Documentation/Provider Liability Presentations


Documentation Skills Workshop

Dynamic Documentation: This is Not Your Father's PCR!

EMS Law Case Studies: Liability in the Trenches

Understanding EMS Law: Negligence, Refusals, Documentation and More!

EMS Caught in the Crossfire: EMTALA and ER Diversions

The Liability of Apathy

Electronic Data Collection in the Field: The Legal, Clinical and Financial Aspects


Documentation Skills Workshop

This program is an interactive, fast-paced, comprehensive and in-depth documentation training workshop for EMS providers of all levels. This workshop can be presented in either a full-day or half-day format. This workshop covers essential documentation issues from the clinical, operational, legal, financial and compliance perspectives. This program builds critical skills among EMS providers in writing effective patient care reports that will withstand legal scrutiny, support prompt and accurate billing decisions, and support your organization in a billing audit. Actual charts are used to give participants an opportunity to immediately apply the skills taught in this vital seminar. Areas covered include the uses of EMS documentation in court cases, documenting patient consent and refusals, effective charting formats, effectively documenting special situations such as “do not resuscitate” and hospital bypass/diversion orders, and understanding the impact of medical necessity and billing rules on both emergency and non-emergency documentation. This seminar is consistently rated as one of the best EMS law seminars in the United States.

Estimated time: 4 hours to 8 hours (half day or full day workshop)
Audience: Field providers, billing staff, managers, compliance officers 


Dynamic Documentation: This Is Not Your Father’s PCR!

Think this is “just another documentation session?” Well, think again! This all-new session will explore the important links between documentation and reimbursement, and explain how to meet the new documentation challenges that have come about as a result of new Medicare rules and other payor requirements. This session will review the various signature requirements and the reasons that EMS providers must capture adequate information in the field to support the billing that takes place after the call.

Estimated time: 1.5 hours
Audience: Billing staff, managers/officers, providers in services that bill


EMS Law Case Studies: Liability in the Trenches

Using actual EMS court cases as a backdrop, this session will open your eyes to the liability pitfalls that may await the unwary EMS provider. This session will include “The Case of Negligent Documentation,” “The Case of Apathy in Action,” “The Case of the Dispatch That Wasn’t,” and several others, all presented in a way that will help you avoid the same liability traps that arose in these cases.

Estimated time: 1.5 – 2 hours
Audience: All (providers, supervisors, managers, officers, owners, administrators) 


Understanding EMS Law: Negligence, Consent, Refusals, Documentation and More!

This session will review the types of lawsuits in which EMS providers may be likely to find themselves, and explain the legal basis for a negligence suit against an ambulance service. This session will also cover principles of patient consent and refusal, which are complex and important to the delivery of EMS. EMS providers need to have a basic understanding of the law to be able to effectively handle difficult field situations like seemingly competent 16 or 17 year-old car accident patients who refuse care, dealing with family members who insist on you withholding resuscitation when there’s no living will or DNR order in sight, or treating patients who may have an altered mental status. This session provide you with a basic set of principles that can be applied to almost all of these difficult field situations involving consent for and refusal of care, and will explore the state of the law as it applies to withholding and discontinuing resuscitation. The importance of effective documentation will also be discussed.

Estimated time: 1.5 – 2 hours
Audience: All (providers, supervisors, managers, officers, owners, administrators) 


EMS Caught in the Crossfire: EMTALA and ER Diversions

Many EMS providers literally feel as if they are caught in the middle when told that a hospital is on divert and unable to accept emergency patients. In addition, ER diversions can prolong transport times, tie up EMS resources and perhaps even affect patient care. Recent amendments to EMTALA have changed some of the definitions, but how will these amendments help you where the “rubber meets the road?” What legal rights and obligations belong to the ambulance service in these situations? How about the patient? The hospital? What is your liability for transporting a patient to another facility, or for transporting a patient to a hospital that tells you it's on divert status? This session will address all of these timely issues and topics in a lively and interactive way.

Estimated time: 1.5 hours
Audience: All (providers, supervisors, managers, officers, owners, administrators) 


The Liability of Apathy

What are the most significant “weak spots” in ambulance service liability and what can you do to minimize risk? What motivates patients and others to want to sue you? Much has to do with the “basics” of providing ambulance service in the first place—to help other people in need—and this session will provide dynamic insight into the “root cause” of ambulance industry litigation. The bottom line is that most people will not sue you if they like you! Studies show that the main reason that malpractice litigation occurs is because of “communications issues.” Much can be done to avoid liability in the first place by improving communications skills and by applying common sense approaches to risk management in the critical areas where your system can fall apart.

Estimated time: 1 to 1.5 hours
Audience: All (providers, supervisors, managers, officers, owners, administrators) 



Electronic Data Collection in the Field - The Legal, Clinical and Financial Aspects

While increasing numbers of ambulance services have embraced field data collection technology, many continue to resist it. While there are reasons that ambulance services may choose to continue to document on paper, some resist changing to electronic data collection because of the fear that electronic patient care reports might not stand in court, or that they are too complicated, or sometimes, just because “old habits die hard.” This session will take an objective look at the legal, clinical and financial aspects of doing your field documentation electronically – and give you an accurate picture of how electronic documentation would “stand up” in court.

Estimated time: 0.5 hour to 1 hour
Audience: All (providers, supervisors, managers, officers, owners, administrators)