State your understanding of the important considerations when releasing information to the various groups who may request patient information from a health facility. Each group must be discussed separately, giving the type of information that can be released and the procedure that must be followed when releasing information. Use the following Side headings: • Introduction on the importance of privacy and confidentiality of patient records Release of information to: • other health professionals • the patient • the patient’s family • solicitors, insurance companies, etc • Courts of law. Your report should be presented to business standards and be appropriate
Montero | | Medical Record Number: 706203 | | | Patient DOB: 04/01/xx | | | | | | | | | | | | | | | | | Admission Date:11/14/xx | | | Discharge Date: 11/16/xx | | | | | | | | | | | | | Analyzed By: Elena C. Montero | | | | | | | | Date of Analysis:11/14/xx | | | | | | | | | | | | | | | | | | | | | Deficiencies | | | | | | | | | | | | | | Signatures Missing | | | Missing or Inadequate Reports and/or | | | | | | Dictation Required | | | | | | | | | | | ______ | History & Physical | | | | ______ | History & Physical | | | ______ | Consultation | | | _x_____ | Consultation | | ______ | Admission/Readmission Report | ______ | Admission/Readmission Report | ______ | Discharge Report | | | ______ | Discharge Report | | ______ | Operative Report | | | ______ | Operative Report | | ______ | Radiology Report | | | __x____ | Radiology Report | | ______ | Pathology Report | | | ______ | Pathology Report | | __x____ | Progress Notes | | | ______ | Progress Notes | | __x____ | Physician/Verbal Orders | | ______ | Physician/Verbal Orders
Healthcare decisions may have been made based on content before the correction was inserted. A computer audit trail associated with the EHR will provide, if required, information about when specific entries were made, what information was available at what time, who made the correction. 11. Give two examples of abbreviations on the Joint commission “Do Not Use” list and explain why each should not be used. • “U” or ”u” for unit can be mistaken for “0”, the # four or “cc” • “IU” can be mistaken for “IV” or the # 10 12.
|Evidence Ref: | | | | |Issue No: 2 |Sampled By IV | | |Issue 271213 | | | |Page 1 of 6 | | | |Author: Mike Smith | | | |Ref: 205 Workbook | | | | |Initials | | | | |Dated: | | |Unit 4222-205 – Principles of Safeguarding AND Protection in Health and Social Care | |Candidate Name: | |Date of Activity | | |Award Title / Level |Health and Social Care Level | |Observed by your Assessor: | |4222-205 Principles of Safeguarding AND Protection in Health and Social Care
claims assistance professional (CAP) c.) insurance billing specialist #5 a.) Abstract health information from patient records b.) Exhibits an understanding of ethical and medico legal responsibilities related to insurance billing programs c.) Operates computer to transmit insurance claims #9 a.) Failure to verify insurance plan benefits b.) obtain authorization or precertification c.) collect copayments and deductibles #12 a.)
e. societal standards ofwhat is acceptable awoman. for 58. REBT includes which therapeutic technique(s) counseling-Ruth? in : a. cognitivetechniques b. emdtive techniques c. behavioraltechniques d. all ofthe above e. noneof,theabove , 59. WhenAlbert Ellis givesRuthhomeworkassignments be usedbdtween to therapysessions thenchecks and up duringa following session, is an example a: this of a. cognitivetechnique. '
Task 2 EBT1 Task 2 Western Governors University A. Review Sources of Evidence EVIDENCE | A1) Source Type: Filtered, Unfiltered or General | A2) Appropriateness of Source Evidence | A3) Classification of Evidence: primary research, evidence summary, evidence-based guidelines, or none of these. | American Academy of Pediatrics and American Academy of Family Physicians. (2004). Clinical practice guideline: Diagnosis and management of acute otitis media.
| Sampled By IV | Initials | | Dated | | | Performance Evidence Record | Issue No: | 1 | Issue Date: | 01/02/11 | Page | 1 | of | 1 | Approved By: | Mike Smith | Ref | I10-1 | Candidate Name: | | Date of Activity | | Award Title / Level | | Evidence Ref No: | | Targeted Unit(s) | | Observed by your Assessor (O): | | Write Up | | Electronically Recorded (PD): | | Seen By A Witness (W): | | Seen by an Expert Witness (W): | | Product Evidence (PE) | | Professional Discussion (PD) | | Self-Reflective Summary (RA) | | Oral or Written Questioning (Q) | | Unit | *Learning Outcome and Criteria | Performance Evidence Required | 232 | 1.1 | Outline the anatomy and physiology of the human body in relation to the importance of correct moving and positioning of individuals | | 1.2 | Describe the impact of specific conditions on the correct movement and positioning of an individual. | | 2.1 | Describe how legislation and agreed ways of working affect working practices related to moving and positioning individuals | | 2.2 | Describe what health and safety factors need to be taken into account when moving and positioning individuals and any equipment used to do this. | | 3.3 | Identify any immediate risks to the individual | | 3.4 | Describe actions to take in relation to identified risks | | 3.5 | Describe what action should be taken if the individual’s wishes conflict with their plan of care in relation to health and safety and their risk assessment | Unit | *Learning Outcome
General Report QCF Title | Level 2 Diploma in Health and Social Care | Portfolio Reference No: | | Learner Name: | | Assessor Name: | | Applicable Units: SHC21: INTRODUCTION TO COMMUNICATION IN HEALTH AND SOCIAL CARE SETTING | Evidence Type | Observation | | Product | | Professional Discussion | | Witness Statement | | Questions & Answer | | OtherPlease state | | Unit | Criteria | Report | Questions | Answers | 1.1 Identify different reasons people communicate. | To express needs; to share ideas and information; to reassure; to express feelings; to build relationships; socialise; to ask questions; to share experiences People communicate in order to establish and maintain relationships with others, to give and receive information and instructions, to understand and be understood, to share opinions, knowledge, feelings, emotions, to give encouragement and show others they are valued | 1.2 Explain how effective communication affects all aspects of work? | Effective communication is important as it ensures that information is: clear, concise, accurate, non-judgmental, and informative. This reduces the possibility of mistakes being made, and ensuring appropriate care service delivery. It is important to work as a team with your colleagues, so that you all work to achieve the same outcomes and targets.
PERFORMANCE EVIDENCE RECORD Candidate Name: Use this form to record details of activities (tick as appropriate) Observed by your assessor √□ questioning record □ Seen by expert witness □ Seen by witness □ Self reflective account □ NB Your assessor may wish to ask you some questions relating to this activity. Ensure that they are Recorded in the appropriate box overleaf. The person who observed/witnessed your activity must sign and date overleaf Date of Activity 28/07/2012 | Links to | | Performance evidence | unit ref | outcomes | Philip Moorhouse UNIT- 204 INTRODUCTION TO DUTY OF CARE IN HEALTH Duty of care is a requirement that a persons acts towards others especially