Documentation Matters

Please join us to hear guest speaker Scott L. Mendlestein, Esq., discuss the importance of timely entries in the medical record, proper documentation, and risk of liability. 

Samaritan Physicians: Successful completion of this activity will qualify Samaritan physicians for annual policy discounts. Upon completion, please print your certificate and submit to Samaritan for consideration.
 

Target Audience

Baptist Health physicians, physician assistants, nurses, advanced practice registered nurses, dentists, podiatrists, social workers, pharmacists, pharmacy technicians, respiratory therapists and other interested clinical employees.

Learning Objectives

  • Implement proper patient documentation strategies.
  • Interpret data, incident reports, and patient care complaints to improve quality of care. 
  • Adhere to accurate patient documentation protocols to reduce documentation errors.
Additional information
Bibliography: 
  • Cheng, P., Gilchrist, A., Robinson, K. M., & Paul, L. (2009). The risk and consequences of clinical miscoding due to inadequate medical documentation: a case study of the impact on health services funding. Health Information Management Journal, 38(1), 35-46.
  • Lorenzetti, D. L., Quan, H., Lucyk, K., Cunningham, C., Hennessy, D., Jiang, J., & Beck, C. A. (2018). Strategies for improving physician documentation in the emergency department: a systematic review. BMC emergency medicine, 18(1), 1-12.
Course Summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 General certificate of attendance
  • 1.50 Florida Board of Dentistry
  • 1.50 Florida Board of Clinical Social Workers, Marriage and Family Therapists and Mental Health Counselors
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.50 Florida Board of Pharmacy
  • 1.50 Florida Board of Podiatric Medicine
  • 1.50 Florida Board of Respiratory Therapy
Course opens: 
06/01/2022
Course expires: 
05/31/2025

Scott L. Mendlestein, Esq.
Attorney 
Falk, Waas, Hernandez, Solomon, Mendlestein & Davis, P.A.
Coral Gables, Florida

Bernie Fernandez, M.D., MBA, FACP, FSVM
Chief Executive Officer 
Baptist Health Medical Group 

Elizabeth Green Taquechel, M.S., R.N., CPPS, CPHQ
Director, Risk Management
Baptist Health South Florida

Celia E. Alvarez, BSHA
BHMG Risk Manager/Patient Safety Officer
Risk Management/Patient Safety
Baptist Health South Florida

Scott L. Mendlestein, Esq., faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation will not include off-label or unapproved product usage.

Bernie Fernandez, M.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Elizabeth Green Taquechel, M.S., R.N., CPPS, CPHQ and Celia E. Alvarez, BSHA, faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
   
Baptist Health South Florida designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 General certificate of attendance
  • 1.50 Florida Board of Dentistry
  • 1.50 Florida Board of Clinical Social Workers, Marriage and Family Therapists and Mental Health Counselors
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.50 Florida Board of Pharmacy
  • 1.50 Florida Board of Podiatric Medicine
  • 1.50 Florida Board of Respiratory Therapy
Please login or register for a Baptist Health CME account to take this course.

Required Hardware/Software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
Mozilla Firefox
Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.