primary health care

Question 1

*an essential health care made universally acceptable to individuals
and families in the community by means acceptable to them through
their full participation and at a cost that the community and country
and afford at every stage of development

Answer 1

WHO

Question 2

Pyramidal health structure

Answer 2

Tertiary, Secondary, Primary

Question 3

1 ex. Tertiary health care

Answer 3

National health services

Question 4

3 secondary health care

Answer 4

1. Regional health services,
2. District health services,
3. Rural services

Question 5

Primary health care

Answer 5

1. Rural health units,
2. barangay health stations

Question 6

2 types or primary health care workers in ph

Answer 6

1. Barangay health workers,
2. Intermediate level primary health worker

Question 7

4 pillars of primary health care

Answer 7

1. Community participation
2. support mechanism made available,
3. intersectoral coordination,
4. Appropriate technology

Question 8

Elements of primary health care

Answer 8

1. Education
2. Water and sanitation
3. Nutrition
4. Maternal and child health
5. Immunization
6. Prevention of endemic disease
7. Treatment
8. Drug availability

Question 9

governed by multiple state and federal laws and
regulations in addition to those for licensure and certification

Answer 9

Health care information (patient specific information)

Question 10

Signature on a document

Answer 10

Authentication

Question 11

Involved burning or shredding

Answer 11

Destruction of records

Question 12

Legal aspects of managing health information

Answer 12

✔address the medical record as a legal document, including
the issues of retention and authentication of health care
information, and the privacy and confidentiality of patient
information

Question 13

AHIMA

Answer 13

American health information management association

Question 14

GINAGAWA NG AHIMA?

Answer 14

• “Guidelines for Defining the Health Record for Legal
  Purposes”
• define the legal health record (LHR) as the
  documentation of the healthcare services provided
  to an individual in any aspect of healthcare delivery
  by a healthcare provider organization

Question 15

LHR (Legal health Record)

Answer 15

1. Documentation of the healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare provider organization.
2. • includes records of care in any health-related setting used
     by healthcare professionals while providing patient care
     services, for reviewing patient data, or documenting
     observations, actions, or instructions.

Question 16

What does LHR exclude

Answer 16

✔health records that are not official business records of a
healthcare provider organization
✔records such as personal health records (PHRs) that are
patient controlled, managed, and populated

Question 17

Examples of documentation found in the LHR:

Answer 17

*advance directives
* anesthesia records
* care plan
* consent for treatment forms
* consultation reports
* discharge instructions
* discharge summary
* e-mail containing patient-provider or provider-provider
communication

Question 18

Patient-identifiable source data

Answer 18

• data from which interpretations, summaries, notes, etc.,
  are derived.

Question 19

Examples of patient-identifiable source data:

Answer 19

• analog and digital patient photographs for
  identification purposes only
• audio of dictation
• audio of patient telephone call
• diagnostic films and other diagnostic images from
  which interpretations are derived

Question 20

Patient-identifiable source data

Answer 20

*electrocardiogram tracings from which interpretations
are derived
* fetal monitoring strips from which interpretations are
derived
* videos of office visits
* videos of procedure
* videos of telemedicine consultations

Question 21

Administrative data

Answer 21

-patient-identifiable data used for administrative,
regulatory, healthcare operations, and payment (financial)
purposes

Question 22

authorization forms for release of information

Answer 22

• birth and death certificates
• correspondence concerning requests for records
• event history/audit trails
• patient-identifiable claim

Question 23

Derived data

Answer 23

• consists of information aggregated or summarized from patient
  records so that there are no means to identify patients.

Question 24

Examples of derived data

Answer 24

accreditation reports
* anonymous patient data for research purposes
* best practice guidelines created from aggregate patient data
* Minimum Data Set (MDS) report
* public health records
* statistical reports

Question 25

What 2 do when there is no specific retention requirement made by the state?

Answer 25

all patient info that is part of the LHR should be maintained at least as long as the state’s statute of limitations or other regulation requires.

Question 26

AHIMA

Answer 26

recommended retention standards

Question 27

state that patient health records for adults should be retained for
ten years after the most recent encounter and patient health
records for children should be retained until the time the person
reaches the age of majority plus the time stated in the relevant
statute of limitations

Answer 27

AHIMA

Question 28

AHIMA destruction guidelines

Answer 28

Destroy the records so there is no possibility of
reconstruction.
✔ Burn, shred, pulp, or pulverize paper.
✔ Recycle or pulverize microfilm or microfiche.
✔ Pulverize write-once read-many laser disks.
✔ Degauss computerized data stored on internal or
external magnetic media (that is, alter the magnetic
alignment of the storage media, making it impossible to
recover previously recorded data)

Question 29

AHIMA DESTRUCTION GUIDELINES OF DOCUMENTING THE DESCRUCTION

Answer 29

AHIMA destruction guidelines:
❑Document the destruction.
✔Date of destruction.
✔Method of destruction.
✔Description of destroyed records.
✔Inclusive dates of destroyed records.
✔A statement that the records were destroyed in the
normal course of business.
✔ Signatures of individuals supervising and witnessing the
destruction.

Question 30

“The validation of correctness
for both the information itself and for the person who is
the author or the user of the information”

Answer 30

Authentication

Question 31

✔created when the provider enters a unique code,
biometric, or password that verifies his or her identity.
✔electronic signatures show up on the computer screen or
printout in this form: “Electronically authenticated
by____________”
✔accepted by both The Joint Commission and CMS.

Answer 31

Electronic signature

Question 32

• an individual’s constitutional right to be left alone, to be
  free from unwarranted publicity, and to conduct his or
  her life without its being made public.
• individual’s right to limit access to his or her health care
  information.

Answer 32

privacy

Question 33

• the expectation that information shared with a health
  care provider during the course of treatment will be used
  only for its intended purpose and not disclosed otherwise.
• relies on TRUST

Answer 33

Confidentiality

Question 34

• Philippine AIDS Prevention and Control Act of 1998
• Approved on Feb. 13, 1998
• All results of HIV/AIDS testing shall be confidential

Answer 34

RA 8504

Question 35

It shall be released only the following:
* Person who submitted himself/herself to such test
* Either parent of a minor child who has been tested
* Legal guardian in case of insane persons or orphans
* Person authorized to receive such results in conjunction
with the AIDSWATCH program
* Justice of the Court of Appeals or the Supreme Court

Answer 35

RA 8504