A Summary of a Health Record Disclosure Log
What is a health record disclosure log? A health record disclosure log is an accounting of shared persons protected health information (PHI). It can be an accounting of who accesses certain patient files in a medical office, so the tracking of it can tell the office manager who should not have seen those medical files.
In an article Tracking and Accounting for Research Disclosures of PHI, not all disclosures are recorded; if the PHI is authorized then it doesn’t need to be counted (Hopkinsmedicine.org, 2007).
What is it used for? In an article What Are HIPAA Compliant System Logs? By Tod Ferran,” Logs are only useful if they are regularly reviewed,” so only by reviewing the log can a pattern be seen (Ferran, n.d.). Monitoring the log the user can see a pattern forming in the data, so this pattern can help find any problems that may occur.
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A log can be for research purposes, as an example keeping a log to show what cities in Missouri had chicken pox in the year of 2016.
Who uses it?
In the textbook Fundamentals of law for health informatics and information management, using a disclosure log is a common practice in manage healthcare information departments, usually in TPO’s (treatment, payment, and healthcare operations)(Brodnik, Rinehart-Thompson and Reynolds, 2012).
Why is it used? A log can be a tool to show how many times a day in a month a patient used Tylenol. So the person ordering supplies knows where or not to increase or decrease the amount of Tylenol for the next month, so the nursing home doesn’t have too much in the medical supply closet or too
. HIPAA privacy rules are complicated and extensive, and set forth guidelines to be followed by health care providers and other covered entities such as insurance carriers and by consumers. HIPAA is very specific in its requirements regarding the release of information, but is not as specific when it comes to the manner in which training and policies are developed and delivered within the health care industry. This paper will discuss how HIPAA affects a patient's access to their medical records, how and under what circumstances personal health information can be released to other entities for purposes not related to health care, the requirements regarding written privacy policies for covered entities, the training requirements for medical office employees and the consequences for not following the policy.
“The Health Insurance Portability and Accountability Act (HIPAA) of 1996 made it illegal to gain access to personal medical information for any reasons other than health care delivery, operations, and reimbursements” (Shi & Singh, 2008, p. 166). “HIPAA legislation mandated strict controls on the transfer of personally identifiable health data between two entities, provisions for disclosure of protected information, and criminal penalties for violation” (Clayton 2001). “HIPAA also has privacy requirements that govern disclosure of patient protected health information (PHI) placed in the medical record by physicians, nurses, and other health care providers” (Buck, 2011). Always remember conversations about a patient’s health care or treatment is a violation of HIPAA. “All PHI is included in the privacy requirements for example: the patient’s past, present or future physical or mental health or condition; the provision of health care to the individual, or the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual” (Buck, 2011). Other identifiable health information would be the patient’s name, address, birth date and Social Security Number (Keomouangchanh, 2011). (Word count 197)
Protected health information or PHI is any identifying information that is related to a person such as a name or an address. According to HIPAA “the disclosure of PHI is prohibited, except when the patient has signed a release of information form that authorizes PHI to be released or disclosed to a specific party (Sheahan)”. With the release of information there are different rules that need to be fallowed in order to protect the patient’s privacy.
The notice must also tell you how to exercise your rights and how to file a complaint with your health care provider and with the DHHS Office of Civil Rights. HIPAA Requires Accounting for Disclosure Details. You have the right to know who has accessed your health records for the prior six years, however there are several exceptions to the accounting requirement. Accounting is not required when records are disclosed to persons who see your records for treatment, payment, and health care operations. These individuals do not need to be listed in the disclosure log.
The Privacy Rule established a category of health information that a covered entity may only use or disclose to others in certain circumstances and under certain conditions. According to the National Institute of Health Publication Number 03-5388, the protected information is known as Protected Health Information (PHI) and includes individually identifiable health information transmitted by electronic media, maintained in electronic media, or transmitted or maintained in any other form or medium. However, it excludes education records covered by the Family Educational Rights and Privacy Act, as amended, 20 U.S.C. 1232g, records described at 20 U.S.C. 1232g(a)(4)(B)(iv), and employment records held by a covered entity in its role as employer. Covered entities are organizations that are subject to the Privacy Rule. Three types of covered entities are 1) Health Plans - which are individual or group plans that provide or pay the cost of medi...
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
It serves as a source for planning patient care and the services provided to that patient. Medical records begin from when the patient was born. It contains diseases, illnesses and whatever the patient tells their physician about his or her past and present status. It also contains lab test results, medication that was ever prescribed. It also contains allergies, referrals ordered to other health care providers and plans for further care.
6. Should individuals and organizations with access to the databases be identified to the patient
Win, K. T., Susile, W., & Mu, Y. (2006). Personal Health Record System and Their Security Protection. Journal of Medical Systems , 30 (4), pp. 309-315.
Privacy challenges. Privacy is a circumstance of restricted right of entry to an information regarding an individual (Knoppers, 2015). Brothers and Rothstein (2015) noted numerous other kinds of privacy, comprising physical, decisional, proprietary and relational or associational privacy. This study emphasizes on informational health privacy. When it comes to privacy issues the crucial question to explore is; how can leadership balance the right of privacy with the advantageous requirement for clinical data-access in EHR? The Privacy Act of 1974 is the US law that represents national standards to protect the private health information of individuals by mandating appropriate safeguards and limitations on the right to use and release of (PHI)
According to the American Health Information Management Association, Health information is the data related to a person’s medical history, including symptoms, diagnoses, procedures, and outcomes. Health information records include patient histories, lab results, x-rays, clinical information, and notes. The data can be analyzed to see how a patient’s health might have changed. I took interest in Health Information Management when it was brought to my attention by a doctor. He told me that is a very interesting field and it is in high demand as they have more jobs than people to fill them. I went home, researched it and now here I am making my entry into the field.
Medical records and their contents have been an important issue concerning privacy for physicians and their patients. A health care reform bill which passed legislation in 1996 is known as the Health Insurance Portability and Accountability Act (HIPAA) had a new rule put into place in 2000, which requires health care physicians and insurance providers to put into place new procedures that would guard patient health information ("Patient Privacy and Confidentiality", 2013).
...explains and clarifies key provisions of the medical privacy regulation, this is a reliable source of information which was published last December (HIPAA, 1996). Guaranteeing the accuracy, security and protecting the privacy of all medical information is crucial and an ongoing challenge for many organizations.
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).
...t to track all Internal and External users activity, auditing plays the key role in monitoring these user actions. Data masking and encryption technology provide certain level of assurance that data is not easily accessible to unauthorized users.