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Chapter 9
liablity, law and ethics
Term | Definition |
---|---|
what is IIHI? examples? | Individually Identifiable Health Information - name, dob, ss#, email, date of treatment, MR#, birth certificate, drivers license, VIN, finger prints |
what are patient rights under HIPAA? | request for further restriction, -request for alternative communication -file a complaint - access to information and right to copy -request to amend their health info - accounting disclosure |
when can PHI be disclosed? | -required by law, -public health authority -child abuse/neglect - victims of abuse - FDA - communicable disease - public safety |
detailed document that gives covered entities permission to use PHI | authorization |
permission to treat | consent |
who owns the patient record, do they have to be sent out to another physician if requested? | physician or medical facility owns it, and yes have to be sent out if requested by patient |
informed consent | permission granted in the knowledge of the possible consequences, typically that which is given by a patient to a doctor for treatment with full knowledge of the possible risks and benefits. |
confidential relationship | A relationship in which one cannot reveal information given to him by another without the express consent of the other, unless required by law. |
how is imformed consent presented? | in writing |
What are ADVANCE DIRECTIVES? | Special documents signed by the patient,witnessed and notarized. These documents are put in place in case the patient is incapable of making decisions for him/herself. |
electronic health record (EHR) | global concept that inclues the collection of patient informtion documetnted by a number of providers at different facilitites regarding one patient. |
Electronic Medical Record (EMR) | An electronic version of the client data found in the traditional paper medical record is the |
HITECH | Health Information Technology for Economic and Clinical Health Act |
What are the components of confidentiality? | it's primarily a matter of ethics and it protects the client from unauthorized disclosure of any sort by the practitioner without informed consent from the client |
Under what circumstances can confidentiality be breached? | (1) When client requests information be shared (2) when there is a clear duty to warn or protect (3) when there is a legal obligation to testify in court (under subpoena) |
What are the components of confidentiality? | it's primarily a matter of ethics and it protects the client from unauthorized disclosure of any sort by the practitioner without informed consent from the client |
Privileged Communication | is legal term, it is a legal right that exists by statue. Right of a person in a "special relationship" to prevent disclosure in legal proceedings of information given in confidence within that relationship |
confidentiality can be broken when: | (1) there is clear and immediate danger to self or others (2) when the psych has reasonable knowledge or suspicion that a client poses a serious danger to an identifiable potential victim (duty to warn) (3) the reason must be compelling and you must b |
The right to confidentiality of records | informed consent is required in order to disclose |
who have the responsability to maintain confidentiality? | everyone who has contact with patient information |
the patient-physician priviledge belong to... |