EVERY PATIENT HAS RIGHTS Medical records are business records that Trillions of our dollars flow through. Here we look at some of these regulations and how they effect you.
- TIMELY MANNER HHS strengthens patients rights “The right to access personal health information is a cornerstone of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, As part of an ongoing effort to empower patients to be informed partners with their health care providers, the Department of Health and Human Services (HHS) has taken action to give patients or a person designated by the patient a means of direct access to the patient’s completed laboratory test reports. February 3, 2014
- VERIFY THE TRUSTWORTHINESS The lack of trustworthiness It is well documented in medical harm studies. For many reasons, there is a strong reluctance to speak up, let alone document evidence cause of patient harm in medical records.
- In a 2010 report, the Office of Inspector General a full 27% of Medicare patients experienced preventable harm. Only a small fraction of the patient harm was reported as mandated by law. (Even a smaller percent is ever told the patient or family. Some estimates find as many as over 90% of serious patient harm is hidden one way or another..)
- This lack of trustworthiness medical records can no-longer be tolerated. Lack of trustworthiness is "the exception, TO the exception" to the federal rules of medical records (business records) "admissibility as evidence in court. Rule 803. Exceptions to the Rule Against Hearsay this is the data entry point of "bad data" a federal crime in it's self. Federal law concerning intentional deception 1035 False statements in healthcare matters. rule is very clear about intentional deception in it's last sentence. "in connection with the delivery of OR payment for health care benefits, items, or services, shall be fined under this title or imprisoned not more than 5 years, or both.
- ELECTRONIC FORMAT
- New HIPAA Rules Clarify Patients' Right to Access Their Health Data
- REASONABLE COST
All patients have the legal right to demand access, and trustworthiness of there personal health records.
Establish Health Records Trustworthiness starts with access
- HHS strengthens patients’ right to access lab test reports (it is a start!) “The right to access personal health information is a cornerstone of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule,
- Patient's full access to the EMR clinical/chronological audit report in a reader friendly, electronic format simply must be an intricate part of their medical record. (This need was brought up in ___________ California legislature as well as ______________ )
- Audio/video vital steps of care. Without audio/video of engagements like informed consent, the black and white written word has no mechanism for integrity verification, good or bad. Not acceptable.
Evidence based medicine: There is an app for that
Patients have a right to evidence of health care team drug and/or alcohol addictions/abuse status. Providers need access to trustworthy information concerning not only your health, but health history.. real time and be able to trust it. Patients have the right to know not only are their trusted surgery team are actually the ones doing the surgery, but are they actually following safe surgery protocols. Operating room cameras ensure that.
Alcohol withdrawal tremor app. $100.00 (?unknown yet)
Breathalyzer app $50.0
opioid test strips $25.00
MyChart app Epic EMR
Thumb drive records back-up 128GB USB $39.94
Operating room camera $130.00 (patient owned video file is not a HIPAA issue, and peace of mind for all parties services rendered were what was agreed upon)
By the way, I like the HIM Mission Statement
Advocacy for Uniform Legislation
It is clear from the variation in state laws that HIM professionals have an opportunity to be advocates for consistent, comprehensive federal regulations.
Becoming an advocate is as easy as phoning, writing, or e-mailing your elected representatives about the need for consistent, comprehensive federal regulations regarding the release of health information.
AHIMA's Advocacy Assistant helps identify elected officials, information on how to contact them, and provides sample letters (log on at www.ahima.org/dc). Check with your component state association to determine which activities it is involved in and become a volunteer. Support AHIMA's Hill Day activities. Read local newspapers and carry the message to your community and work setting.