UNIT 1: Health Care Information Regulations, Laws and Standards Flashcards
1
Q
What is the basic duty of the government?
A
To serve the public
2
Q
Communism:
A
problem is their fairness to all
3
Q
EQUALITY:
A
Lahat kau pare-pareho regardless of report
4
Q
EQUITY:
A
bibigay lng kung ano kailangan mo para maachieve ang equal
5
Q
All or none is/are the intermediate primary level health workers
A. Barangay health workers
C. Nurses
B. Doctors
D. Midwives
A
A. Barangay health workers
6
Q
All or none is/are the main sources of financing
A. Government fund
B. Social insurance
C. Out of pocket
D. Universal health care
A
A. Government fund
7
Q
According to the AHIMA data privacy regulation, the patients’ record should retain up to
A. 1 year
B. 5 years
C. 10 years
D. 15 years
A
C. 10 years
8
Q
main sources of financing
A
-national and local government
-insurance
-user fees
-donors
9
Q
health care delivery system
A
Both health facilities and health human resources
10
Q
good health care outcomes:
-increase life expectancy
-all except high birth rates
-low death rates
-high birth rates
A
-all except high birth rates
11
Q
refers to decisions, plans, and
actions that are undertaken to achieve
specific health care goals within a
society.
A
health policy
12
Q
universal health bill
A
R.A. 11223
13
Q
gives a facility legal approval to operate.
A
Licensure
14
Q
health care organization the authority to participate in several programs
A
Certification
15
Q
Health Facilities
A
- Government hospitals
- Private hospitals
- Primary health care facilities
1224 hospitals
2587 city/rural health centers
20,216 village health stations
16
Q
The main drivers of the health care system and are essential for the
efficient management and operation of the public health system.
A
health human resources
17
Q
They are the health educators and providers of health services
A
health human resources
18
Q
it outlines priorities and the
expected roles of different groups; and
it builds consensus and informs people.
A
health policy
19
Q
Every Filipino, including overseas Filipino workers, are eligible for
preventive, promotive, curative, rehabilitative, and palliative care
upon automatic enrollment to the government’s health insurance
program.
A
R.A. 11223(universal healthcare bill)
20
Q
- the Philippine Health Insurance Company (PhilHealth) will have
expanded coverage to include free consultation fees, laboratory tests
and other diagnostic services.
A
R.A. 11223(universal healthcare bill)
21
Q
- to improve doctor-to-patient ratio, upgrades hospital bed capacities
and equipment and established more hospitals in remote areas.
Universal Health Care (UHC) Bill into law
(Republic Act No. 11223)
A
R.A. 11223(universal healthcare bill)
22
Q
“Only confirmed COVID-19 cases by RT-PCR test who have developed
severe illness or are with clinical and diagnostic manifestations of
COVID-19 that require hospital admissions starting November 26, 2020
shall be eligible to claim for COVID-19 inpatient packages with package
codes C19IP1, C19IP2, C19IP3, and C19IP4. Claims shall be
processed and paid based on the applicable guidelines set in PhilHealth
CircularNo. 2020-0009.”
A
Phil health Circular no. 2021-008
23
Q
an external review process that an organization elects to
undergo.
A
Accreditation
24
Q
All facilities must have a license to operate, and it is generally
the state department of health or a similar agency that carries
out the licensure function.
A
Licensure(hospital/facilities)
25
tend to emphasize areas such as physical plant
standards, fire safety, space allocations, and sanitation.
Licensure regulations
26
usually granted after some form of examination or proof of
education and may be renewed periodically through
payment of a fee and/or proof of continuing education or
professional competence.
LICENSURE TO INDIVIDUALS/PROFESSIONALS
27
CPD Act of 2016
RA10912
28
❖Amendments to the Revised Guidelines on CPD Program for All
Registered and Licensed Professionals
PRC Resolution No. 2016-990
29
❖Initially 45 Credit units required for every 3 years
PRC Resolution No. 2016-990
30
✔Professionals working abroad shall not be covered by the CPD
requirement during the period of their employment abroad.
IRR of the Republic Act 10912 (March 1, 2019)
31
✔Newly licensed professionals shall be exempted from CPD
requirements for their first renewal
IRR of the Republic Act 10912 (March 1, 2019)
32
✔CPD councils shall reduce the required CPD units to a minimum
which shall not be more than 15 CPD units
IRR of the Republic Act 10912 (March 1, 2019)
33
✔All seminars attended by licensed professionals should be
recognized as CPD units and shall be accepted as valid for the
renewal of their licenses
IRR of the Republic Act 10912 (March 1, 2019)
34
granted following an on-site inspection to determine if
minimum health and safety standards have been met.
ORGANIZATIONAL LICENSURE
35
is an ongoing requirement for
the health care organization to continue to operate and
care for patients
Maintenance of licensure (ORGANIZATIONAL LICENSURE)
36
certification usually implies that the individual has
received additional education and training, and demonstrated
competence in a specialty area beyond the minimum
requirements set for licensure.
(Certification) Applied to individual practitioners
37
certification usually implies that the organization has
additional services, technology, or capacity beyond those
found in similar organizations.
(Certification) Applied to an organization
38
Often a voluntary process in which organizations choose to
participate, rather than one required by law and regulation.
Accreditation
39
usually regarded as optimal and achievable, and are designed
to encourage continuous improvement efforts within
accredited organizations.
* Accreditation standards
40
is made following a periodic on-site evaluation by a team of
peer reviewers, typically conducted every two to three years.
* Accreditation decision
41
CPD
CONTINUING PROFESSIONAL DEVELOPMENT
42
PTAHF, Inc.
Philippine Tripartite Accreditation for
Health Facilities, Inc.
43
an independent, non-profit organization, dedicated to
improve and promote quality and safety in the delivery of
health care in the Philippines through continuing review of
performance, assessment and accreditation.
PTAHF, Inc.
44
3 Major organization of PTAHF, Inc.
*ANSAP
*AHA
* PAGHAO
45
ANSAP
Association of Nursing Service Administrators of the Philippines
46
AHA
Association of Health Administrators of the Philippines
47
PAGHAO
Philippine Association of Government Hospital Administrative Officers
48
1.Standard Development Department
2.Research and Training
3.Accreditation Department and Assessment and Monitoring
Department.
4. It offers assessment and accreditation, including: research
and development, training and capability building for
assessors and implementers.
Four Key Sections:
49
We only have so far one National Hospital which is the
Philippine General Hospital (PGH)
50
The one that you really needed the MOST (PRIORITY)
PRIMARY
51
should be accessible to ALL, but if not to MOST
PRIMARY HEALTH CARE(PHC)
52
introduced the Hospital
Accreditation Commission (HAC)
Department of Health (DOH
53
Before HAC was created, _______did the accreditation of
hospitals through surveys.
PhilHealth
54
are
eligible for the reimbursement of hospital
expenses and professional fees.
PhilHealth’s Benchbook Standards
55
primary health care includes the Rural Health going to Regional Health ends to the National Services
PYRAMIDAL
HEALTH STRUCTURE
56
According to WHO, it is 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.
Primary Health Care(PHC)
57
PILLARS OF PRIMARY HEALTH CARE(PHC)
*community participation
*support mechanism made available
*inter-sectoral coordination
*appropriate technology
58
ELEMENTS OF PRIMARY HEALTHCARE(PHC)
*education
*water and sanitation
*nutrition
*maternal and child health
*immunization
*prevention of endemic disease
*treatment
*drug availability
59
society approach
PHC: PRIMARY HEALTHCARE
60
INDIVIDUAL APPROACH
Medicine
61
PWEDE ka nila tignan, pero you might not be given the full service
ALLOTMENT
62
Social and Human Approach to address health care needs
Community participation: COMPAR
63
If the person acknowledges that there is something wrong with them and they can do something about it, then you have reached______-
Community participation: COMPAR
64
CHANGE on Primary Health Care starts with____
person that have acknowledgement
65
These are called extended elements in the 21st century wherein expanded options of immunization, reproductive health needs and other provisions depending on the essentials
8 elements of PHC
66
E: Education Concerning Prevailing Health Problems
L: Locally Endemic Disease Prevention and Control
E: Expanded Program for Immunization
M: Maternal and Child Health Care including Family Planning
E: Essential Drug Arrangement
N: Nutritional Food Supplement
T: Treatment of Communicable and Non-communicable diseases and the Promotion of Mental Health
S: Save Water and Sanitation
E.L.E.M.E.N.T.S.
67
Most common health promotion
Health Education
68
one of the most voted methodologies for information dissemination and promotes the partnerships of both the family members and health care workers.
Health Education
69
Kapag tinukso ng lalaki ang babae at pinagsamantalahan sya
RAPE (Unconsented sex with violence)
70
Kapag ang babae ang nanukso sa lalaki
normal
71
a file folder full of paper house in a self information management department known as____-
Patient’s record in MEDICAL records
72
Privacy is an individual while Confidentiality is group of individuals (T/F)
True
73
RA 8584 is for HIV (T/F)
True
74
Result of RA 11223: Universal Healthcare Bill is the Philhealth (T/F)
True
75
Accreditation comes after Certification (T/F)
True
76
Health outcomes focus on control disease than satisfaction of patients (T/F)
True
77
Privacy individuals constitutional rights to be left alone (T/F)
True
78
government made from public and private facilities for common people (T/F)
False
79
Life expectancy focus on time until death (T/F)
True
80
governed by multiple state and federal laws and
regulations in addition to those for licensure and certification.
Health care information (patient-specific information)
81
signature on a document
Authentication
82
involved burning or shredding.
Destruction of records
83
✔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.
Legal Aspects of Managing Health Information
84
American Health Information Management Association
AHIMA
85
the
documentation of the healthcare services provided
to an individual in any aspect of healthcare delivery
by a healthcare provider organization
legal health record (LHR)
86
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.
legal health record (LHR)
87
✔health records that are not official business records of a
healthcare provider organization
legal health record (LHR) excludes
88
✔records such as personal health records (PHRs) that are
patient controlled, managed, and populated.
legal health record (LHR) excludes
89
data from which interpretations, summaries, notes, etc.,
are derived
Patient-identifiable Source data
90
* 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
documentation found in the LHR
91
* 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
Examples of patient-identifiable source data
92
* 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
Examples of patient-identifiable source data
93
patient-identifiable data used for administrative,
regulatory, healthcare operations, and payment (financial)
purposes.
Administrative data
94
* authorization forms for release of information
* birth and death certificates
* correspondence concerning requests for records
* event history/audit trails
* patient-identifiable claim
Examples of Administrative data
95
* consists of information aggregated or summarized from patient
records so that there are no means to identify patients.
Derived data
96
* 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 report
Examples of Derived data
97
-majority of states have specific retention requirements for
health care information.
-these state requirements should be the basis for the health
care organization’s formal retention policy.
-when no specific retention requirement is made by the state,
all patient information that is a part of the LHR should be
maintained for at least as long as the state’s statute of
limitations or other regulation requires.
Retention of Health Records
98
“recommended retention standards”
American Health Information Management Association(AHIMA)
99
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.
American Health Information Management Association(AHIMA)
100
✔ 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).
AHIMA destruction guidelines:
*Destroy the records so there is no possibility of
reconstruction.
101
✔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.
❖Maintain the destruction documentation indefinitely.
AHIMA destruction guidelines:
*Document the destruction.
❖Maintain the destruction documentation indefinitely.
102
“The validation of correctness
for both the information itself and for the person who is
the author or the user of the information”
The Joint Commission Hospital Accreditation Manual
defines authentication(Authentication of Health Record Information)
103
✔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.
Electronic signatures
104
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.
Privacy
105
individual’s right to limit access to his or her health care
information
Privacy
106
* 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.
Confidentiality
107
* relies on TRUST
Confidentiality
108
* Philippine AIDS Prevention and Control Act of 1998
* Approved on Feb. 13, 1998
* All results of HIV/AIDS testing shall be confidential.
RA 8504
109
* All results of HIV/AIDS testing shall be_______
confidential
110
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
RA 8504
