Strategies for Improving Documentation
Strategies for Improving DocumentationLessons from Medical-Legal ClaimsA Guide for Healthcare Providers and Administrators2 August 2017Healthcare Insurance Reciprocal of Office4711 Yonge St, Suite 1600Toronto, Ontario M2N 6K8Tel: Free: Region1200 Rothesay St. Winnipeg, Manitoba R2G 1T7Tel: Free: of Use: This is a resource for quality assurance and risk management purposes and is not intended to provide legal or medical advice. Every effort has been made to ensure that the information is accurate at time of publication. 3Strategies for Improving Documentation : Lessons from Medical-Legal ClaimsI. Introduction 4Why Document? 5Purpose of the Guide 5Documentation s Impact on Medical-Legal Claims 5II. Purposes of Documentation 6III. The 6 Essential Elements of Good Documentation 81. What care or service was provided 92.
Improving . Documentation. Lessons from Medical-Legal Claims. ... If the quality or safety of patient care is ever under scrutiny in a legal or disciplinary proceeding or investigation of ... team communication and continuity of care through improved documentation practices.
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