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This coverage helps protect you and your personal assets, your practice and your patients. It compensates for damages, loss or injury suffered by the patient, as well as legal defense costs. Since 1946, D.C.s have recognized NCMIC as the malpractice leader. Today more D.C.s rely on NCMIC’s Malpractice Insurance Plan than all other chiropractic malpractice insurance companies combined.
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As a Doctor of Chiropractic, you strive to provide your patients the best of care, but good intentions aren’t enough. One of the most common areas doctors can fall short is documentation.
These types of mistakes can put your practice at risk in the event of a malpractice allegation. Plus, with the transition to electronic health records, many doctors are facing issues not encountered with paper records.
Question: I often hear people say that good documentation is “complete and
comprehensive,” but what does that actually mean?
While EHRs have seen a surge in popularity in recent years and have made it easier to see a broader view of a patient's care and medical history, it has not come without risk.
Claims related to a missed or delayed diagnosis are the fastest-growing types of claims but they can be avoided. Let's take a look at how to protect yourself, and your patients.
Good recordkeeping is critical in these litigious times. Consequently, many Doctors of Chiropractic have come to believe that “more is better” when it comes to documentation. However, there are a few "don'ts" in a clinical record that are important to keep in mind.
They've come to see you about one thing, and just before you leave the room you hear, "Oh, by the way, doctor..."
The informed consent discussion gives a doctor the unique opportunity to build rapport and trust with patients. It is a thorough discussion that enables the doctor to educate the patient on the recommended treatment.
Smartphones are so common it's normal to see a patient holding their device during an office visit. But with smartphones a patient can also make voice or even video recordings of that doctor visit. It's easy to do, and you may not even know you are being recorded.
It's been my experience that making the following common documentation mistakes can put your practice at risk in the event of a malpractice allegation.
Many healthcare practitioners are transitioning to electronic health records. One temporary consequence is that many D.C.s are finding it difficult to meet requirements for record retention and patient access to their records.
You take the time to carefully document patient visits; make sure to take that same care to document patient phone calls.
The information in the NCMIC Learning Center is offered solely for general information and educational purposes. It is not offered as, nor does it represent, legal or professional advice. Neither does this information constitute a guideline, practice parameter or standard of care. You should not act or rely upon this information without seeking the advice of an attorney familiar with the specific legal requirements of the state(s) in which you practice. If there is a discrepancy between the site and an insurance policy you have with NCMIC, the policy will prevail.