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Assignment Complying with Laws and Regulations in the Ethical Management of Health Information

Unit outcomes addressed in this Assignment: ● Explain corporate compliance programs. ● Differentiate between the concepts of fraud and abuse. ● Identify statutes, rules, and regulations that relate to compliance issues.

Course outcome assessed in this Assignment: HI135-5: Analyze state and federal regulations which govern the release of protected health information.

AHIMA CEE Curriculum Mapping

Domain Subdomain Competency

Domain I. Data Content,

Structure & Standards (Information Governance)

Subdomain I.B. Health Record Content and Documentation

1. Verify that documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status

Domain I. Data Content, Structure & Standards (Information

Governance)

Subdomain I.E. Secondary Data Sources

1. Validate data from secondary sources to include in the patient’s record, including personal health records

Domain II. Information Protection: Access, Disclosure, Archival,

Privacy & Security

Subdomain II.A. Health Law

1. Identify laws and regulations applicable to health care

Domain II. Information Protection: Access, Disclosure, Archival,

Privacy & Security

Subdomain II.A. Health Law

2. Analyze legal concepts and principles to the practice of HIM

Domain VI. Leadership

Subdomain VI.F. Strategic and

Organizational Management

4. Evaluate how healthcare policy-making both directly and indirectly impacts the national and

global healthcare delivery systems

Assignment Requirements ● Please complete all parts in a Microsoft Word document. ● The body of your document should be at least 1500 words in length.

● Quoting should be less than 10% of the entire paper. Paraphrasing is necessary. ● Students must cite and reference at least 4 credible sources from the KU Library. ● Please be sure to download the file “Writing Center Resources” from Doc Sharing to assist you

with meeting APA expectations for written Assignments.

Instructions Imagine that you are an administrator for a large hospital. You have been tasked with compliance for the facility. Demonstrate competence in healthcare law and ethics by following the instructions below

in completion of this multi-part assignment.

Part Competency Assessed

Instructions

1

Verify that documentation in the health record supports

the diagnosis and reflects the patient’s progress, clinical

findings, and discharge status.

A 45-year-old female has requested a copy of her 80-year-old

father’s health record. She has presented POA and has a legal right to access his records. You provide a copy to the woman, but she has many questions regarding documentation of her father’s

diagnosis. He was admitted to the ICU last week from the skilled nursing facility. When discharged, he was transferred to a LTCH. In a brief written response to the woman, relate the components of

the health record that supports diagnosis and reflects the patient’s progress, clinical findings, and discharge status. Explain the documentation used for these purposes within skilled nursing facilities, ICU, and LTCH.

2

Validate data from secondary sources to

include in the patient’s record, including personal health

records.

As the Director or Health Information for a large teaching hospital,

there are many students completing clinical rotations at your facility. There have been recent concerns that some students are not following appropriate use of the EHR, which has compromised

several patient records. To make matters worse, a glitch is present in the new patient and physician portals. Patients can enter data into their own records and physicians cannot enter data. In an

executive summary, justify your rationale for concern–referencing ethical and legal constructs. Additionally, confirm appropriate use of secondary data within the EHR.

3 Identify laws and regulations applicable to health care.

Imagine that you are the Director of Health Information at a

hospital and you have been asked to create a “one-page” pamphlet on the major laws and regulations health record retention and destruction. Draft an outline summarizing the top five

(5) best practices related to HIPAA, TJC, State law (pick any

state), and CMS.

4 Analyze legal concepts

and principles to the practice of HIM.

A hacker has penetrated the network of the business associate who provides cloud-based storage for the hospital. All patient

records within the last two months were compromised. As HIM Director, you have been tasked with organizing a response to this breach. Differentiate the steps related to breach notification.

5 Evaluate how

healthcare policy- making both directly and indirectly impacts

the national and global healthcare delivery systems.

Appraise one (1) Federal-level, one (1) State-level, and one (1) Local-level healthcare policy on information privacy and security. Evaluate how the policy affects national and global health delivery

systems–both directly and indirectly.

Grading Rubric

Assignment Requirements (100 points)

Points possible

Points earned by

student

Part 1: Student verified that documentation in the health record

supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status.

0–15

Part 2: Student validated data from secondary sources to include in the patient’s record, including personal health records.

0–15

Part 3: Student identified laws and regulations applicable to health care.

0–10

Part 4: Student analyzed legal concepts and principles to the practice of HIM.

0-30

Part 5: Student evaluated how healthcare policy-making both directly and indirectly impacts the national and global healthcare delivery systems.

0-30

Total (Sum of all points)

Points deducted for spelling, grammar, and/or APA errors.

Adjusted total points

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