Unit 2 - Lesson 3: Confidentiality In Allied Health Flashcards
Something that helps illustrate a witness’s testimony, such as a map, chart, photograph, x-ray, video tape, movie, sound recording, or model
Demonstrative evidence
Evidence the court should except into proof
Competent evidence
Evidence in which witnesses aren’t telling what they know personally, but rather what others have said to them
Hearsay
A relationship in which a patient’s medical history, conditions, and related information can’t be made known without that patient’s permission
Doctor-patient privilege
A command issued by the court
Subpoena
A document that includes a patient’s history, condition, diagnostic and therapeutic treatment, and the results of treatment
Medical record
A medical provider who has created the data that appears in the record
Author of a medical record
The confirmation of the content of an entry in a medical record; must be performed by the person who creates the data
Authentication
When a person becomes an adult
Age of majority
Documents that records were properly destroyed in the ordinary course of business
Certificate of destruction
A process of communication between a doctor and a patient in which the doctor explains the factors involved in a recommended medical process
Informed consent
An authorized person makes a decision for a person who is unable to do so
Substituted consent
A federal law intended to provide access to government records
Freedom of information act (FOIA)
Prohibits disclosure of certain medical information by government agencies unless the patient gives written consent
Privacy act of 1974
The right of privacy derived from the constitution, statutes, and the common law
Legal basis for confidentiality
Healthcare providers, health plans, healthcare clearinghouses
Three groups to which HIPAA regulations apply
Any individually identifiable health information
Protected health information (PHI)
Data about a specific person
Identifiable information
Information stripped of data that may identify an individual
De-identified information
Middle ground 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 identifiers)
Limited data set
The provision of healthcare and related services
Treatment
The activities of healthcare providers to obtain payment or be reimbursed for their services and the activities of a health plan to obtain premiums, to fulfill their coverage responsibilities and provide benefits under the plan, and to obtain or provide reimbursement for the provision of healthcare
Payment
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
Healthcare operations
Responsible for enforcing safety rules in the workplace
Occupational safety and health administration (OSHA)
An employee who informs OSHA of illegal activities
Whistle blower
One method many states used to arrange the consents required for the release of identifying information related to adoptions
Mutual consent registry
Refers to the excessive use or abuse of alcohol or drugs
Substance abuse
Adopted in 2008; designed to prevent the discriminatory use of genetic information by employers and insurers
Genetic information nondiscrimination act
Serves as the national focus for developing in applying disease prevention and control, environmental health, and education activities designed to improve the health of the people of the United States
Centers for disease control and prevention (CDC)
The most common screening test used to look for HIV antibodies
Enzyme immunoassay(EIA)
Popularly known as home testing kits; first licensed in 1997; used to collect a blood sample to send to a licensed laboratory for testing
Consumer-controlled test kit
Transmitted in four common ways: high risk sexual contact, injection drug use, transmission from mother to child around the time of birth, blood transfusions and other unknown causes
Ways to transmit HIV/AIDS virus
The CDC has recommended this testing for all Americans between 13 and 64 as a regular part of their healthcare
Routine HIV testing
Identifies areas of risk to medical service providers
Risk management
A planned, systematic, and proactive process; in the area of healthcare, providers such as hospitals identify those activities, problems, and situations that may result in potential liability for the hospital, it’s employees, physicians, and even others
Loss prevention
The steps taken after an event or incident occurs
Loss reduction
Proper documentation of adverse incidents that occur during the treatment of a patient
Incident report
Consist of health professionals who monitor the quality and use of healthcare services
Peer review committees
Technologies that identify people through bodily characteristics, such as fingerprints, retinal patterns, and voice patterns
Biometrics
To identify a patient, to simplify secure access to records
Uses of biometrics
Should know the hardware, software, and procedures for data entry to lay a foundation to admit medical records
Medical records custodian
Use good passwords, change them frequently, and don’t share them. Use biometrics instead of passwords, reduce unnecessary access to medical records by creating different levels of access based on the need to know, train employees and safe practices, such as logging off immediately after access, install appropriate software to guard against hacking, spyware, viruses, and the like
Ways to reduce security breaches of medical records
