Record Keeping on the Right Side of the Line
Clinical Update January 2015
By Zur Institute
View a complete list of Clinical Updates.
Proper record keeping helps the clinician with treatment, enhances the quality of care, helps maintain a continuity of care, can protect the clinician in cases of board investigations, lawsuit or subpoenas, and helps in the event of the therapist's retirement, disability, death or other impediment to continuing treatment. The standard of care, HIPAA, and licensing boards all come into play with regard to good clinical records and related best practices.
The Digital Age introduced a new set of complexities in regard to security of digital records on our computers, laptops, smart phones and the cloud. HIPAA solidified patients' right to access their records in a timely fashion.
Rather than facing licensing board sanctions for inappropriate recording of a psychotherapy session, or for inappropriate storage or disposal of records...
Rather than letting your clinical records with sensitive information fall into the wrong hands...
Rather than being surprised that your digital records on your computer, laptop, cell phone or the cloud are easily accessed by hackers or unauthorized people...
Rather than being caught off guard upon receiving a subpoena and unwittingly compromising your client's confidentiality by responding inappropriately...
---> Educate yourself
All this and more is discussed in our online course:
The course fulfills the law/ethics requirement in CA and other states and includes our best-selling
60 Essential Clinical Forms
HIPAA Package of 3 courses 21CE
Plus HIPAA Forms