Conclusion The British Columbia Court of Appeal found that while the Province tried to blur the distinction between data and
individual health care records, the evidence showed that this is a true distinction and there is no real privacy threat.
Not exact matches
In the UK, even if a home birth is planned, a pregnant woman receives maternity
care from
health care professionals who are based at an
individual hospital, so the hospital
records included planned home births as well as planned hospital births.
With limited exceptions, the HIPAA Privacy Rule (the Privacy Rule) provides
individuals with a legal, enforceable right to see and receive copies upon request of the information in their medical and other
health records maintained by their
health care providers and
health plans.
«(5) If the government seeks in an action... to recover the cost of
health care benefits on an aggregate basis, (b) the
health care records and documents of particular
individual insured persons... are not compellable except as provided under a rule of law, [or, a] practice or procedure that requires the production of documents relied on by an expert witness».
CATCH - ALL DEFINITIONSThe following terms used in this Agreement shall have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Designated
Record Set, Disclosure,
Health Care Operations,
Individual, Minimum Necessary, Notice of Privacy Practices, Protected
Health Information, Required By Law, Secretary, Security Incident, Subcontractor, Unsecured Protected
Health Information, and Use.
For example, these authorizations may be useful in situations where a
health plan wants to obtain information from one provider in order to determine payment of a claim for services provided by a different provider (e.g., information from a primary
care physician that is necessary to determine payment of services provided by a specialist) or where an
individual's new physician wants to obtain the
individual's medical
records from prior physicians.
With respect to the issue of form, the statutory definition of «
health information» at section 1171 (4) of the Act defines such information as «any information, whether oral or
recorded in any form or medium» (emphasis added) which is created or received by certain entities and relates to the
health condition of an
individual or the provision of
health care to an
individual (emphasis added).
A single program described as a «case management» effort may include both
health care operations activities (e.g.,
records analysis, protocol development, general risk assessment) and treatment activities (e.g., particular services provided to or coordinated for an
individual, even if applying a standardized treatment protocol).
o HB 1239 ensures free access to personal
health care records for
individuals appealing their case after being denied disability benefits.
Where a
health care professional familiar with the circumstances believes that it is reasonably likely that access to
records would endanger the life or physical safety of the
individual or another Start Printed Page 82735person, the regulation allows the professional to withhold access.
In Montana, a party seeking discovery or compulsory process of medical
records must give notice to the
individual at least ten days in advance of serving the request on a
health care provider, Service of the request must be accompanied by written certification that the procedure has been followed.
The July 1977 Report of the Privacy Protection Study Commission recommended that «each medical -
care provider be considered to owe a duty of confidentiality to any
individual who is the subject of a medical
record it maintains, and that, therefore, no medical
care provider should disclose, or be required to disclose, in individually identifiable form, any information about any such
individual without the
individual's explicit authorization, unless the disclosures would be» for specifically enumerated purposes such as treatment, audit or evaluation, research, public
health, and law enforcement.
In California, for instance, an
individual must be given ten days notice that his or her medical
records are being subpoenaed from a
health care provider and state law requires that the party seeking the
records furnishes the
health care provider with proof that the notice was given to the
individual.
We solicited comment on whether
health care providers routinely identify other persons specifically in an
individual's medical
record and if so, whether in the final rule we should require
health care providers to redact information about the other person before providing it to a coroner or medical examiner.
In order to fulfill such requests, covered
health care providers and
health plans may track disclosures by making a notation in the
individual's medical
record regarding the (manual or electronic) when a disclosure is made.
The July 1977 Report of the Privacy Protection Study Commission recommended that
health care providers and other organizations that maintain medical -
record information have procedures for
individuals to correct or amend the information.
The final rule allows a provider to deny an
individual the right to inspect or obtain a copy of protected
health information in a designated
record set under certain circumstances, and it provides, in certain circumstances, that the patient can request the denial to be reviewed by another licensed
health care professional.
For example, Hawaii law (HRS section 323C - 12) states, «An
individual or the
individual's authorized representative may request in writing that a
health care provider that generated certain
health care information append additional information to the
record in order to improve the accuracy or completeness of the information; provided that appending this information does not erase or obliterate any of the original information.»
A covered entity may use or disclose only the protected
health information about the
individual to whom
care was rendered, for its payment activities (e.g., a provider may disclose protected
health information only about the patient to whom
care was rendered in order to obtain payment for that
care, or only the protected
health information about persons enrolled in the particular
health plan that seeks to audit the provider's
records).
This new provision permits covered entities to make disclosures necessary for the effective functioning of OSHA and MSHA requirements, or those of similar state laws, by permitting a
health care provider to make disclosures without the authorization of the
individual concerning work - related injuries or illnesses or workplace medical surveillance in situations where the employer has a duty under OSHA and MSHA requirements, or under a similar state laws, to keep
records on or act on such information.
(i) The medical
records and billing
records about
individuals maintained by or for a covered
health care provider;
Only one state permits
individuals access to
records about them held by
health care providers, but it excludes pharmacists from the definition of provider.
The purpose of these specified
records is management of the accounts and
health care of
individuals.
We believe it is more prudent to preserve the flexibility and judgment of
health care professionals familiar with the
individuals and facts surrounding a request for
records than to impose the blanket rule suggested by these commenters.
Response: In the final rule, where a clearinghouse creates or receives protected
health information as a business associate of another covered entity, we maintain the exemption for
health care clearinghouses from certain provisions of the regulation dealing with the notice of information practices and patient's direct access rights to inspect, copy and amend
records (§ § 164.524 and 164.526), on the grounds that a
health care clearinghouse is engaged in business - to - business operations, and is not dealing directly with
individuals.
For example, a hospital's peer review files that include protected
health information about many patients but are used only to improve patient
care at the hospital, and not to make decisions about
individuals, are not part of that hospital's designated
record sets.
Maintaining a track
record of delivering outstanding patient
care and service to various
health care facilities, as well as in
individual patients» homes.
Care Manager • Communicate with patients to assess their individual needs and document findings • Consult with healthcare professionals to determine which health services need to be provided • Contact insurance companies to determine if patients» health plans cover prescribed treatment • Educate patients about general preventative and home care practices • Create and keep record of patients» records and ensure patient privacy constantly • Handle staff scheduling duties and ensure that all shifts are appropriately covered • Manage recruitment, selection, training and placement of healthcare staff • Liaise with medical and non-medical staff such as volunteers and social services • Gather data to ensure that budgets are properly adhered to • Procure supplies and equipment for the facility • Plan and implement strategic changes to improve patient service delivery • Handle facility communications along with clinical governance and au
Care Manager • Communicate with patients to assess their
individual needs and document findings • Consult with healthcare professionals to determine which
health services need to be provided • Contact insurance companies to determine if patients»
health plans cover prescribed treatment • Educate patients about general preventative and home
care practices • Create and keep record of patients» records and ensure patient privacy constantly • Handle staff scheduling duties and ensure that all shifts are appropriately covered • Manage recruitment, selection, training and placement of healthcare staff • Liaise with medical and non-medical staff such as volunteers and social services • Gather data to ensure that budgets are properly adhered to • Procure supplies and equipment for the facility • Plan and implement strategic changes to improve patient service delivery • Handle facility communications along with clinical governance and au
care practices • Create and keep
record of patients»
records and ensure patient privacy constantly • Handle staff scheduling duties and ensure that all shifts are appropriately covered • Manage recruitment, selection, training and placement of healthcare staff • Liaise with medical and non-medical staff such as volunteers and social services • Gather data to ensure that budgets are properly adhered to • Procure supplies and equipment for the facility • Plan and implement strategic changes to improve patient service delivery • Handle facility communications along with clinical governance and audits
• Committed to high quality patient
care delivery • Expert in providing clinical consultation • Working knowledge of family practice assessment techniques, diagnosis and treatment strategies • Remarkable interpersonal and communication skills with demonstrated ability to work in collaboration with other medical professionals on complex cases • A self directed
individual with track
record of actively participating in and promoting various community based
health development programs • Well versed in demonstrating patient centered treatment approach while adhering to the state issued clinical practice policies
Registered Nurse Family
Health Hospital, Metuchen, NJ 2005 — 2007 • Developed and implemented patient
care plans • Provided direct patient
care following
individual care plans • Ensured patient safety and comfort • Administered medication and IVs • Took and
recorded patients» vitals • Performed emergency services
• Assist the pharmacist in the areas of clerical activities while under the Pharmacist's supervision • Assist pharmacist in
health care insurance for non-covered medications • Conducts medication reconciliation • Help in areas such as scheduling and patient reminders through phone calls • Medication histories and
health histories can also be documented by technicians, as can chart construction, filing, and the documentation of release forms and
health histories • Works on medium to large - sized
individual or multiple projects, usually with multiple computer environments where design is very complex • Organize and file
records • Contributes to team success • Maintain confidentiality in compliance of Federal HIPPA Regulations • Performs other duties as assigned
• Gather
individual's medical information and communicate
individual needs to our Nurses and
Health Services Manager • Attend and effectively and appropriately participate in medication reviews, medical chart audits, clinics and appointments • Monitor individuals, review records, and provide medical support at various locations within the Residential and Therapeutic Services department to assure an individual's needs are appropriately addressed • Communicate and consult with appropriate internal / external providers regarding medical needs and concerns; ensure appropriate information (med audits, health reviews, consult forms, etc.) is disseminated in a timely manner • Consult with the Nurses and Health Services Manager regarding coordination of medical, laboratory and dental care; follow up as required • In conjunction with approved staff, review Medication Administration Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested records and other infor
Health Services Manager • Attend and effectively and appropriately participate in medication reviews, medical chart audits, clinics and appointments • Monitor
individuals, review
records, and provide medical support at various locations within the Residential and Therapeutic Services department to assure an individual's needs are appropriately addressed • Communicate and consult with appropriate internal / external providers regarding medical needs and concerns; ensure appropriate information (med audits, health reviews, consult forms, etc.) is disseminated in a timely manner • Consult with the Nurses and Health Services Manager regarding coordination of medical, laboratory and dental care; follow up as required • In conjunction with approved staff, review Medication Administration Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested records and other info
records, and provide medical support at various locations within the Residential and Therapeutic Services department to assure an
individual's needs are appropriately addressed • Communicate and consult with appropriate internal / external providers regarding medical needs and concerns; ensure appropriate information (med audits,
health reviews, consult forms, etc.) is disseminated in a timely manner • Consult with the Nurses and Health Services Manager regarding coordination of medical, laboratory and dental care; follow up as required • In conjunction with approved staff, review Medication Administration Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested records and other infor
health reviews, consult forms, etc.) is disseminated in a timely manner • Consult with the Nurses and
Health Services Manager regarding coordination of medical, laboratory and dental care; follow up as required • In conjunction with approved staff, review Medication Administration Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested records and other infor
Health Services Manager regarding coordination of medical, laboratory and dental
care; follow up as required • In conjunction with approved staff, review Medication Administration
Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested records and other info
Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on medical and
health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested records and other infor
health related documentation; complete paperwork and provide documentation for
individuals» in services meetings • Provide educational in - services to agency staff in requested medical areas • Enter data and generate data base reports; track and distribute requested
records and other info
records and other information
Charted and
recorded information in client files.Tracked client movement on and off the unit by documenting times and destinations of clients.Checked facility for open windows, locked doors, malfunctioning smoke detectors and other safety hazards.Quickly responded to crisis situations when severe mental
health and behavioral issues arose.Efficiently gathered information from families and social services agencies to inform development of treatment plans.Documented all patient information including service plans, treatment reports and progress notes.Collaborated closely with treatment team to appropriately coordinate client
care services.Developed comprehensive treatment plans that focused on accurate diagnosis and behavioral treatment of problems.Consulted with psychiatrists about client medication changes, issues with medicine compliance and efficacy of medications.Organized treatment projects that focused on problem solving skills and creative thinking.Referred clients to other programs and community agencies to enhance treatment processes.Created and reviewed master treatment and discharge plans for each client.Guided clients in understanding illnesses and treatment plans.Developed appropriate policies for the identification of medically - related social and emotional needs of clients.Assisted clients in scheduling home visits and phone calls and monitored effectiveness of these activities.Evaluated patients for psychiatric services and psychotropic medications.Monitored patients prescribed psychotropic medications to assess the medications» effectiveness and side effects.Evaluated patients to determine potential need to transfer to specialized inpatient mental
health facilities.Administered medication to patients presenting serious risk of danger to themselves and others.Conducted psychiatric evaluations and executed medication management for both inpatient and outpatient facilities.Led patients in
individual, family, group and marital therapy sessions.Diagnosed mental
health, emotional and substance abuse disorders.
Recorded comprehensive patient histories and coordinated treatment plans with multi-disciplinary team members.Consulted with and developed appropriate treatment and rehabilitation plans for dually diagnosed patients.Referenced and used various therapy techniques, including psychodynamic, family systems, cognitive behavioral and lifespan integration psychotherapy.
A comprehensive legal custody agreement includes
individual sections on each child's residence, child
care arrangements, basic education, higher education, religious studies, extra-curricular activities, mental
health and medical services and access to medical
records.