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MLMIC's Proactive Risk Management Follow-Up Program X: High Exposure Cases and Difficult Patient Presentations
This course is designed to provide continuing medical education (CME) for physicians participating in MLMIC’s Proactive Risk Management Program. It contains subject matter that is of current interest to physicians in all medical specialties. The intended outcome of this educational program is to help physicians and other healthcare providers improve the quality of patient care and reduce potential liability exposure in their practices.
This course must be completed within 60 days.
Target Audience
This program is for physicians of all specialties, dentists and other non-physician healthcare providers including advanced practice providers and medical office staff.
Learning Objectives
After completing these modules, participants should be able to:
Module 1 - Addressing the Disruptive Patient: Strategies for a Changing Dynamic
- Identify the factors that contribute to disruptive behavior.
- Discuss the impact that disruptive behavior has on the well-being of healthcare workers.
- List recommendations to safely address disruptive behavior should it occur in your practice setting.
- Outline strategies to reduce the incidence of disruptive behavior in your practice setting.
Module 2 - Managing Mental Health: Beyond the Behavioral Health Unit
- Recognize factors that lead to allegations of malpractice in behavioral health claims.
- Assess professional liability risks in clinical areas outside of behavioral health units.
- Evaluate the effect of crisis on patients and healthcare professionals.
- Create risk management strategies to promote patient and staff safety.
Module 3 - Frequently Asked Questions (FAQs)
- Identify appropriate indications to provide access to medical records and patient information.
- Describe current recommendations for documentation in the open notes environment through the 21st Century Cures Act.
- Describe the need for a provider to obtain the patient's informed consent for the use of telehealth.
- Evaluate the scope of practice for office staff and identify the types of services an unlicensed assistant can perform.
Module 4 - High Exposure Liability: Million Dollar Claims - What we know What you can do
- Recognize the drivers of large loss claims, including but not limited to allegations, contributing factors, and the claimant profile.
- Discuss the impact implicit bias may have on diagnostic outcomes.
- Evaluate the role process plays in diagnostic decision making.
- Identify the principal elements included in patient selection in relation to location for surgical procedures.
- Incorporate the RM Trifecta strategies presented into operation to mitigate future claims and suits.
Module 5 - High Exposure Liability: Case Study Analyses - Part 1
- Describe ways to effectively communicate the results of diagnostic imaging studies.
- Formulate strategies to ensure adequate tracking and follow-up of diagnostic tests that are ordered.
- Identify potential cognitive biases when establishing provisional diagnoses for patients.
- Discuss the negative impact of finger pointing between defendants in a malpractice case.
Module 6 - High Exposure Liability: Case Study Analyses - Part 2
- Explain the importance of addressing and documenting new, significant patient complaints.
- Recognize and address the negative effects of gender bias in clinical decision making and healthcare.
- Discuss the concept of "causation" and its significance in claims related to diagnostic error.
- Describe vicarious liability for attending physicians that are supervising advanced practice providers.
Additional Information
| Attachment | Size |
|---|---|
 Follow-Up X Course Workbook | 4.82 MB |
This two-year Proactive course is for premium credit and excess insurance eligibility.
In the first module, a risk management consultant and an attorney specializing in healthcare law discuss disorderly patient behaviors and the factors contributing to their escalation in frequency and severity toward healthcare providers. This program addresses the impact that disruptive behavior can have on both patient care and staff wellness. It outlines risk management strategies that can assist physicians improve the patient experience, reduce the incidence of this behavior in their practices as well as decrease their potential liability exposure.
In the second module, a risk management consultant and an attorney specializing in healthcare law explore the mental health needs of patients in clinical areas outside of the behavioral health unit such as the emergency department, ambulatory care areas, and inpatient medical/surgical units. The associated liability risks will be reviewed, as well as strategies to mitigate these risks, which may be overlooked or difficult to address in these hectic environments. Additionally, an analysis of the factors that impact claims of malpractice will be discussed.
In the third module, a risk management consultant and an attorney specializing in healthcare law answer some of the most frequently asked questions from policyholders, addressing a wide range of legal and risk management topics.
In the fourth module, a risk management consultant and an attorney specializing in healthcare law review the findings of closed high exposure liability claims, over a recent five-year period, which resulted in payments of $1M or more. The leading causes of loss and the medical specialties at highest risk are addressed. Strategies for reducing the incidence of high exposure claims and the occurrence of patient injury are presented.
In modules five and six, a defense attorney and senior claims examiner discuss high exposure liability claims (those with indemnity payments exceeding $1M) associated with errors in diagnosis. Key factors that contribute to communication and diagnostic errors are reviewed. Legal issues are addressed including the concept of causation. The program also explores the importance of medical record documentation in building the defense of a case involving diagnostic error.
Module 1 - Addressing the Disruptive Patient: Strategies for a Changing Dynamic
- Mirsade Markovic, Esq., Mercado May-Skinner
Ms. Markovic has no relevant financial relationship(s) with ineligible companies to disclose. The attorneys of Mercado May-Skinner are employees of MLMIC Insurance Company.
- Shelly Kriete, BS, CPHQ, Risk Management Consultant, MLMIC Insurance Company
Ms. Kriete has no relevant financial relationship(s) with ineligible companies to disclose.
Module 2 - Managing Mental Health: Beyond the Behavioral Health Unit
- Donnaline Richman, MN, BSN, Esq., Mercado May-Skinner
Ms. Richman has no relevant financial relationship(s) with ineligible companies to disclose. The attorneys of Mercado May-Skinner are employees of MLMIC Insurance Company.
- Mark Ambrose, DNP, MBA, RN, Risk Management Consultant, MLMIC Insurance Company
Mr. Ambrose has no relevant financial relationship(s) with ineligible companies to disclose.
Module 3 - Frequently Asked Questions (FAQs)
- Al Anthony Mercado, Esq., Mercado May-Skinner
Mr. Mercado has no relevant financial relationship(s) with ineligible companies to disclose. The attorneys of Mercado May-Skinner are employees of MLMIC Insurance Company.
- Deanna Mirro-Altmann, RNC, Risk Management Consultant, MLMIC Insurance Company
Ms. Mirro-Altmann has no relevant financial relationship(s) with ineligible companies to disclose.
Module 4 - High Exposure Liability: Million Dollar Claims - What we know What you can do
- Brenna Gubala, Esq., Mercado May-Skinner
Ms. Gubala has no relevant financial relationships with ineligible companies to disclose. The attorneys of Mercado May-Skinner are employees of MLMIC Insurance Company.
- Joyce McCormack, BS, RN, Risk Management Consultant, MLMIC Insurance Company
Ms. McCormack has no relevant financial relationship(s) with ineligible companies to disclose.
Modules 5 & 6 - High Exposure Liability: Case Study Analyses Part 1 & Part 2
- William P. Hassett, Esq., Mercado May-Skinner
Mr. Hassett has no relevant financial relationship(s) with ineligible companies to disclose., The attorneys of Mercado May-Skinner are employees of MLMIC Insurance Company.
- Linda Padilla-Diaz, Vice President, Claims, MLMIC Insurance Company
Ms. Padilla-Diaz has no relevant financial relationship(s) with ineligible companies to disclose
MLMIC Insurance Company CME Planning Committee
John Lombardo, MD, Chief Medical Officer; Tim Krieg, Esq., Chief Operating Officer; Tom Gray, Esq., Sr. VP, Risk Management; Matt Lamb, Esq., AVP, Risk Management; Carol Gladis, AVP, Risk Management; Brian Felton, Esq.
None of the planners for this educational activity have relevant financial relationship(s) with ineligible companies to disclose.
CME ACCREDITAITON AND DESIGNATION STATEMENT
MLMIC is accredited by the Medical Society of the State of New York (MSSNY) to provide CME for physicians.
MLMIC designates this enduring material educational activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NEW YORK STATE DENTAL ASSOCIATION
MLMIC is sanctioned by the New York State Dental Association (NYSDA) as an approved provider of dental education in New York State. The Company designates this educational activity for a maximum of 6.5 continuing education lecture credits. Dentists should only claim credit commensurate with the extent of their participation in the activity.
AMERICAN BOARD OF ANESTHESIOLOGY (ABA) MOC RECOGNITION STATEMENT
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.
AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) MOC RECOGNITION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 6.5 MOC points and patient safety MOC credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
AMERICAN BOARD OF OPHTHALMOLOGY (ABO) MOC RECOGNITION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, earns credit toward the Lifelong Learning [,Self-Assessment and Patient Safety] requirement[s] for the American Board of Ophthalmology’s Continuing Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting credit.
AMERICAN BOARD OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY (ABOHNS)
CONTINUOUS CERTIFICATION RECOGNITION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of recognizing participation.
AMERICAN BOARD OF PEDIATRICS (ABP) MOC RECOGNITION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 6.5 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
AMERICAN BOARD OF SURGERY (ABS) CONTINUOUS CERTIFICATION RECOGNITION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
Available Credit
- 6.50 AMA PRA Category 1 Credit™ Regulation 124 Course
MLMIC Insurance Company is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians.
MLMIC Insurance Company designates this enduring material CME activity for a maximum of 6.50 AMA PRA Category 1 Credit™ Regulation 124 Course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This program qualifies physicians for a risk management premium credit, if applicable, and satisfies the requirements for eligibility in the excess medical malpractice insurance program, pursuant to New York State Department of Financial Services Regulation 124.
- 6.50 MLMIC Participation Credit
Price
To register, please click on "Register" then click on "Take Course", you must complete all sections of this course in the order they are presented to earn credit.
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