Compliance Management Case Study

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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,…show more content…
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
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