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Best Practices to Modify Electronic Health Records While Maintaining Record Integrity

Gain peace of mind that your organization has the right practices in place to ensure the integrity of medical records even if they must be amended.

The HITECH Act of 2009 offered financial rewards to encourage the widespread adoption of electronic health records (EHRs). To further encourage acquisition of a particular EHR system, vendors had incorporated convenience features, such as cloning and auto-fill. Some vendors touted that certain convenience features ensured compliance with documentation standards to support higher reimbursement. In 2015, the HHS Office of Inspector General (OIG) reported that EHR convenience features were jeopardizing patient record integrity and leading to fraudulent claims for higher reimbursement. Several additional studies in 2017 continued to highlight these risks as well as patient safety concerns. This topic will help health information management (HIM), compliance and legal professionals recognize and address EHR integrity issues that place patients and providers at risk. The material will explain best practices to reduce these risks. You will also learn about recommendations made by the American Medical Association and the National Institutes of Standards & Technology (NIST). Failing to have adequate EHR documentation policies and procedures along with user training could contribute to patient harm and lead to hefty fines and penalties under specific laws. This information is critical to an effective compliance program.

Runtime: 94 minutes
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Why Lorman?

Over 31 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

EHR Integrity in the Crosshairs

  • How We Got Here-the 2009 Hitech Act
    • Interoperability
    • Improve Individual Quality of Care and Communication
    • Improve Population Health
    • Cloning (Copy/Paste, Carry/Pull Forward)
    • AutoFill, AutoPrompts and Default Suggestions During Data Entry
    • Templates Designed to Meet Reimbursement Needs
    • Patient Identification
    • Author Integrity
    • Data Validation After Dictation
    • Record Amendments
    • OIG Studies
    • AMA Study
    • NIST Study

Specific EHR Integrity Examples

  • Clinical Notes and Date Association
  • Note and Event Entries-Date/Time Stamp
  • Patient Identification and Demographic Data Issues
  • Touch Pads in Long Term Care Settings

EHR Data Integrity Liability Risks

  • Patient Harm Theories of Liability-Negligence, Fraud, Qui Tam Claims
  • Federal and State Health Care Program False Claim and CMP Liability (Including Discussion of OIG and NIST Studies)
  • Commercial Payor Fraud and Breach of Contract Liability (Including Discussion of AMA Study)

Best Practices for EHR Integrity-the EHR Integrity Checklist

  • The CMS EHR Provider Fact Sheet and Association Guides
  • Performing Data Quality Audits
  • Implementing and Enforcing Documentation Policies and Procedures
  • Utilizing EHR Safeguards and Identifying Safeguard Gaps
  • Training EHR Users on Documentation Requirements
  • Training EHR Users on Personal Responsibility for Security and Integrity
  • Establishing Process for Logging and Auditing EHR Activity
  • Enforcing Disciplinary Policies for Violations
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Why Lorman?

Over 31 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 Webinar

Applications have not yet been submitted for Delaware, Idaho, Kentucky, Ohio, 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 ondemandinfo@lorman.com or call us at 866-352-9540.

This course was last revised on June 27, 2018.

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

  • AHIMA 1.5 including Privacy & Security 1.5
     
  • This program has been approved for 1.5 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 1.5
     
  • Alaska attorneys may receive 1.5 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 1.6
     
  • This course or a portion thereof has been approved by the Alabama State Mandatory Continuing Legal Education Commission for a maximum of 1.6 hours credit.
     
  • Arizona CLE 1.5
     
  • 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 1.5 hours toward your annual CLE requirement for the State Bar of Arizona.
     
  • CA MCLE 1.5
     
  • Lorman Business Center, Inc. is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
     
  • CO CLE 2.0
     
  • This program may qualify for 2.0 credit hours through the Colorado Supreme Court Board of Continuing Legal and Judicial Education through reciprocity. This course is accredited in other jurisdictions such as New Jersey. To receive CLE credit for this program, a home study affidavit must be submitted to the Supreme Court Board of Continuing Legal and Judicial Education.
     
  • HI CLE 1.5
     
  • This program was approved by the Hawaii State Board of Continuing Legal Education for 1.5 CLE credit hours.
     
  • IL CLE 1.5
     
  • This course was approved for a total of 1.5 hours of MCLE Credit by the Illinois MCLE Board.
     
  • ME CLE 1.5
     
  • This course has been approved by the State of Maine Board of Overseers of the Bar. Lawyers who complete this course shall receive 1.5 hours of CLE credit under M. Bar R. 12.
     
  • MS CLE 1.6
     
  • This program has been approved by the Mississippi Commission on Continuing Legal Education for a maximum of 1.6 credit hours.
     
  • MT CLE 1.5
     
  • This program has been approved by the Montana Commission of Continuing Legal Education for a total of 1.5 CLE credits.
     
  • ND CLE 1.5
     
  • North Dakota CLE policy does not allow for pre-approval of any self-study courses. This course may qualify for up to 1.5 hours of CLE credit.
     
  • NH MCLE 1.6
     
  • NH MCLE does not approve or accredit CLE activities for the NH Minimum CLE requirement. Lorman Education Services believes this course meets the requirement of NH Supreme Court Rule 53 and may qualify for CLE credit(s). Program Length: 95 Minutes.
     
  • NJ CLE 1.8
     
  • This program has been approved by the Board on Continuing Legal Education of the Supreme Court of New Jersey for 1.8 hours of total CLE credit.
     
  • NV CLE 1.5
     
  • This program has been approved by the Nevada Board of Continuing Legal Education for 1.5 CLE hours.
     
  • PA CLE 1.5
     
  • This Distance Learning program has been approved by the Pennsylvania Continuing Legal Education Board for 1.5 hours of substantive law, practice and procedure CLE credit.
     
  • RI CLE 1.5
     
  • This program has been approved by the Rhode Island Mandatory Continuing Legal Education Commission for 1.5 hours of CLE credit.
     
  • TN CLE 1.57
     
  • This program has been approved as a distance learning format by the Tennessee Commission on Continuing Legal Education for a maximum of 1.57 hours of credit.
     
  • VT CLE 1.5
     
  • This program has been approved by the Mandatory Continuing Legal Education Board of Vermont for 1.5 hours of self-study CLE credit.
     
  • WA CLE 1.5
     
  • This program has been approved by the Washington State Board of Continuing Legal Education for 1.5 hours of A/V credit under the Law & Legal Procedure category.
     
  • WI CLE 1.5
     
  • This program has been approved by the Board of Bar Examiners for 1.5 hours for use toward the Wisconsin Mandatory CLE requirement.
     
  • WV MCLE 1.8
     
  • This program has been approved by the West Virginia State Bar MCLE Commission for 1.8 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.

Audio & Reference Manual

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

MP3 Download

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

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Why Lorman?

Over 31 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

Margaret Young Levi

Margaret Young Levi

Wyatt Tarrant & Combs LLP

  • Member of the Health Care Service Team at Wyatt, Tarrant & Combs LLP
  • Advises health care providers in the areas of data privacy, security and other health care matters
  • Served as General Counsel at Ephraim McDowell Health
  • Currently an adjunct professor at the University of Louisville Brandeis School of Law and formerly taught at the UK College of Law
  • Graduate of Centre College, William & Mary, and the UK College of Law
  • Member of the American Health Lawyer’s Association; on the board of the Kentucky Academy of Hospital Attorneys; and former chair of the Kentucky Bar Association’s Health Law Section
  • Author of a recent Chamber book entitled The Impact of Health Care Reform on Kentucky Employers and frequent contributor to a data privacy and security blog at: wyatthitechlaw.com
  • Can be contacted at mlevi@wyattfirm.com
Kathie M. McDonald-McClure

Kathie M. McDonald-McClure

Wyatt Tarrant & Combs LLP

  • Partner at Wyatt, Tarrant & Combs, LLP
  • Concentrates her law practice on health care with a focus on contractual and regulatory compliance and on data privacy and security with a focus on incident response and policy development
  • Certification in Healthcare Compliance and is a regular presenter on healthcare law and data privacy and security. She creates and edits Wyatt HITECH Law, a legal blog about data privacy and security
  • Member of the Kentucky, Louisville and American Bar Associations, the American Health Lawyers Association, the Health Care Compliance Association and International Association of Privacy Professionals, among others
  • Recognized by Woodward/White’s The Best Lawyers in America® Health Care Law (2009-2018) and received the highest Professional Rating by Martindale-Hubbell Law Directory
  • Attended both Murray State University and the University of Louisville, earning her B.S.B.A. with highest honors from UofL. She earned her law degree from UofL Brandeis School of Law, where she served as the law review’s executive editor
  • Can be contacted at kmcclure@wyattfirm.com
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Why Lorman?

Over 31 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.

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Product ID: 404003
Published 2018
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