What determines who owns a patient's health record? *** State Law
What requires that patients have the right to see their records, to obtain copies, and to
make corrections in them? *** Health Insurance Portability and Accountability Act
(HIPAA)
While maintaining perfect records should always be the goal, incorrect entries may
happen. When an error occurs with a paper chart, cross out the mistake, initial and date
it, and then write the correct information. *** True
What includes both computer hardware and software systems to store patient
information? *** Electronic Health Record (EHR)
Credibility of a health record refers to whether the information recorded is believable.
*** True
Who is responsible for keeping health records accurate? *** The record keeper
If changes are made to health records beyond a reasonable period of time following
discharge, particularly after a physician or hospital is on notice of a potential lawsuit,
changes in the health record are almost always serious and raise red flags. *** True
Most EHR systems track each entry by user, date, and time. So, if a mistake is made
and the record needs to be changed, the original error will remain, but there will be an
addendum with the correct information. *** True
Provisions within the _______ further the interoperability of health care information
between insurance companies, providers, patients, and technology vendors. *** Cures
Act
Which statement best describes the ownership of health records? *** Ownership
carries with it the right and power to exercise authority over the property.
When may changes to a patient's record be accepted as rewritten or amended? ***
While patient is under treatment
In what situation would a patient implicitly consent to sending a truthful health record to
a third party? *** When the patient submits to a physical examination for the purpose
of life insurance benefits.
Which statement best describes HIPAA requirements regarding patients' rights to their
health records? *** Patients have the right to make corrections in their health records.
, Hospitals and health care providers should have a written policy on file detailing the
procedures for releasing patient information. The policy must reflect: *** state and
federal law.
When in doubt about releasing medical information, you should: *** err by not
disclosing rather than disclosing.
Who may release health records of a deceased patient? *** A personal representative
___________ allows patients to see their records and make corrections in them. ***
HIPAA
To correct an entry in a hard copy health record, you should: *** cross out the
mistake, initial and date it, then write in the correct information.
What is a recorded collection of data on a patient? *** Health record
Which of the following established incentives for the use of EHRs and penalties for not
using them? *** The Health Information Technology for Economic and Clinical Health
Act (HITECH)
With an integrated health record, the patient is represented by a __________ record
that includes all outpatient and inpatient activity. *** single
Who can consent to the release of health records? *** Patient at the age of majority
Which of the following is a sufficient method for a patient to authorize the release of
health records? *** In writing
Minor patients are typically unable to consent to the release of their health records. Who
of the following has authority to release the minor patient's records? *** Parent
Under which of the following circumstances would minors be authorized to release their
health records? *** When diagnosed with a sexually transmitted disease.
In time-sensitive circumstances, which of the following is an appropriate method to
deliver medical information? *** Secure email
When can health records be withheld if payment of the patient's bill is pending? ***
Never
HITECH stands for: *** The Health Information Technology for Economic and Clinical
Health Act.
Working under a code of ethics can be a challenge for health care professionals
because: *** they face difficult decisions while interacting with patients and families.