HIPAA Flashcards
Alabama State ADA coordinator and assistant attorney General
Graham Sisson
Gov office of disability main goals:
Liaison for information
Information of resources
Single violation, Multiple violations in a single year, Wrongful disclosure, Wrongful disclosure under false pretenses, and Wrongful disclosure with intent to profit or harm can cause fines from $100 to $250k and 18yrs is prison
HIPAA Violations
Shows respect and used when providing services
Can involve pt/client, family, sponsor, ect.
Informed consent
6 parts of patient/client management process
Examination
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes
who are you, name, title, why you think they are there or ask them, what you do
Orientation
gathering information
chart review
Examination
interpreting information
using OT brain from examination
Evaluation
Diagnostic codes
ICD-10 codes
POMR
Problem oriented medical record
SOMR
Source oriented medical record
Organization by the source of the information
POMR
More common method that organizes the medical chart based on relevance of the documents to a specific problem or treatment
SOMR
IDT
Interdisciplinary team
D/c planning begins where?
At eval
