Electronic Signatures Research Paper

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.

Electronic Health Records will include the same information as the paper record. This includes basic patient information such as demographics, medical history, medications, allergies, laboratory results, radiology images, and billing information. (2006) Each individual doctor can specialize their system and what they want it to include. They can add different components to the electronic health record that are important to them and needed in their practice. (2006)

Health information is an important source of information and evidence when the services provided are communicated in legal and professional documentation. It is a documentation which is a legal requirement and a record of the beneficiary’ care as well as a communication vehicle between other disciplines and providers. It not only ensures the services provided to individuals but is a crucial tool to support reimbursement of services and a basis for research. Incomplete and improper documentation potentially may lead into a denial of payment for services as well as question’s the quality of care provided.

Patient’s fifth right is for respect and care without discrimination from all members in the healthcare field. The right to confidentiality and privacy of their health information is sixth on the bill of rights and addresses their right to read, copy and request corrections to their medical record, to talk privately their medical providers and be assured their healthcare information is secure. The seventh right is for patients to have a “fair, fast, and objective review of any health care complaints” (Consumer Bill of Rights and Responsibilities, 1998). And finally our eighth right as patients are our responsibilities we have as the consumer of healthcare services. Patients need to comply with the orders of the medical provider so they can get and stay well. As a patient you must treat other patients and healthcare workers with respect, pay your medical bills in a timely manner, and abide by your selected healthcare plans coverage. As patients become more involved in the total healthcare process they increase the success of their treatment while assisting in lowering associated costs without a reduction in the quality of the healthcare they receive.

Failure to comply with these requirements can have serious consequences – for both organisations and individuals. Sanctions include fines, imprisonment and disqualification.

Any information utilized in, “documenting healthcare or health status,” of a patient must be included in the designated record set (AHIMA, 2011). This includes patient documentation collected on any medium, such as WAVE files or x-ray images (AHIMA, 2011). Consequently, due to the incorporation of clinical, administrative, and other protected private health information, the designated record set is extremely different from the legal health record (AHIMA,

Jim Philips is the attorney for Karen Munstrom. Karen is filing suit against Howard Doe in a domestic dispute. Jim Philips sends Memorial Hospital an original authorization that is signed and dated by Karen Munstrom. The authorization, addressed to your hospital, includes the dates of the records requested. The authorization does not state the type or subject of the information to be disclosed. The records of Ms. Munstrom are related to a stay for alcohol rehabilitation.

In the hospital area itself we must give patients a clear written explanation of the allowable uses and disclosures of their personal health information. We make them sign giving us permission to share their information with other health personal. They must acknowledge a notice of the hospitals privacy policies they are not chastised if they do not sign and may still be treated.

The new user policy section has been modified to require manager approval and validation of the user’s access request based upon the user’s role. Previously the policy only required manager approval for user’s requiring administrator privileges. In accordance with Health Insurance Portability and Accountability Act (HIPAA) standards on access controls, users will have the minimum access required to perform the functions of their job in order to protect against unnecessary access to electronic protected health information (ePHI).

This policy applies to all direct and indirect patient care processes, departments, and facilities of ABC Medical Center (ABC).

Privacy legislation and the legal complexities surrounding the ownership and management of patient information, many physicians are wary about when they may or may not release such information to patient and other parties. All patients have the right to the information in their medical records. In certain situations the physicians have the right to refuse the release of patient information to the patient, if the have any reason to believe that the disclosed information would have a reverse effect on the patient’s mental, physical, emotional health, or cause harm to a third party. When needed to be transferred a copy of the information may be sent directly from the former physician to the new one. In other circumstance the patient can receive the record themselves and hand it directly to the new physician. It is recommended that the original files are not released, instead a photocopy or scan of it may be sent. A physician may release patient information to lawyers and other parties when requested to do so only if the patient or the patient's substitute decision-maker has given authorization, preferably in writing, or if authorized by law or a court order.When information is

yourself how this new policy will affect the way you care for your patients, report clinical

Medical records are not electronic, but paper, which causes them to become lost or misfiled. Physicians need readily access to patient records so they can treat patients effectively.

Electronic health records (EHRs): Medical records are now kept in an electronic versus a paper chart. All health information regarding past and current medical history, treatment plans, and medications are kept in the EHR. The system also allows sharing of medical information from provider to provider as needed. Many HER systems have a feature to allow patients to log into a patient portal to review lab results, diagnostic tests, plans of care, and email access to the provider

game fine. Each additional violation leads to a four game fine, a four game suspension, and