6 Questions and Answers about Health Care

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1. T = treatment.
You can view a medical record for the purpose of providing treatment to an
individual.
P = payment. You can look at a medical record to obtain the necessary
information to construct an accurate bill.
O= operations.

Always ask TPO every time a chart is
accessed. If the answer is ‘no” to all three STAY OUT!!

Can you share
examples where people should not have been in a record and what the
consequences (if any) were?

1. What
are the breach notice requirements for business associates and covered entities
under the HITECH Act (2009)? What are the ethical responsibilities of an
administrator responding to a breach?

  1. How can an administrator in a health care organization
    influence others in the organization to use data legally and
    ethically? How can an administrator respond to reluctance to comply
    with legal and ethical standards?

  2. 1.
    When considering HIPAA, be sure to understand
    the minimumHIPAA.
    Just because somebody/some entity is entitled to
    information doesn’t mean it is a free for all. There are limits to what is
    available and for what reasons. You can also think about it along the lines of
    being on a “need to know” basis. Think TPO (see previous post),
    “need to know” and minimum necessary standard rule.

    How does your facility encourage complying
    with this?

  3. How can an administrator in a health care organization
    influence others in the organization to use data legally and
    ethically? How can an administrator respond to reluctance to comply
    with legal and ethical standards?

  4. 1.
    How
    would you handle the employee who individually takes records home and then
    leaves them inadvertently on the subway, for example? Is the scenario
    different if employees are permitted to take records home, but are required to
    safeguard them than if employees are discouraged from

  5. What are the legal requirements of data reporting,
    electronic prescribing, preventive data indicators, and quality data
    reporting? What can an administrator do to promote ethical and legal
    compliance by the organization?

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