View
224
Download
0
Category
Tags:
Preview:
Citation preview
Chp 1Chp 1Managing Medical Managing Medical RecordsRecordsLesson 3:Lesson 3:Releasing, Retaining, and Storing Releasing, Retaining, and Storing Medical RecordsMedical Records
Purpose of an Incident ReportPurpose of an Incident Report
Report unusual occurrence
document exactly what happened
goal of preventing another episode
Should be completed ASAP
The Joint CommissionThe Joint Commission
Private, nongovernmental agency
guidelines to address quality of care
Conducts surveysWorks with facilities to correct deficiencies
Study Guide (aka Study Guide (aka workbook)workbook)Evaluation of Learning
◦Page 9◦Questions 41-45◦Write in book!
Authorizing Release of RecordsAuthorizing Release of Records
Physician owns the medical record
Patient has the legal right to access the record
a release form must be signed
Protected InformationProtected Information
Substance abuse treatment records
HIV/AIDS informationMental health records
Ownership of X-raysOwnership of X-raysproperty of the medical facility
that performed the X-rays Physicians are able to loan
their filmspatients can buy copies
Patient viewing Medical RecordPatient viewing Medical Record
First check with the physician or office manager for approval
Never leave the patient alone with their record
Recommended