Compliance Management Case Study
Response to Compliance Management Scenario Compliance management is a complicated and ever expanding portion of the Health Information Management (HIM) field. As federal, state and local laws are created and revised, HIM professionals must stay current of not only the regulations but also the consequences of non-compliance. Along with federal, state and local laws, attention must be paid to the guidelines of various accreditation and credentialing bodies.
Scenario Mistakes, Type of Violation and Preventative Solution
There are several mistakes made in the provided Compliance Management Scenario. These mistakes include the nurse’s public announcement of the issue, Sue’s access of the chart to discover information about the patient’s diagnosis,
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Managers in the health information department are in a prime spot to guide their peers to a greater level of compliance and therefore, a lesser risk of legal consquences. Per the American Health Information Management Association (AHIMA): Health information management (HIM) is the practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality patient care. It is a combination of business, science, and information technology. (AHIMA, 2018) HIM professionals, therefore, can use many tools, such as auditing, to discover areas where compliance is lacking and in turn use targeted education to help prevent any …show more content…
There are strict rules and regulations in place when releasing patient information. Written consent for the release of information is required in almost all circumstances. Authentication of the patient or the patient’s authorized representative is also required. Attention must also be paid to what type of information is beinging released and to whom it is being released to. While all health information is protected there are several types of health information, like genetic testing, that have additional restrictions. Also, some information is allowed to be released with out written consent, normally in regards to treatment, payment or operations of the organization. Due to the fact of being so intricate, compliance can be difficult to ensure. This is because there are so many different reasons for the release of health information and it in turn can be used in multiple different ways. That being said, “quality control practices should be comprehensive enough to cover the release of information for any purpose. (Bock, Demster, Dinh, Gorton, & Lantis, November
Arcadia Healthcare Solutions Integration Project: Ethical And Legal Issues
515 Words | 3 PagesWith privacy being of the utmost importance within a medical practice, HIPAA compliance can be a significant legal issue when implementing the AHSI Project into production. HIPAA compliance is a very important legal issue that should be reviewed by the legal team on any project. Encryption is also important as a legal issue, if the software is not encrypted and patient information is not protected, it can be a HIPAA violation as privacy is. Trust as a legal issue involves HIPAA compliance as well as trust in the legal system that CareMount Medical
HIPAA Regulations: Limiting Or Disclosing PHI?
706 Words | 3 PagesHIPAA regulations state that when using or disclosing PHI (protected health information) or when requesting PHI from another covered entity (a doctor’s office, dental practice, etc), a covered entity must make reasonable efforts to limit PHI, to the minimum necessary, to accomplish the intended purpose of the use, disclosure or request. So how do we accomplish the goal of limiting our PHI access and requests to the minimum necessary level? We look at three basic areas: levels of access to PHI, requesting PHI, and sending PHI. Giving employees specific levels of access to PHI
HIPAA Breaches Case Study
540 Words | 3 PagesThing can fall through our fingers yes, but it is the organizations job to follow the right procedures mandated by the law. This in turn can contribute to finding better ways to protect patient’s personal information and keep the hospitals quality for caring and protecting their members not just their physical needs, but personal needs as
The HIPAA Act Of 1996: Protecting Patient Confidentiality
96 Words | 1 PagesHealthcare providers and organizations are obligated and bound to protect patient confidentiality by laws and regulations. Patient information may only be disclosed to those directly involved in the patient’s care or those the patient identifies as able to receive the information. The HIPAA Act of 1996 is the federal law mandating healthcare organizations and clinicians to safeguard patient’s medical information. This law corresponds with the Health Information Technology for Economic and Clinical Health Act to include security standards for protecting electronic health information. The healthcare organization is legally responsible for establishing procedures to prevent data
Accountability Act (HIPAA) Of 1996
254 Words | 2 PagesThe Health Insurance and Portability and Accountability Act ( HIPAA) of 1996 provides security provisions and data privacy for protecting a patient’s medical information. HIPAA has guidelines to ensure that a patient’s confidentiality is maintained while allowing the communication of a patient’s medical records between certain bodies or people or officials. Officials that a patient’s medical records can be shared with are other health care providers, health plans, business associates, and health care clearinghouses. HIPAA protects all “ individually identifiable health information”. There is a specific protocol to follow when sharing a patient’s medical information.
Montana Code 50-602
753 Words | 4 PagesIn this case, criminal charges are established between healthcare organizations and the government. The punishment may involve a fine and/or imprisonment (McWay, 2014, pp.
Patient Confidentiality
1406 Words | 6 PagesThere will be patients that dislike the EHR and prefer the old fashion paper system as they believe that to be a safest way to store information. Ethical and social implications of Electronic Health records are not limited to, hacking, provider ’s neglect of loosing laptops with patient confidential information, leaving other patient records up while a different patient is in the room. Insufficient training for staff as many staff may not be properly trained in implementing HIPPA which compromises patient’s privacy. Over worked staff may input wrong information in the EHR such as inaccurate spelling and recording of patients’ name and current medication history.
The American Health Information Management Association (AHIMA)
545 Words | 3 PagesThis includes creating, managing and following patient data. The American Health Information Management Association (AHIMA) defines information governance as “an organization wide framework for managing information throughout its lifecycle and for supporting the organization’s strategy, operations, regulatory, legal, risk, and environmental requirements.” In today’s healthcare system, it is more important than ever to know and understand how healthcare information is created, transferred and used. Due to the development of systems such as electronic health records and clinical decision support systems it is important that health information maintains its reliability and validity throughout its
The Importance Of HIPAA Violation
427 Words | 2 PagesHIPAA Violation rocks hospital! An employee at St. Charles Health system accessed over 2400 patients’ medical records over a two-year period because they were curious. We all know that curiosity killed the cat and now it may have direr consequences for this curiosity seeker and the hospital system. HIPAA Violation without intent to commit fraud The employee who viewed the protected health information (PHI) without a legitimate reason to do so is in jeopardy of large civil fines, loss of their respective clinical license and criminal prosecution.
What Is HIPAA Exception?
495 Words | 2 PagesViolations of this law may include disciplinary actions, criminal penalties and fines, and possibly imprisonment. To conduct this investigation, the first step I would need to take is to find out whether HIPAA trainings were conducted though all the staff members at this hospital. Many people violate HIPAA laws without even being aware that they are in contravention. Ultimately, it is the hospital’s responsibility to ensure that their staff members are trained on these laws to ensure compliance, and reduce violations. Although the lack of awareness of HIPAA violation laws is not an excuse, this is also a matter to be taken into consideration before concluding my final decision.
Summary Of HIPAA Violations
364 Words | 2 PagesAll healthcare facilities have the duty to protect their patient’s health information. This is ensured through the Health Portability and Accountability Act (HIPAA) (Health and Human Services (HHS), 2015). When HIPAA is violated, there are civil and criminal penalties that will be charged against the offender (American Medical Association (AMA), n.d.). The purpose of this post is to discuss HIPAA laws and penalties. I will also discuss the charges pressed against Dr. Zhou for violating HIPAA laws.
Julie Thao's Medication Attack Case Study
541 Words | 3 PagesThere were specific situations that led to the cause of Julie Thao's actions of medication error and the death of Jasmine. The situation could have completely been avoided had Julie followed the code of ethics and avoided shorts to provide proper care for the patient. The state claimed that Thao's mistake was caused by actions, omissions and unapproved shortcuts, however, there were other factors that played a role in her carelessness as well. While failure to comply with procedure has been a factor in the medication administration error, other factors contributed as well. For example, failure to properly use the information system, or to ignore alerts or warnings have also resulted in preventable errors (Nelson, Evan, & Gardener, 2005).
Essay On Resources In Compliance Toolbox
1027 Words | 5 PagesResources in Compliance Toolbox Abigail Gamez Arizona State University HCR 460: Investigations and Disclosures Marion Richardson April 28, 2023 An effective compliance program is an essential component of a healthcare organization. A successful compliance program contributes to the success of a company. A compliance program must be legally effective, properly implemented and consistently enforced internally (OGC Solutions, 2020). In order to achieve this, a compliance program must abide to the 7 elements of a compliance program.
Response To Compliance Management Scenario
1265 Words | 6 PagesResponse to Compliance Management Scenario Compliance management in a complicated and ever expanding portion of the Health Information Management (HIM) field. As federal, state and local laws are created and revised, HIM professionals must stay current of not only the regulations but also the consequences of non-compliance. Along with federal, state and local laws, attention must be paid to the guidelines of various accreditation and credentialing bodies. Scenario Mistakes, Type of Violation and Preventative Solution There are several mistakes made in the provided Compliance Management Scenario.
Ethical Standards Of Confidentiality
505 Words | 3 PagesThe Ethics Code, however, is more specific to identifying the rules and regulations as it relates to scientific, educational, or even professional roles of practitioners that are working in the field and, therefore, are designed to establish which activities are (or are not) compliant with the Standards and Principles of psychologists in order to establish the basis for the application of sanctions in the wake of an ethical violation (APA, 2010). Nevertheless, the guidelines for patient privacy and confidentiality can be found in the fourth section of the Ethics Code, which includes information for maintaining confidentiality, identifying the limits of confidentiality, minimizing intrusions of privacy, the purpose of disclosing private information, and reasons for using confidential information (APA,
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