Confidentiality in Allied Health Flashcards
Demonstrative Evidence
Something that helps illustrate a witness’s testimony, such as a map, chart, photograph, or voice recording.
Competent Evidence
Evidence the court should accept into proof.
Hearsay
Evidence in which witness’s aren’t telling what they know personally, but rather what others have said to them.
Doctor-Patient Privilege
A relationship in which a patients medical history, conditions, and related information can’t be known without that patient’s permission.
Subpoena
A command issued by the court.
Medical Record
A document that includes a patient’s history, condition, diagnostic and therapeutic treatment, and the results of treatment.
Author of a Medical Record
The medical provider who has created the data that appear in the record.
Authentication
The confirmation of the content of an entry in a medical record; must be performed by the person who creates the data.
Age of Majority
When a person becomes an adult.
Certificate of Destruction
Documents that records were properly destroyed in the ordinary course of business.
Informed Consent
A process of communication between a doctor and a patient in which the doctor explains the factors involved in a recommended medical process.
Substituted Consent
An authorized person makes a decision for a person who in unable to do so.
Freedom of Information Ace (FOIA)
A federal law intended to provide access to government records.
Privacy Act of 1974
Prohibits disclosure of certain medical information by government agencies unless the patient gives written consent.
Legal Basis for Confidentiality
The right of privacy derived from the constitution, statutes, and the common law.
Three Groups to which HIPAA Regulations Apply
Health care providers, health plans, healthcare clearinghouse.
Protected Health Information (PHI)
Any individually identifiable health information.
Identifiable Information
Data about a specific person
De-Identifiable Information
Information stripped of data that may identify an individual.
Limited Data Set
Middle group between identifiable and de-identifiable information (for example, geographic data; dates relating to an individual; unique identifying numbers, characteristics, or codes other than those listed under individual indentifiers)
Treatment
The provision of healthcare and related services.
Payment
The activities of healthcare providers to obtain payment or be reimbursed for their services and the activities of a health plan to obtain premiums for their servces and the activities of a health plan to obtain premiums, to fulfill their coverage responsibilities ad provide benefits under the plan, and to obtain or provide reimbursement for the provision of healthcare.
Health Care Operations
Certain administrative, financial, legal, and quality improvement activities of a covered entity that are necessary to run its business and to support the core functions of treatment and payment.
Occupational Safety and Health Administrative (OSHA)
Responsible for enforcing safety rules in the workplace.