Gain a better understanding of what the audit trail is and how it relates to electronic medical records.
Many understand what the ERM is and how it is used in and out of the health care field. However, many do not understand that the EMR is a fraction of the information captured. There is a large amount of metadata being collected called the audit trail. The audit trail can give key insight into the medical review, but without an understanding of what the data means, it can lead to costly misconceptions. This course will provide an overview of the regulations involved with their use. In addition, there will be a brief discussion on key topics to review when analyzing the audit trail. This will help enable you to make informed decisions on how to use the audit trail within your own practice.
Agenda
Faculty
Mary Ann Seibold, RN, BSN, MBA, CLNC
Seibold and Associates Consulting Agency
- Owner and operator of Seibold and Associates Consulting Agency
- Registered nurse with over 12 years of health care experience
- Clinical experience includes ICU, cardiac care, and medical-surgical nursing
- As an administrator for a large insurance company, she reviewed documentation of nurses who were auditing hospital records; she participated in CMS and NCQA audits, providing a breakdown of all investigations performed by the insurance company
- In her consulting business, she analyzes and identifies critical issues in medical cases for her clients, including med-mal, personal injury, or toxic tort; more recently, she became deeply interested in audit trails and invested her time in learning how audit trails affect health care medical cases and have incorporated this new knowledge into her case analyses, thereby enhancing the end product
- Published an introduction article in the local chapter of the AALNC, “Basics of the Audit Trail”
- Member of the American Association of Legal Nurse Consultants and the National Alliance of Certified Legal Nurse Consultants
- M.B.A. degree in health care administration, Baker College; B.S. degree in nursing, Andrews University
- Can be contacted at [email protected], 248-690-6317, or seiboldconsultingagency.com
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