Documentation Update 2019;
Ensuring Compliance

Contact Our Team


Start Time:12:00 AM
End Time:12:00 AM
Contact Information
Additional Information

Provided by MHA Health Institute
Health Institute

Date & Time

Tuesday, April 16
9 - 11 a.m.

Register on or before Monday, April 8, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The webinar registration fee is for one phone line connection. Each additional phone line connection will be charged a registration fee. Get more value by inviting colleagues to join you!

This webinar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation.


CEOs, COOs, CMOs, CNOs, nurses, physicians, nursing supervisors and educators, compliance officers, TJC Commission staff, quality improvement and RAC coordinators, risk managers, legal counsel, and anyone involved in the documentation process

The following program content was provided by the speaker.


This program will focus on the importance of good documentation, which is key to avoiding allegations of malpractice and substandard care, accreditation nightmares, denial of reimbursement, and claims of fraud and abuse.

The program will cover legal issues in documentation, as well as The Joint Commission and the Centers for Medicare & Medicaid Services hospital Conditions of Participation issues related to documentation requirements. The speaker will provide more than 50 recommendations to improve documentation and will detail the importance of documentation for pain assessment and TJC Record of Care medical records. CMS requirements of order sheets and the necessary protocols also will be covered.


At the conclusion of this session, participants will be able to:

  • discuss recommendations to improve documentation to reduce the risk of liability
  • explain the importance of pain assessments and what should be documented
  • identify items that should be documented in a medical record, as noted in TJC Record of Care chapter
  • discuss the CMS requirement that all orders be in writing on the order sheet, even if hospitals use approved protocols
  • discuss CMS and TJC standards that require specific documentation of verbal orders


Sue Dill Calloway, J.D., MSN, R.N.
Patient Safety and Healthcare Consulting and Education Company
Columbus, Ohio

Sue Dill Calloway has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education and Consulting and was previously the chief learning officer for the Emergency Medicine Patient Safety Foundation. She has conducted many educational programs for nurses, physicians and other health care providers. Dill Calloway has authored more than 100 books and numerous articles.