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Enhancing Documentation Practices for Improved Patient Care

Disclosure Statement

No planner, faculty or staff of this educational activity has any relevant financial relationships with ineligible companies.

Accreditation Statement

The Cooperative of American Physicians, Inc. is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

The Cooperative of American Physicians, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Enrollment Instructions

The webinar, led by the risk management experts with the Cooperative of American Physicians (CAP), is now available for free on-demand. To access the course, follow the instructions below:

  1. Click on the secure link here.
  2. New users, follow the instructions on the “Sign-Up” page to create your account on Absorb LMS. If you have an existing Absorb LMS account, click “Back to Login” and sign in with your username and password, then click the secure link.  
  3. After you have signed up, you will receive a confirmation email to verify your account. Once verified, you will be able to access your course dashboard.
  4. On your dashboard, select the course titled “Enhancing Documentation Practices for Improved Patient Care” which will be displayed under “Catalog.”  
  5. Upon completion of the course, you will earn a certificate.

Description

The team of risk management and patient safety experts at CAP presents a unique virtual program that will provide time-saving techniques for establishing and maintaining an efficient documentation system. Physicians of all specialties and practice settings will benefit from invaluable insights to help you avoid common documentation pitfalls and lower your liability risk, expedite reimbursements, and streamline patient visits.

Summary of Content:

The Cooperative of American Physicians, Inc. is a physician-owned and physician-directed corporation created to provide California physicians with medical professional liability coverage and other services related to their medical practice.  We have collected decades of medical malpractice claims which provide us with the opportunity to analyze, identify the root causes of patient injury and provide education which addresses the deficiencies. 

The purpose of the CAP CME activity is to provide education that promotes change, development and improvement for our physician learners and other health care learners.  Our CME activity provides high-quality, evidence-based educational activities that are developed to increase physician competence, enhance practice performance, and/or promote patient safety and whenever possible, improve patient outcomes in the populations served by our learners.  

General Information

You are not required to complete this Curriculum in one sitting.  Our site will track your progress and allow you to log in at a later date to complete the activity.  The full activity will take approximately one (1) hour to complete and is presented as a recorded lecture format.  In order to receive credit for completing the activity, you will be required to complete the evaluation presented at the end of the activity. 

Target Audience:  Physician learners of all specialties and practice locations and other health professionals including nurse practitioners and physician assistants are the targeted audience.

Release Date:  January 28, 2025

Expiration Date:  January 27, 2028

CME Granting Organization: 

Cooperative of American Physicians, Inc.

333 S. Hope St., 12th Floor

Los Angeles, CA 90071

800-252-7706

Website: www.capphysicians.com

Content Disclaimer

The information presented in this program should not be considered legal advice applicable to a specific situation. Legal guidance for individual matters should be obtained from a retained attorney.

Policies

Copyright Policy This material is copyrighted © 2025 by the Cooperative of American Physicians, Inc

Privacy Policy - click here

Contact us at riskmanagement@capphysicians.com or 800-252-0555 Cooperative of American Physicians Inc., 333 South Hope St., 12th Floor, Los Angeles, CA 90071.

Hardware and Software Requirements

To view our internet online presentations, your computer must meet the requirements below:

Hardware: Participants must have a personal computer with internet connection and speakers or an iOS or Android mobile device.

Operating Systems and Browsers

Windows 10 and later:

Internet Explorer 10 (requires Adobe Flash Player 10.3 or later)

Google Chrome 63.0 or later

Firefox 55.0 or later 

Mac OSX 10.11 and later:

Safari 10 and later

Google Chrome 63.0 or later

Firefox 55.0 or later 

iPad iOS 10.0 and later:

Safari

Google Chrome 63.0 or later

Android Tablets OS 7.0 (Nougat) and later

Google Chrome 63.0 or later

Smartphones: Not recommended

Bandwidth:  High Speed or DSL

About the Authors

This activity was prepared by the CAP Risk Management & Patient Safety staff who have many years of experience as experts and thought leaders in clinical risk management, practice management and adverse event handling.  These highly qualified individuals have a wealth of knowledge and experience to share with learners to help reduce risk and increase the quality of patient care.

Accreditation Statement

The Cooperative of American Physicians, Inc. is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

The Cooperative of American Physicians, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

No planner, faculty or staff of this educational activity has any relevant financial relationships with ineligible companies.

Learning Outcomes/Objectives

By the end of this activity, the learner should be able to:

  • Recognize how medical record documentation impacts medico-legal cases.
  • Utilize objective findings and avoid vague terminology when documenting a patient’s clinical picture.
  • Perform comprehensive documentation of patient care and related management decisions.
  • Compose notes that avoid the use of comments that could be perceived as disrespectful, stigmatizing, or biased.
  • Integrate appropriate education materials and strategies in a manner that is culturally sensitive, linguistically accessible, and tailored to meet the diverse needs of patients.
  • Create a protocol to effectively manage late entries, addendums, and patient requests for amending their medical record.
Method and Medium

 Method and Medium

To obtain CME credit, view the entire online presentation and complete the evaluation survey. Then you will be able to print your certificate online. 

NP, PA & RN Information

Nurse Practitioners and Physician Assistants will earn a certificate of completion.

Bibliography

www.justice.gov

www.cmanet.org

Pub Med or Scholar Google

Center for Medicinal Cannabis Research at UCSD www.cmcr.ucsd.edu

GW Pharmaceuticals

American Medical Association

Medical Board of CA

SB 643

(Business & Professions Code §2525.2; S.B. 643, Stats. 2015,  ch. 719.)

(Health & Safety Code §11362.7.)