Requestor Case Study

Pretend you supervise the correspondence unit of the health information services department of a medical center. Today, you received a subpoena duces tectum from an attorney, demanding either the originals or copies of all health records concerning Mary Smith, who allegedly is or was a patient of the medical center. The subpoena lacks sufficient information for you to determine whether Mary Smith is or was a patient in your facility. The subpoena is not accompanied by a valid authorization to release information for Mary Smith, as required in your state. (Case Study, p. 62)

I presented Esteban’s case during case consultation because I noticed that I had countertransference when doing his intake. My expectation when presenting this case was to receive feedback that would help me to provide effective treatment to Esteban without my countertransference affecting his treatment. This section of the paper will talk about the feedback I received about my countertransference and how to support Esteban.

Patient portals offer many functions to allow a patient or proxy access to healthcare information to help improve patient healthcare. Within the patient portal a patient can access a portion of their health record; such as “medical history, health issues, medication lists, test results, care plans, allergy list,” schedule appointments, view and pay bills online, request medication refills, fill out forms electronically, and upload clinical information (Sayles 331). In addition, there are other functions that Surae Lucie took advantage of to help get her mother’s health back on track that are recommended by the National Learning Consortium. She used proxy access to access her elderly mother’s record, and sent messages to her mother’s healthcare providers to get her mother’s medication dosage and

Discuss what is required to disclose patient information to family members, friends, and when ordered by courts or government

The system requires the patient and the physician to have access to the Internet, computing devices and login-in credentials. Both physicians and patients would require a username and a secured password to access the portal. Given patient consent, it should be possible to add others as “caretakers” to have access to a filtered view of a patient’s plan for treatment administration.

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

Once the Authorization for the Use and Disclosure of Protected Health Information is complete, the medical record assistant will retrieve the request from a system called, Fax Finder. It is an electronically fax, that is placed on a computer desk top, and retrieves the request forms daily. The request forms are sent from physician offices, patients, and legal matters. After retrieving the request for example, a doctor’s office is requesting records that state the patient is cleared to return to work, after successfully completing a heart stint, the medical record assistant, will then access, Greenway (electronic medical record), and input the patients first and last name, and date of birth. Once the office note is located that states the patient can return to work as normal, it is then electronically faxed to the doctor’s office that was requesting the

made exclusively and directly by the patient to the physician. The request cannot be made on

After the acquisition, the examiner must verify and confirm that the data captured is correct.

But when those involved in these legitimate activities make demands that seem inappropriate, the records must be protected. Disclosure of personal medical information should also be subject to patients’ or families’ consent (Richmond et al. 2009).

The bill even includes specifically identifies safeguards that doctors and nurse practitioners must follow to ensure safety of those who may fall vulnerable or misuse the system. Among other safeguards, they are to ensure that the patient complies with the regulation set by criteria of eligibility, that a written request was formally made and signed by the proper parties, “that the person has been informed that they may, at any time and in any manner, withdraw their request” (Bill C-14, 7), that the timing between the written request and the day of the procedure, and that another medical professional independent to them have signed their request. These duties are left to the doctors or nurse practitioners to oversee the overall procedure. As

Privacy and confidentiality are basic rights in our society. Safeguarding those rights, with respect to an individual’s personal health information, is our ethical and legal obligation as health care providers. Doing so in today’s health care environment is increasingly challenging (OJIN, 2005).

1) A valid picture ID (Primary ID), such as a government-issued photo identification card, a Driver’s

As stated, any such proceeding of an examination of an extension request in relation to the Work Schedule and in relation to variations that were approved by Prof. Wittke in the excavation rate takes place, according to the agreement, in real time, immediately after an extension request is filed, and not after all the works have been completed. I should point out: first, as stated in the affidavit of Mr. Giang Aimin, the defendants' claim that there was a change the variation in the round of excavation in dolomite and chalk rock is completely denied. Moreover, even if there was such change it was known to the defendants already at the time of signing the agreements3rd .addendum.

While a mother was escaping an abusive relationship in search of welfare assistance, she took her thirteen-year-old daughter along with her. “Genie,” as she was called, intrigued the social worker in the welfare office. She was mesmerized by Genie’s posture, size, and stance. Curiously enough, the worker thought Genie might have been a case of unreported autism in a possible six- to seven-year-old (Rymer 1993). As a result, the worker notified her supervisor, who contacted the police.