Medical Practice Strategies:  Systems Based Practice - Business Laws Ethics

Janet Lerman, J.D.

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Welcome to  Medical Practice Strategies Systems Based Practice -- Business Laws Ethics.   This course is divided into ten modules (classes).  In order to successfully complete this online course, MDs must first be entered to register into the course by Medical Practice, then complete the class study for a specific class, and next pass the CME Test associated with that class. You may also complete an evaluation form for each class.


Janet L. Lerman, J.D.
Former Adjunct Assistant Professor at Chicago Medical School at Rosalind Franklin University of Medicine & Science
North Chicago, Illinois


1.     Course Description.     This is a long distance learning activity using the Internet. The entire activity is comprised of 10 classes with each class having its own set of learning objectives. Participants can, at their discretion, select one or more, up to all ten, of the specified classes. For specific class descriptions and learning objectives per class, see Classes.

2.     Needs Assessment.     The classes help physicians understand the evolving economics and business principles of the U.S. healthcare delivery system. A "framework of analysis" method is used in these classes as a tool to help physicians understand the long- term impact of systems-based practice and other business and legal principles on medical practices and career opportunities. The classes help physicians explore systems-based practice to provide cost-conscious, effective medical care, work to promote patient safety, and coordinate care with other healthcare providers.  

3.     Target Audience.     The classes are targeted to physicians, residents, medical students and other healthcare professionals impacted by systems-based practice to educate them about the business, economic, legal, ethical and public policies of systems-based practice.  Lawyers and law students, MBA students, and public health students interested in healthcare delivery would also benefit from the classes.

4.     Objectives.     Upon completion you should be able to:

    1. Consider costs and benefits of tests and treatment; identify the importance to adhere to established patient care pathways; and determine not to order unnecessary tests.
    2. Identify system causes of medical error; anticipate and respond to patient care problems; adhere to protocols that ensure patient safety; and accept input from patient care team.
    3. Obtain consultation when needed; communicate with other providers; resolve differences in treatment plans; reconcile contradictory advice; assure patient awareness of available options; make appropriate referrals; assist with arrangements and follow up to ensure appropriate care.

5.      Release Date.    This publication, with a release date of September 16, 2013 is valid for two years.

6    Privacy of Information. will keep your personal information confidential.  Personal information gathered will not be released to any other company or organization for any purpose.  Information gathered on individuals who register and/or complete a continuing education activity is stored in a secure database and is restricted to designated internal staff. We will not disclose, give, sell, or transfer any personal information about visitors to this site, unless required for law enforcement, statute, or for continuing education requirement purposes.

7.    Hardware/Software Requirements Necessary to Access this Website.    This activity requires version 4x browsers or higher from Microsoft or Netscape.  Should any educational activity require additional software to view multimedia, presentation or printable versions of their content, they will be marked as such and will provide links to the required software.  That software may be:  Macromedia Flash, Apple Quicktime, Adobe Acrobat, Microsoft Powerpoint, Windows Media Player, and Real Networks Real One Player.

8.    Copyright.    This publication is protected by copyright.  The copyright owner is Janet L. Lerman.  No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or utilizing any storage and retrieval system without written permission from the copyright owner.

9.    Acknowledgement of No Commercial Support. does not favor certain products or services for commercial, rather than for medical or scientific reasons. does not receive any commercial support.

10.    Questions or Comments.    If you have any question regarding continuing medical education credit, call Janet Lerman, J.D., Medical Practice CME directly at (847) 835-3747 or email to

Welcome to MedicalPracticeCME.Com.  

This course is Medical Practice Strategies:  Systems Based Practice -- Business Laws Ethics. 

The goal of this course is help medical students, residents, and practicing physicians understand the evolving economics and business principles of the U.S. healthcare delivery system.  The course uses a "framework of analysis" method as a tool to help medical students and practicing physicians understand the long term impact of managed care on medical practices and career opportunities.  

Students will explore the social and economic impact of their decisions on patients and society and be reminded to always maintain the primacy of the individual patient needs, yet be sensitive to the overall cost of medical care. 

    This Systems Based Practice - Business Laws Ethics Class/ Medical Practice Strategies course is divided into ten different modules ("Classes"). 

    To begin study for this course, click the button labeled Classes either above or to the left hand side of this page. After you click, a list of each class will appear.  Click on the button or the blue hyperlink of the class that you want to open.  

     Each Class is based on three Key Objectives and three Review questions.  For each class the student should begin by reading these three Key Objectives and three Review questions.  After that, the student proceeds by reading the various topic portions within each class.  These topic portions can be accessed through the hyperlinks in the class overview page, or through the navigation bar on the left hand side of the overview page for each class (i.e. Class 1, Class 2, etc.).

    Once each of the topics have been read, students are directed to abstracts of the required articles for that class ("Required Reading"), followed by reading those suggested articles for that class ("Suggested Readings") that interests the student.  Reading abstracts of the articles for both Required and Suggested Readings are part of this website and can be accessed using the navigation bar on the left side of the overview page for each class.

    At the end of each class, the student should confirm that the objectives have been met and the questions answered.  Once you have completed study each class, click the "classes" button to go to the menu where you can select the next class in this course, or you can proceed to the associated CME test for that class.

    An "up" button is at the top of each page to return to the immediately preceding page.  To return to the "Home" page, click on the button labeled "Home" at any time.

        After you click on the class that you want, that class will appear with a brief description of the class (Class Description) followed by an outline of the contents of the class.  You can either click on the buttons to the left on the Class Description page or the blue hyperlink of the outline section to get to the contents you may want. 

    Each class has a button at the beginning of the buttons for Relevant Terms and two buttons at the end of all of the buttons, one for Required Readings ("RR") and the last button for Suggested Readings ("SR").  Relevant Terms are a list of definitions of words used for that Class applicable to the managed care industry.  Required Readings consist of three articles required to be read for the Class.  Suggested Readings consist of various articles recommended to be read for the Class.

    At the bottom of each Class Description page are listed the three Key Objectives for that class followed by three Review questions, as specified above.  Again, read these before you take the Class so that you know what is expected of you.  Also, after you have read through the Class, answer the Review questions and confirm to your own satisfaction that the objectives for this class have been met.   

        A coding system is used to identify each article for Required Readings and Suggested Readings.  Under this coding system, for example, for Required Reading article 1, for class 1, it would be identified as RR1-1, meaning Required Reading for class one, article one.  Suggested Readings are identified by "SR" followed by the class number and then followed by "-" article number.  For example, suggested reading for class one, article 2 would be coded as:  SR1-2.

    For Current News ("New News") for each class:    Each class has a "New News" section that can be accessed by:  (1) a "New News" icon on each class; or (2) click on the hyperlink here (New News) and go to a New News page listing each class with a hyperlink to the corresponding "New News" section; or (3) click on the hyperlink at the top of each page labeled "New News" to go to a New News page listing each class with a hyperlink to the corresponding "New News" section.

   FOR CME TESTS - There are five main ways to access CME test questions:  (1) click on the button marked "CME test - Class #" for each class on the first page of each class; or (2) go to the first page for each class and click on the section labeled "For CME Test - Class # - Click Here"; or (3) go to the hyperlink at the end of each first page of each class labeled "CME Test - Class #"; or (4)  click on the hyperlink here (CME Tests) and go to a CME Tests page listing each class with a hyperlink to the corresponding CME Test; or (5) click on the hyperlink at the top of each page labeled "CME Tests" to go to a CME Tests page listing each class with a hyperlink to the corresponding CME Tests section.

    Any Questions or comments, contact Janet L. Lerman, through the use of the feedback form.

What Medical Students have said about the Managed Care Class:

"This is a great class focusing on important topics which most of us know so little about."

"Topics were excellent."

"Business and managed care is playing such a big role for doctors that if I didn't get a good foundation before stepping in the field, I feel I would be always two steps behind someone who did understand the business aspect.  

"Janet's approach to each hour is well structured, coherent and relevant."

"Janet Lerman is an excellent teacher and really made the business aspect of medicine easier to swallow.  This class definitely spurred more interest in this subject..." 

Were your expectations met?:  "Absolutely -- I know more after this class.  I can now better understand what I read in the magazine and newspapers regarding these topics."

Now, thanks to the Internet, the managed care class is now available to more medical students, physicians, and other providers at their own convenience.

Janet L. Lerman, J.D., 244 Hazel Avenue, Glencoe, IL  60022.  Office (847)835-3747, E-Mail:


1988 - present    Law Offices of Janet L. Lerman

Provide legal and consulting services for a wide range of clients in health care industry, including both payors and providers.

1995 - 2007    The Chicago Medical School, Adjunct Assistant Professor, Managed Care Course Director 

Created one of the countries first managed care courses for medical students in 1995.  Course teaches business principles practicing physicians should be aware of in the practice of medicine.  Business, legal, ethical, and public policy issues are examined in this course.

Conducted training program at three major hospitals for primary care internal residents including ethics, risk management, quality improvement, and quality assessment.

Public speaking engagements for Grand Rounds program providing continuing medical education credits for attending physicians.

1984 - 1988      Planning and Development, Senior Attorney and Legal counsel for HMO America, Inc. (parent company of Chicago HMO Ltd.)

Systemized contracting process and negotiated and drafted broad range of contracts, such as provider contracts (including primary care physicians, specialists, hospitals, pharmaceutical companies, and others) and employer groups.

Working closely with local, state and federal regulatory agencies, recommended changes to all HMO agreements with providers and employer groups to stay in compliance with regulations to maintain operating license.

Reviewed and advised HMO regarding pending legislation and recommended changes in product offerings to comply with new laws.

EDUCATION:    Juris Doctor, December, 1981 from Southwestern School of Law, Los Angeles, CA; Bachelor of Arts, Psychology, 1979 from The University of Texas at Austin, Austin, Texas


“Legal Considerations in Pay for Performance,” Hospitals & Health Network.

"Getting an Extension to Comply with Transaction Standards Under Health Insurance Portability and Accountability Act (HIPAA)," The Bulletin of Lake County Medical Society.

"An Overview of Health Insurance Portability and Accountability Act (HIPAA)," The Bulletin of Lake County Medical Societ .

"E-Mailing Patients – Tips for Physicians", Newsletter of the Illinois Society of Oral and Maxillofaical Surgery (ISOMS), and Lake County Medical Society Office Manager News.

"MCOs Delaying or Denying Payment for Services", Bulletin for the Lake County Medical Society and Lake County Medical Society Office Manager News.

"Medical Practice CME. Com, of the Lake County Medical Society Bulletin and  of the Lake County Medical Society Office Manager News.



    Lake County Medical Society:

 "Making Money or Losing Money Under Managed Care Contracts: Winning Strategies in Renegotiating Your Contracts".

    Grand Rounds at Finch University Health Sciences/ The Chicago Medical School:

"Fraud and Abuse: What Does it Mean to the Physician?".

"Ethics, Cost-Effectiveness of Medicine, and Law" – Teleconferenced to Mt. Sinai Hospital, Chicago, IL.

"Impact of Utilization Management on Primary Care Physicians and Specialists".

"Managed Care" - Teleconferenced to Mt. Sinai Hospital, Chicago, IL.

    Northern Illinois Health Executives Counsel (affiliate of "ACHE"):

Presentation on Antitrust in the Health Care area and Self-Referral Laws.

    Association of American Medical College, Central Group on Educational Affairs:

Poster presentation and abstract publication on "Managed Care Course" for medical students.

MEMBERSHIPS:    Admitted to Illinois and Texas State Bars. Member of: American Bar Association, Illinois State Bar Association, American Health Lawyers Association

Contact Information

Questions or Comments - Contact Janet L. Lerman at:, or contact us.

Telephone: (847)835-3747

This site last revised on:  July 28, 2015

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