Transcription of Strategies for Improving Documentation
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Strategies for Improving DocumentationLessons from medical -Legal ClaimsA Guide for Healthcare Providers and Administrators2 August 2017 Healthcare Insurance Reciprocal of Office4711 Yonge St, Suite 1600 Toronto, Ontario M2N 6K8 Tel: Free: Region1200 Rothesay St. Winnipeg, Manitoba R2G 1T7 Tel: 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. 3 Strategies for Improving Documentation : Lessons from medical -Legal ClaimsI. Introduction 4 Why Document? 5 Purpose of the Guide 5 Documentation s Impact on medical -Legal Claims 5II. Purposes of Documentation 6 III. The 6 Essential Elements of Good Documentation 81.
Proper documentation reflects the quality of care that you give to your clients and is evidence that you acted as required or ordered. (Yu, 2015, p.3). ... Strategies for Improving Documentation: Lessons from Medical-Legal Claims Documentation should accurately reflect the needs of the patient, the .
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