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Legal Issues Surrounding the Utilization and Maintenance of Computerized Medical Records

Understand your legal liability when it comes to computerized medical records, electronic health record systems, and EHR implementation.

This course will discuss the appropriate uses and disclosure of electronic medical records, the risks involved with incomplete records, compliance with statutes and regulations relating to medical records, and data security. You will learn about how electronic medical records are used, the unique risks involved with electronic medical records, and how to best utilize medical records in a legal proceeding or investigation.

65 minutes
Course Exam
Certificate of Completion
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Over 36 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Definition of Medical Record

  • Legal Health Record
  • Patient Identifiable Source Data
  • Administrative Data
  • Derived Health Information and Data

Purposes of Medical Record

  • Depicts Patient's Health History
  • Facilitates Diagnosis, Management, and Treatment
  • Provides Communication Among Healthcare Team
  • Means to Obtain Reimbursement
  • Promotes QA/Facilitates Peer Review
  • Provides Compliance With Licensing and Accreditation Standards
  • Provides Best Evidence in Malpractice Suit
  • Facilitates Research and Education
  • Consequences of Incomplete Record

Benefits of Good Recordkeeping/Charting

  • Documentation Purposes
  • Medical Records Equivalent to Testimony
  • Guidelines for Good Documentation
  • Avoiding Problems in Documentation
  • Other Records

Unique Features and Benefits of Electronic Medical Records

  • Dated and Timed
  • Data Available in Real Time
  • Integrated With Other Records
  • Tabbing and Focused Charting
  • Standardization of Terms
  • Auto-Repopulation
  • Avoid Inadvertent Deletion or Copying Problems
  • Prevents Chart Manipulation
  • Error Avoidance
  • Alarms for Contraindications
  • Remote Access
  • Backup and Storage
  • Consistent Coding
  • Assists With Audits, Improper Billing, and False Claims Investigations
  • Better Medication Management

Risks Unique to Electronic Medical Records

  • Cutting and Pasting
  • Mousespasms
  • Brevity
  • Typing Fatigue
  • Alert Fatigue
  • Access Restrictions and Differences
  • Printing Differences
  • Creating Higher Standard of Care
  • Default Dangers
  • Data Destruction
  • Inappropriate Corrections
  • Unauthorized Access
  • Inaccurate Data Entry
  • Breach of Confidentiality

Health Information Privacy and Data Security

  • Health Insurance Portability and Accountability Act (HIPAA)
  • HITECH Act
  • Protected Health Information
  • Covered Entities
  • Business Associates
  • Privacy Rule
  • Security Rule
  • Breach Notification Rule
  • Administrative Safeguards
  • Physical Safeguards
  • Technical Safeguards
  • Disclosures
  • Accounting of Disclosures
  • Enforcement
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Why Lorman?

Over 36 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

Applications have not yet been submitted for Delaware, Idaho, Kentucky, Maine, Oklahoma, South Carolina, and Wyoming CLE for this course. However, if you are interested in obtaining CLE for any of the listed states or have any additional credit questions please email us at [email protected] or call us at 866-352-9540.

This course was last revised on March 16, 2023.

Call 1-866-352-9540 for further credit information.

  • AHIMA 1.0 including Information Protection: Access, Disclosure, Privacy and Security 1
     
  • This program has been approved for 1.0 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     
  • AK CLE 1.0
     
  • Alaska attorneys may receive 1.0 hours of continuing legal education for completing this program. Please contact the Alaska Bar Association or go to www.alaskabar.org for details regarding reciprocity with other states.
     
  • AL CLE 1.1
     
  • This course or a portion thereof has been approved by the Alabama State Mandatory Continuing Legal Education Commission for a maximum of 1.1 hours credit.
     
  • AR CLE 1.0
     
  • This course has been approved for 1.0 hours of CLE by the Arkansas CLE Board.
     
  • Arizona CLE 1.0
     
  • The Arizona State Bar does not pre-approve or pre-certify MCLE programs. However, records of this program and attendance will be maintained by Lorman Education Services for auditing purposes. This activity may qualify for up to 1.0 hours toward your annual CLE requirement for the State Bar of Arizona.
     
  • CA MCLE 1.0
     
  • Lorman Business Center, LLC. is a State Bar of California approved MCLE sponsor and this course qualifies for 1.0 CLE hours of participatory credit.
     
  • CT CLE 1.0
     
  • Neither the Connecticut Judicial Branch nor the Commission on Minimum Continuing Legal Education approve or accredit CLE providers or activities. This course has been approved for CLE credit in jurisdictions aside from CT and therefore it automatically meets the content and delivery requirements in Connecticut. Credit is based on a 60 minute credit hour and shall be awarded as follows: 1.0 CLE credit(s).
     
  • GA CLE 1.0
     
  • This program has been approved by the Georgia Commission on Continuing Lawyer Competency for 1.0 CLE hours.
     
  • HI CLE 1.0
     
  • This program was approved by the Hawaii State Board of Continuing Legal Education for 1.0 CLE credit hours.
     
  • MO CLE 1.3
     
  • This course qualifies for self-study CLE credit in Missouri.
     
  • MS CLE 1.1
     
  • This program has been approved by the Mississippi Commission on Continuing Legal Education for a maximum of 1.1 credit hours.
     
  • NC CLE 1.0
     
  • This program has been approved by the North Carolina State Bar Board of Continuing Legal Education for 1.0 CLE hours.
     
  • ND CLE 1.0
     
  • North Dakota CLE policy does not allow for pre-approval of any self-study courses. This course may qualify for up to 1.0 hours of CLE credit.
     
  • NH MCLE 1.1
     
  • NH MCLE does not approve or accredit CLE activities for the NH Minimum CLE requirement. Lorman Education Services believes this Ondemand course meets the requirement of NH Supreme Court Rule 53 and may qualify for CLE credit(s). Program Length: 65 Minutes.
     
  • NJ CLE 1.3
     
  • This program has been approved by the Board on Continuing Legal Education of the Supreme Court of New Jersey for 1.3 hours of total CLE credit.
     
  • NV CLE 1.0
     
  • This program has been approved by the Nevada Board of Continuing Legal Education for 1.0 CLE hours.
     
  • OH CLE 1.0
     
  • This course has been approved by the Ohio Supreme Court Commission on Continuing Legal Education for 1.0 CLE credit hours. Please note: No more than twelve (12) hours of self-study CLE credit for any biennial reporting period may be earned by an Attorney or Judge under Regulation 409.2. To fulfill CLE requirements for self-study, web-based programs, you must complete 100% of the polling questions during the program. Your hours will be filed electronically within thirty (30) business days by Lorman Education Services provided you fulfilled 100% attendance and polling questions answered.
     
  • PA CLE 1.0
     
  • This Distance Learning program has been approved by the Pennsylvania Continuing Legal Education Board for 1.0 hours of substantive law, practice and procedure CLE credit.
     
  • RI CLE 1.0
     
  • This program has been approved by the Rhode Island Mandatory Continuing Legal Education Commission for 1.0 hours of CLE credit.
     
  • TN CLE 1.08
     
  • This program has been approved as a distance learning format by the Tennessee Commission on Continuing Legal Education for a maximum of 1.08 hours of credit.
     
  • VT CLE 1.0
     
  • This self-study program has been approved by the Mandatory Continuing Legal Education Board of Vermont for 1.0 hour(s) of CLE credit. Please note: Attorneys may only claim 12 credits per compliance period in this format. This course is considered "Non-Moderated Programming without Interactivity".
     
  • WA CLE 1.0
     
  • This program has been approved by the Washington State Board of Continuing Legal Education for 1.0 hours of A/V credit under the Law & Legal Procedure category.
     
  • WI CLE
     
  • This program qualifies for 0.0 hour(s) of ondemand CLE through the WI Board of Bar Examiners.
     
  • WV MCLE 1.3
     
  • This program has been approved by the West Virginia State Bar MCLE Commission for 1.3 MCLE hours.
     

To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

MP3 Download

  • AK CLE 1.0
     
  • Arizona CLE 1.0
     
  • CA MCLE 1.0
     
  • CT CLE 1.0
     
  • HI CLE 1.0
     
  • MO CLE 1.3
     
  • NJ CLE 1.3
     
  • NM CLE 1.0
     
  • VT CLE 1.0
     
  • WA CLE 1.0
     
  • WV MCLE 1.3
     
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 36 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Troy R. Rackham

Troy R. Rackham

Spencer Fane LLP

Troy R. Rackham, Esq.

  • Partner, Spencer Fane LLP
  • Defends hospitals, nursing homes, long-term care facilities, and other healthcare organizations in a wide variety of matters
  • Counsels healthcare providers and attorneys on regulatory, employment, and ethics matters
  • Frequently presents and teaches courses to legal and medical professionals on a variety of medical and legal issues
  • Authors a treatise on Colorado Legal Malpractice litigation
  • Recognized Colorado Super Lawyers, Best Lawyer in America, and People‚Äôs Choice Best Medical Malpractice Lawyer for Defendants (Law Week Colorado)
  • J.D. degree, William & Mary Law School; B.A. degree, summa cum laude, Weber State University
  • Can be contacted at [email protected] or 303-839-3860
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Why Lorman?

Over 36 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • OnDemand Courses
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  • Course Manuals
  • Executive Reports
  • White Papers and Articles

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  • State Specific Credit Tracker
  • All-Access Pass Course Concierge

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 410455
Published 2023
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