden Liability Risks in Medical Practices
What risks are you missing? What questions aren't you asking? Ted Abernathy, MD, of Pediatric & Adolescent Health Partners in Virginia, used The Doctors Company's Practice Risk INSIGHT Service to do a full and comprehensive liability evaluation of his practice. The data-driven recommendations from this evaluation helped him find ways to improve safety and reduce his risk, including changes to protocols, policies, and forms, as well as establishing a parent advisory council.

Video Jan 04, 2018
Disaster Preparedness for Your Medical Practice
Recent fires, hurricanes, and floods nationwide have highlighted the importance of planning for disasters. Wildfires in California forced several physicians to quickly relocate their practices―some permanently―and to move scheduled procedures to different facilities. Hurricane and flood damage in Texas and Florida left practices without power for days or even weeks. Is your practice prepared for this type of situation?

Dec 13, 2017
Disaster Preparedness for Your Medical Practice
Julie Brightwell, JD, RN, Director, Healthcare System Patient Safety, Department of Patient Safety and Risk Management
Recent fires, hurricanes, and floods nationwide have highlighted the importance of planning for disasters. Physicians are critical participants in disaster preparedness, ensuring that patient care and critical services are not interrupted—especially for at-risk individuals who may have special medical needs.

Dec 07, 2017
Teamwork Saves Lives in Bronx-Lebanon Hospital Shooting
Shelley Rizzo, MSN, CPHRM, Patient Safety Risk Manager, The Doctors Company, and Steven J. Weintraub, MD, Chief of Risk Management, North American Partners in Anesthesia
Teams pull together to save lives and provide support during a deadly hospital shooting.
From The Doctor’s Advocate

Video Nov 10, 2017
Healthcare Billing Risks
All healthcare providers are vulnerable to fines and penalties if they submit bills for reimbursement to the government or private payers. This video presents an overview of the risks to healthcare providers posed by billing errors and omissions.

Video Nov 03, 2017
Your Risks as a Healthcare Employer
With the exception of malpractice lawsuits, employment-related claims present the most severe exposure to a medical practice. This video presents an overview of the risks to medical practices and recommends the steps practices should take to reduce their exposure.

Professional Education
Patient Relations: It's the Little Things
Gain insights into how physician and dental practices enhance the patient experience by using hospitality and communication techniques. Improving the patient experience, both in-person and online, reduces bad publicity and the chance of a lawsuit.
1.75 Credits

Video Jul 24, 2017
The Opioid Epidemic: A Closed Claims Analysis
Opioids play an important role in pain management—both in the acute and chronic settings. Unfortunately, the dramatic increase in opioid use over the past few decades has resulted in an opioid-related epidemic of addiction and death. To take a deeper look at the epidemic, The Doctors Company reviewed 272 malpractice claims in which patient harm involved opioids.

Video May 06, 2017
Seven Tips to Help Stop Ransomware
Preparation is key: Once you've been hit by ransomware and your hard drives encrypted, your options are incredibly limited. This video shares the top seven tips you need to know to help your medical practice or hospital prevent or recover from a ransomware attack.

Mar 19, 2017
Medical Record Retention
Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company.
A number of variables affect the length of time a physician should keep a medical record, such as state and federal laws, medical board and association policies, and the type of record (for example, an adult patient versus a pediatric patient record).

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
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
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.

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
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.

Jan 05, 2017
The Faintest Ink
Carol Murray, RHIA, CPHRM, Patient Safety/Risk Manager II.
Complete and timely documentation of the medical record not only enhances patient care, but it also serves to strengthen your credibility if you are called upon to defend that care.

Nov 08, 2016
Meeting the Challenges of the Nonadherent Orthopedic Surgical Patient
Cynthia Morrison, RN, CPHRM, Senior Patient Safety Risk Manager, and Amy Wasdin, RN, CPHRM, Patient Safety Risk Manager II.
Orthopedic surgeons can reduce potential liability by following these tips for managing nonadherent patient behavior.

Apr 04, 2016
Frequently Asked Questions: Medical Records Issues
Susan Shepard, MSN, RN, Director, Patient Safety and Risk Management Education, and Richard F. Cahill, JD, Vice President, Associate General Counsel, The Doctors Company.
Our experts answer frequently asked questions about medical records, such as length of retention, how to destroy hard copy paper records, and making backups of electronic health records.

Jan 06, 2016
Requests to Amend a Medical Record
Susan L. Marr, MSA, CPHRM, Senior Patient Safety Risk Manager, and Richard Cahill, JD, Vice President and Associate General Counsel.
When a patient requests an amendment to the medical record, the record should contain both the patient's request and the physician's response.

Jul 08, 2015
Laboratory and Diagnostic Test Tracking in Ambulatory Practice
Dana Faber, RN, BS, Patient Safety Risk Manager.
Inadequate clinical laboratory and diagnostic test tracking is a top factor leading to patient injury.

Aug 01, 2014
Medical Records Disposition When Closing a Practice
Susan Shepard, MSN, RN, Director, Patient Safety Education.
The physician or physician group practice is responsible for making appropriate arrangements for the disposition of medical records when a practice closes.

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.

Nov 01, 2013
Frequently Asked Questions: Treating Patients in a Difficult Economy
Susan Shepard, MSN, RN, Director, Patient Safety Education; and Richard Cahill, Esq., Vice President and Associate General Counsel, The Doctors Company.
Our experts answer questions about billing issues, including when patients are unable or unwilling to pay doctor charges.

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).

Sep 01, 2011
Medication Safety
Susan Shepard, MSN, RN, Director, Patient Safety Education.
Medication safety is a critical component of safe patient care, whether it is general medication knowledge or a provider's awareness of all medications that a patient is taking.

Jul 01, 2011
Addressing Patient Issues and Other Challenging Situations
Pamela Willis, BSN, JD, Patient Safety Risk Management Account Executive
The majority of patients who sue for malpractice will criticize their physician’s communication style. Effective communication is a vital element in reducing nonmeritorious claims.

Jul 01, 2011
The Role of the Medical Assistant in Your Office Practice
Susan Shepard, MSN, RN, Director, Patient Safety Education.
A medical assistant (MA) can be a valuable addition to an office practice, but MAs should not perform tasks outside their scope of practice.

Dec 01, 2010
Interactive Guide to Patient Safety for Dentists and Dental Specialists
This interactive guide is designed to help you uncover areas of potential malpractice exposure in your dental practice.

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