Wednesday, June 06, 2007

Nipping Malpractice in the Bud


One of our staff doctors just received a favorable verdict in a malpractice suit, so I thought I'd discuss that briefly today. As office manager, it's crucial that I keep the staff properly trained in risk management.

As with physicians, one of the main things I stress is courtesy with the patient. In a professional, courteous manner, make them feel like you are invested in their healthcare. Lawsuits often arise over perceived neglect, so it is important to never forget the simple rule of good manners.

For doctors, it is crucial to properly document every aspect of care, so that the thought processes that lead to a given diagnosis are crystal clear. The staff must then make sure this information is properly transcribed and stored for easy access.

Tracking lab results and informing the patient of their meaning is another step in the process. We work extra hard in our office to leave no thread hanging when it comes to any form of testing.


Follow-up care to patients with chronic care issues is also of paramount importance. We all know that sometimes a patient may neglect or refuse treatment, so it's vital that the medical staff make the effort to demonstrate the need for it. In our office, we keep detailed phone logs so that all patient contact is recorded and in black-and-white.


We live in a very litigious society, so it makes good business sense to always keep your staff current and aware of the implications of their actions. Not only does it help prevent you from being sued for malpractice, but it also helps to finetune the quality of care a practice gives to each patient. Please let me know you're thoughts!

4 Comments:

At 12:38 PM, Blogger Unknown said...

Congrats Anne! On a similar note, one of my doc groups with 32 FPs pays out $500,000 a year in Med Mal Prems with never one loss or even a litigation in their 12 year history. Even so, they never get their premiums back.

So, we have gotten a Captive Insurance License from the State of SC and we are creating our own for profit captive insurance plan to cover our docs. Instead of giving their money away, we are pooling it and investing it. They get ownership in the entity and if they have no losses they earn back their premiums in a wealth building and protection plan.

Very cool and in most states the docs can't do this, but we can in SC and we believe we can offer it to other physicians in other states from SC, but that is not clear yet.

But to your note, honesty and clear documentation is key. Your readers may also want to check out a patient communication system we use called www.SecuReachSystems.com. The med mal insurers are looking to lower their premiums for those using the system.

Cheers, Dr. Gordon Jones

 
At 1:06 PM, Anonymous Anonymous said...

Here's another approach. In Texas the Legislature included Medical Schools and their employees (including doctors)to a limited liability of $100,000. You cannot sue a physician who is an employee of a state institution for any more than $100K. Guess what happened? We have not had one single lawsuit since this rule went into affect in 2005. What does that tell you?

 
At 8:53 PM, Anonymous Anonymous said...

Caps on malpractice awards are needed. There are very few cases where a patient should receive more thank 100,000 (Congrats, Texas). If extremely high premiums continue, doctors will continue leaving the practice of medicine. Rates in Illinois are unreasonably high.

 
At 9:30 PM, Anonymous Anonymous said...

Hello,

I'm an HIT student and I've just discovered your blog. I sent an e-mail requesting an interview with you for a class paper I'm writing, but I received a failed delivery notification. If you are interested, would you please drop me a line at kswadley@my.devry.edu and I will send my questions ASAP.

Thanks!

 

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