Solo or Small Group Physician Practice

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.

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

Aug 06, 2018
Healthcare Cybersecurity: Risks and Solutions
Healthcare is the most frequent target of cybercrime, including ransomware and data breaches. Learn how to prevent a cyberattack, monitor your security, and respond in the event of breach.

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.

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 07, 2018
MACRA Is a Marathon, Not a Sprint: Stay in the Race
Robin Diamond, MSN, JD, RN, Patient Safety and Risk Management Consultant, with contributions by Kim Hathaway, Healthcare Quality and Risk Consultant
The MACRA 2018 rule is intended to ease some of the burdens on small practices and groups and began its performance period in January 2018 by maintaining flexibility and adding more pathways for small practices and solo practitioners to successfully participate.

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 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 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 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

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.

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

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 24, 2017
Give Your Patient Safety Culture a Check Up Using Assessment Survey
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management, The Doctors Company
Healthcare managers are making concerted efforts to cultivate a pervasive culture of patient safety. Creating a patient safety culture shifts the focus away from the blame game that punishes individuals for failures—which can increase liability over the long term—toward creating policies and procedures that cultivate an environment of openness and foster patient safety.

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.

Jun 01, 2017
Patient Safety Information for Closing a Practice
Follow these guidelines for emergent or nonemergent practice closures.

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).

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.

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.

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.

Dec 15, 2015
Challenges in Cultural Diversity: Protect Your Patients and Yourself
Susan Shepard, MSN, RN, Director, Patient Safety and Risk Management Education.
Physicians are increasingly faced with providing care to a multicultural society complicated by literacy issues.

Dec 01, 2015
In-Office Dispensing
Susan L. Marr, MSA, CPHRM, Senior Patient Safety Risk Manager, and Debbie Hill, MBA, LHRM, Patient Safety Risk Manager II.
In-office dispensing saves the patient time and increases convenience, as well as reduces pharmacy call backs and provides additional revenue for the practice.

Sep 22, 2015
Are Your Prescribing Practices Secure?
Prescription theft and abuse is a real and growing problem, making it imperative for physicians to protect themselves and their practices.

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.

Apr 20, 2015
Mid-level Practitioner Liability—Preventive Action and Loss Reduction Plan
This booklet can help practitioners avoid liability risks when hiring or working with mid-level practitioners.

Feb 25, 2015
Documenting Staff Competency
Nurses, medical assistants, and other clinical staff must be properly trained and certified. Physicians, or qualified supervisors, should observe staff members as they conduct specific procedures and document their performance.

Feb 01, 2015
Patient Selection for Elective Procedures
Susan Shepard, MSN. RN, Director, Patient Safety 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.

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: Non-Physician Practitioners
Credentialing and privileging of non-physician practitioners can create areas of potential malpractice exposure, and this guide can help uncover risks.

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.

Feb 20, 2013
When Prescribing Drugs, a Physician Has a Duty to Warn Patients
The prescribing physician, not the drug manufacturer, has the responsibility or "duty to warn" a patient of a prescription drug's side effects.

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
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.

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.

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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