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Provided by: Lorman Education Services Medical Records Law |
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8:30 am - 9:00 am Registration
9:00 am - 9:05 am Overview
- Victoria E. Lehman
9:05 am - 10:10 am Charting
- Robert L. Tapper, Q.C.
Forensic Applications of Charting
Electronic Charting and E-Records
Secondary Charts
Medical Records
- Compilation
- Learning the Language of Medicine
- Understanding the System
- Tracking Authorship
- Understanding Records
- Use of Records vs. Admissibility
- Altered Records and Defensive Charting
- Records Created for Illustration
10:10 am - 10:25 am Break
10:25 am - 11:30 am Legal Aspects of Charting
- Kelly L. Dixon
- Some Essential Elements and Problem Areas in the Preparation of Medical Records
- The Importance and Development of Policies and Procedures for Preparing Medical Records
- Electronic Charting
- Incident Reports and Investigations
- The Retention and Destruction of Records
11:30 am - 12:30 pm Lunch (On Your Own)
12:30 pm - 1:35 pm Medical Records From a Licensing Perspective
- G. Todd Campbell
- Requirements
- What Should Be Included in a Record?
- What Should Not Be Included in a Record?
- How to Keep Records
- How to Respond to a Records Request
1:35 pm - 2:40 pm Manitoba's Provincial Personal Health Information Act
- Heather McLaren
- Individuals' Rights Under the Act
- To Access Their Information and to Request a Correction
- To Have the Information Securely Maintained
- To Authorize Another Person to Exercise These Rights
- Trustees Responsibilities Under the Act
- Maintain Security Safeguards
- Restrict Use and Disclosure of Personal Health Information to the Least Amount Necessary
- Implement Policies and Procedures and Communicate Them to Staff
- Obtain Pledge of Confidentiality From Every Employee and Agent
- Oversight - Ombudsman and Privacy Adjudicator
- Application to the Interoperable Electronic Health Record
2:40 pm - 2:55 pm Break
2:55 pm - 4:00 pm Case Scenarios - Examples of Good and Bad Records
- Sat Sharma, M.D., FRCPC, FCCP, FACP
4:00 pm - 4:30 pm Questions and Answers
- G. Todd Campbell, Kelly L. Dixon, Victoria E. Lehman, Heather McLaren, Sat Sharma, M.D., FRCPC, FCCP, FACP, and Robert L. Tapper, Q.C.

