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Cures Act Opens Clinical Notes to Patients
By Tom A. Augello, CRICO

New federal law gives patients access to almost everything in their medical record, including clinical notes. It allows for a different kind of partnership between patients and providers where they are co-producing the outcome. This may be good for both patient safety and risk management.

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Cures Act Overview

Eight categories of clinical notes created must be immediately available to patients through a secure online portal. Providers may not block, or delay patients’ access to, any eligible information entered and stored in their EHR. Learn more about this 2021 ruling.

 

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Cures Act: Perspectives from Claims and Patient Safety

Looking at the Cures Act and more open notes from both a patient safety and malpractice claims perspective.

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Opening Your Notes: Patient Care Recommendations

Keep these methods of notes documentation in mind when recording your patient encounter. See the list of tips and specific examples.

 

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At the End of Information Blocking, an Opening for Patient Safety
By Jock Hoffman, CRICO

Opening your notes offers the potential to enhance patient safety by linking clinicians and patients between visits–times when ambulatory vulnerabilities often compound.

 

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More Recently Asked Questions
By Jock Hoffman, CRICO

Queries about malpractice and patient safety.

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Recently Asked Questions
By Jock Hoffman, CRICO

Clinicians express concerns about malpractice and patient safety.

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Documentation Best Practices

Write it right. Keep the reports factual, make it clear when you make a change, and be as specific as possible to get your notes right the first time.

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The Pain and Reward of Delivering Palliative Care During COVID
By Tom A. Augello, CRICO

Excellent palliative care is inherently challenging. Over-capacity hospitals and a shortage of palliative specialists that pre-dated the COVID  crisis have led to some improvisation and innovation.. An expert practitioner from the Metro DC area shares his personal experience and some insights that might help improve communication between any specialist and their patients.

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“What Else Might This Be?” Might Have Saved PE Patient
By Melissa DeMayo, CRICO, Tom A. Augello, CRICO

A fatal PE misdiagnosis may have gone wrong from the very beginning. With analysis based on closed claims in the Harvard medical system, urgent care specialist Jonathan Einbinder explores ways an ordinary case with a tragic outcome might be prevented in the future.

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