Summary - Documentation for the Win: Recordkeeping Practices to Reduce Litigation Risk

What you document—and what you leave out—can become critical evidence when a resident, family member, surveyor, or attorney starts asking questions.

Sponsored by Young Moore and Henderson, P.A., this program is designed to leave attendees with practical documentation tips they can use on their very next shift—and a better understanding of how today's chart could become tomorrow's evidence.

Learning objectives include:

Identifying the four essentials of defensible documentation: timeliness, accuracy, objectiveness, and authentication
Avoiding common charting mistakes and documentation pitfalls that can undermine an otherwise defensible case
Strengthening documentation of changes in condition, medication administration, noncompliance, falls, wounds, and hospital transfers
Learning practical strategies for creating a clear, credible medical record that supports resident care and the facility's defense if litigation occurs
Understanding how consistent record retention and preservation practices can protect the facility when a claim or litigation arises
Recognizing when records and related information may need to be preserved, protected from alteration or destruction, and escalated to leadership or counsel in connection with a potential claim

COST

Members: $95
Non-Member Price: $285

CEU INFORMATION

NC Nursing Home Administrators can earn up to 1.0 hour of continuing education. The North Carolina Health Care Facilities Association is a Registered Sponsor of continuing education with the NC State Board of Examiners for Nursing Home Administrators. Comments regarding the Registered Sponsor Course may be addressed to: NCBENHA, 3733 National Drive, Suite 110, Raleigh, NC 27612.