HIT262-1202B-07
Phase 4 Medical Records
Charles Hill
The most in-chief(postnominal) part of the medical records is the medical students narrative, which documents the thought movement for why a course of treatment is decided upon and subsequently each patient encounter. The narrative notes serve several purposes with dowry physicians and caregivers such as appropriate course of care, context of a patients story and make them as unforgett able-bodied from the next; continuity of care over time; spend with referring and consulting colleagues (Daigh, 2009).
The reason hospitals exhaust a medical records policy is if a patient were to turn around and sue the physician for malpractice, by having well-documentation will provide physicians support in the event of a medical malpractice action. Without the medical record the physician may or may not be able to show the care he or she provided was the appropriate and met the ensample of care (Important reasons for, 2008).
For purposes other than patient treatment, public wellness and safety, organ procurement, accreditation or oversight review, and emergency exposures, we mustiness gain your specific authorization before we disclose information or so HIV/AIDS status or testing results.
Thus, for example, we must obtain specific authorization from you before releasing all such information about you for payment or health care operations purposes, but we do not have to do so for treatment purposes. For records, reports, and applications pertaining to persons who are or were hospitalized or whose hospitalization has been sought pursuant to a court order, revealing is prohibited except where the information is disclosed pursuant to a court order, to the patients family member involved in treatment, to the executor or administrator of a deceased patients estate, to the Department of Mental Health for quality assurance purposes, or to the appropriate prosecuting attorney for commitment proceedings. Information on psychological/mental...If you want to get a full essay, order it on our website: Orderessay
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