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Providing Continuing Education for Mental Health Professionals since 1990

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Clinical Record Making & Keeping: Essentials for Risk Management & Ethical Practice

Edward Zuckerman, Ph.D.

6.0 CE Hours Available

All orders include the entire presentation with handouts and a CE test.
Streaming videos and audio downloads will be available immediately after checkout
Mailed CD and DVD formats include the printed handouts and CE test in an attractive portfolio

Format Price Quantity input field
Audio Download
Price$95.00
CD Audio w/ Audio Download
Price$110.00
DVD Video w/ Streaming Video
Price$130.00
Streaming Video
Price$115.00
Extra CE Test
Price$45.00

Description

This program consists of the recording and handouts from a full day seminar presented by Dr. Zuckerman. It will provide you with specific information and working tools for creating and keeping clinical records. The seminar handouts will include sample forms and other resources

Objectives

This program consists of the recording and handouts from a full day seminar presented by Dr. Zuckerman. It will provide you with specific information and working tools for creating and keeping clinical records. The seminar handouts will include sample forms and other resources. This seminar will enable you to describe:

  • Ways to introduce new patients to your practice?s procedures
  • Five methods of assuring fully informed consent
  • What to record and not record
  • How to ensure your documenting is HIPAA- compliant
  • How to ethically and legally release patient information
  • The need for and desirable elements of a professional will
  • Documenting issues with couples, kids, and families
  • How to cope with issues raised by electronic records

Topics

Welcome to my practice

  • What risk management means - Record retention and disposal - HIPPA: Gap analysis and safeguards decisions - Intake data collection - Sending a pre-appointment package

Documenting Informed Consent

  • Five methods for assuring fully informed consent - The nature of consent - Voluntariness and competence - Issues with children and families - HIPAA-required complaint form - Informed consent to managed care

Documenting Decisions and Treatment

  • What to record and not record - Quality records protect you
  • Formats for Routine Progress Notes - HIPAA?s rules as a baseline -Notice of Privacy Practices and the ?Consent? -Client access to and amendment of your records - Diagnostic options - Termination documents

Privacy and Confidentiality

  • Personal, private, confidential, or privileged? - HIPAA privacy and authorizations - Crosswalking HIPAA and PA laws - ?Confidential/HIPAA-compliance? notices - Requests for records - Your authorization form - Issues with couples, kids, and families - Sending records, confidential faxing, emailing, encryption

New Issues

  • Your Professional Will: A new ethical & HIPPA requirement - Expected contents

Tailoring the contents

  • Electronic Records: The HIPPA and HITECH Acts - Encryption?s value and methods - Preservation and access - Known problems - Example & guidelines