Happy Health Medical Clinic
Happy Health
Medical Clinic
Created by, Valerie Buller
Happy Health Medical Clinic
Introduction
Happy Health Medical Clinic is a medium sized facility
We are mandated under state law to abide by HIPAA and HITECH policies and do so with extreme pride.
We have a hybrid, source-oriented filing system
Health records are centralized
We store patient records until death
Patient Records
getting
new information into a patient’s record as soon as possible
not duplicating medical records for the same person It
is extremely important to file patient records as soon as possible to avoid losing patient files!
The difference between clinical and administrative data
Handling
clinical data that a doctor needs to see
Handling
administrative data that a doctor does not need to see
Storage
for patient files:
Rules of the Filing System
Basic
rules of the system
Examples to clarify names or numbers that might be confusing in that system
Temporary and permanent insertion of loose forms and care reports: Health Record Location
where a record is located
Centralized
Record
Type
records management
format: source-oriented records
of filing system: Hybrid
Handling Patient Records
Short-term
Permanent
Archive
circulation of records
Retention
schedule—destruction of records
Routing and Tracking of Records
Routing
and tracking records within areas of our department and out to Xray
Storing
lab reports that come in when a patient’s file is at X-ray
File Security
File
security
Legal
and ethical responsibilities
Patient information is
Safe with Happy
Health Medical
Clinic!
HIPAA
HITECH
Act of
2009
Conclusion
We hope you have enjoyed this presentation!
Reference
Green, M. A., & Bowie, M. J. (2011). Essentials of health information management: Principles and practices (2nd ed.). Clifton Park, NY: Delmar, Cengage Learning.
Bianchi, A. J., Esq. (2009). An overview of the impact of the American
Medical Clinic
Created by, Valerie Buller
Happy Health Medical Clinic
Introduction
Happy Health Medical Clinic is a medium sized facility
We are mandated under state law to abide by HIPAA and HITECH policies and do so with extreme pride.
We have a hybrid, source-oriented filing system
Health records are centralized
We store patient records until death
Patient Records
getting
new information into a patient’s record as soon as possible
not duplicating medical records for the same person It
is extremely important to file patient records as soon as possible to avoid losing patient files!
The difference between clinical and administrative data
Handling
clinical data that a doctor needs to see
Handling
administrative data that a doctor does not need to see
Storage
for patient files:
Rules of the Filing System
Basic
rules of the system
Examples to clarify names or numbers that might be confusing in that system
Temporary and permanent insertion of loose forms and care reports: Health Record Location
where a record is located
Centralized
Record
Type
records management
format: source-oriented records
of filing system: Hybrid
Handling Patient Records
Short-term
Permanent
Archive
circulation of records
Retention
schedule—destruction of records
Routing and Tracking of Records
Routing
and tracking records within areas of our department and out to Xray
Storing
lab reports that come in when a patient’s file is at X-ray
File Security
File
security
Legal
and ethical responsibilities
Patient information is
Safe with Happy
Health Medical
Clinic!
HIPAA
HITECH
Act of
2009
Conclusion
We hope you have enjoyed this presentation!
Reference
Green, M. A., & Bowie, M. J. (2011). Essentials of health information management: Principles and practices (2nd ed.). Clifton Park, NY: Delmar, Cengage Learning.
Bianchi, A. J., Esq. (2009). An overview of the impact of the American