Patient Records

Seminar 6

What information is included in the medical record?

What information is included in the medical record?

• Personal data

What information is included in the medical record?

• Personal data

• Status

What information is included in the medical record?

• Personal data

• Status

• Insurance information

What information is included in the medical record?

• Personal data

• Status

• Insurance information

• Social Security number

What would happen if this information was in the wrong hands?

• Fraud

What would happen if this information was in the wrong hands?

• Fraud

• Identity theft

What would happen if this information was in the wrong hands?

• Fraud

• Identify theft

• Discrimination

HIPAA 101

• Health Insurance Portability and Accountability Act

• Privacy Rule

• Personal Health Information

HIPA A Violations

• $50,000 fine or up to 1 year prison, or both

• $100,000 fine or up to 5 years, or both for intentional or fraudulent purpose

• $250,000 fine or up to 10 years or both for intent to sell info

Ownership of Medical Records

• Who owns the medical records?

Ethics Committee

Ethics Committee

• Carrie is a 33 year old woman with cervical cancer who has undergone difficult cancer treatments for the past year. She now just wants to die. Carrie has a 10 year old son who will be taken care of by her mother Susan. She feels Carrie is committing suicide and that the cancer treatments might eventually cure her. She is the POA and meets with physicians and demands that Carrie’s treatments continue.

Ethics Committee

• Should Susan be able to make this decision and ignore Carrie’s request?

Ethics Committee

• Should Susan be able to make this decision and ignore Carrie’s request?

• Can Carrie make her own decisions regarding her healthcare?

Ethics Committee

• Should Susan be able to make this decision and ignore Carrie’s request?

• Can Carrie make her own decisions regarding her healthcare?

• Should the healthcare team be meeting with Susan without Carrie’s knowledge?

Ethics Committee

• A 47 year old woman is brought by ambulance to the hospital after an MVA. She is in shock and needs a blood transfusion. The physician explains the risks and the woman refuses and clearly states her religious objections since she is a Jehovah’s Witness. Should the doctor save the woman’s life and give her the blood transfusion and go against the woman’s beliefs?

• Should healthcare professionals always honor the wishes of patients, even when their life is in danger?

Ethics Committee

• A 14 year old female is brought against her will to the ER by her parents. She ran away from home for 3 days and had bruises on her neck when she returned that she could not explain. Her parents want her evaluated for sexual abuse.

• Should the ER physician evaluate the girl against her wishes?

Questions? Concerns? Comments?