HS101-02 Uint 8 Project

Topics: Food and Drug Administration, Controlled Substances Act, Drug Enforcement Administration Pages: 5 (1533 words) Published: March 11, 2014
HS101: A Day in the Life – Unit 8 Project Part I: A patient has just left the office after having an outpatient surgery procedure. As you get ready to put away the patient’s file, you realize that the patient has forgotten to take his prescriptions and after-care instruction sheets home with him. It is vital for proper healing and recovery for the patient to have these documents. You know you will have to contact this patient so you look inside for his contact information and signed HIPAA Release of Information form. 1. Under HIPAA, are you legally allowed to view this patient’s medical information? Why or why not? Under HIPAA, I would not be legally allowed to view this patient’s medical information. As a certified medical assistant I am not able to view the patients file without having prior authorization. Today in most medical offices they have their personnel sign HIPPA and confidentially forms stating the rules and regulations of their position. This is to prevent HIPPA violations and confidentiality breeches. But sense the patient just had surgery he must have signed a records release form which then makes it okay to retrieve his contact information for this situation.

2. In this case, how would you be able to correct your error and provide the missing documents and instructions to the patient while still protecting patient confidentiality under HIPAA?

In a case where prior authorization has been given it would be okay to contact the patient and inform them of the situation. If prior authorization has not been established as a medical professional you would need to address the issue to someone who does have authorization to access the file and contact the patient.

3. Besides a HIPAA Patient Release of Information form, list 4 other items that are found in the medical record.

Other items that can be found in a medical record include things like progress notes or physician’s notes. Test results would be another thing that would be included in a medical record file. Insurance is an important asset that is included in almost every medical record. The insurance is included for billing purposes. Lastly a copy of patient identification card, social security number, and other information used to contact purposes such as address and phone number.

4. Legally, does the patient or the physician/healthcare facility own the medical record? Why? In most states your health record is the physical property of the healthcare provider/facility but you as a patient also have rights. These rights are as follows: Review and/or have a copy of that record

Ask to have your medical record corrected
Not have your medical information disclosed to others unless you direct them to do so or unless the law authorizes or compels the physicians office to do so

5. List 3 ways patient confidentiality is maintained in the reception/waiting area of a medical office.

There are many different ways a reception/waiting area of a medical office can help to maintain confidentiality. One being, when calling a patient back to be seen only use their first names instead of their full name. Another would be, when the patients are signing in there should always be a way to cover up their names to avoid other patient from looking at their information. Lastly there should be a way that conversation is not heard by others in the waiting area, such as a portioned wall for example.

6. A breach of confidentiality can result in what consequences for a health care professional?

Every doctor’s office or hospital has its own rules and standards for how to prevent breach of confidentiality. They also have their own disciplinary acts. Some may give write ups or demote the employee. But worse case scenarios would involve a lawsuit or having to pay fines. Depending on the state some fine can reach up to $250,000.00 depending on the type of confidentiality violation.

7. From the list of Interpersonal Ethics (found on...
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