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Legal Aspects of Health Information Management

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ISBN-10: 0766825205

ISBN-13: 9780766825208

Edition: 2nd 2003 (Revised)

Authors: Dana C. McWay

List price: $246.95
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Managers of health information have a professional stake in understanding the legal requirements designed to safeguard health care information. This comprehensive book covers all legal aspects of the Health Information Management field including the legal principles that govern patient information. Actual cases related to health care underscore the relationship between the law and health information. The first chapters introduce the American legal system, legal procedures and principles of liability. Subsequent chapters build on this information by presenting information on patient record requirements, access to health information, confidentiality, computerized records, and other areas.
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Book details

List price: $246.95
Edition: 2nd
Copyright year: 2003
Publisher: Delmar Cengage Learning
Publication date: 8/28/2002
Binding: Hardcover
Pages: 304
Size: 7.25" wide x 9.25" long x 0.75" tall
Weight: 1.628
Language: English

Dana C. McWay is a lawyer and veteran health information management professional. A member the American Health Information Management Association (AHIMA) Board of Directors, she served on several AHIMA committees, most recently the Professional Ethics Committee. She was also a member of the Missouri Health Information Management Association's Legislative Committee, and a voting member of the Institutional Review Board at Washington University Medical School. Previously a Director of Medical Records for a large teaching hospital and for-profit substance abuse facility, Ms. McWay led the charge to convert an outmoded, paper-based record management system to a modern electronic system. In…    

Preface
About the Author
About Legal Citations
About Legal Research
Workings of the American Legal System
Public and Private Law
Private Law
Public Law
Sources of Law
Constitutions
Statutes
Administrative Decisions and Regulations
Judicial Decisions
Branches of Government
Legislative Branch
Executive Branch
Judicial Branch
Quasi-Legal Requirements
Court Systems and Legal Procedures
Court Systems
Jurisdiction
Court Structure
Legal Process
Beginning the Lawsuit
Discovery
Pretrial Conference
Trial
Appeal
Satisfying the Judgment
Alternative Dispute Resolution
Principles of Liability
Health-Care Relationships
Physician-Patient Relationships
Hospital-Patient Relationships
Hospital-Physician Relationships
Theories of Liability
Nonintentional Torts
Intentional Torts
Breach of Contract
Defenses and Limitations on Liability
Statutes of Limitations
Charitable Immunity
Governmental Immunity
Good Samaritan Statutes
Contributory and Comparative Negligence
Assumption of Risk
Patient Record Requirements
Function and Use of the Medical Record
Legal Requirements for Medical Record Content
Content of the Medical Record
Timely and Complete Medical Records
Retention Requirements
Statutes and Regulations
Other External Forces
Bases for Decision
Record Destruction
Destruction in Ordinary Course
Destruction Due to Closure
Access to Health Information
Ownership of Health Information
Notice of Use and Disclosure
Access by or on Behalf of the Patient
General Principles of Disclosure Information
By the Patient
To Third Parties
Reasonable Fees
Access by the Researcher
Access by the Business Associate
Access Pursuant to Reporting Laws
Access to Adoption Records
Confidentiality and Informed Consent
Confidentiality
Constitutional Basis
Statutory Basis
Common Law Basis
Informed Consent
Historical Development
Scope of Informed Consent Doctrine
Judicial Process of Health Information
Medical Records as Evidence
Hearsay
Privilege
Responses to Legal Process
Subpoenas
Court Orders
Response Methods
Specialized Patient Records
Drug and Alcohol Abuse
Confidentiality
Release of Information
Miscellaneous Issues
Mental Health and Developmental Disability Care
Content Requirements
Privacy Restrictions
Home Health Care
Genetic Information
Risk Management and Quality Management
Risk Management
General Principles
Patient Record Requirements
Incident Reports
Quality Management
Peer Review Privileges
National Practitioner Data Bank
HIV Information
Testing
Background Information about HIV/AIDS
Voluntary Testing
Mandatory Testing
Anonymous Testing
Patient Confidentiality
Legal Challenges
Employment Challenges
Improper Disclosure Challenges
Computerized Patient Records
Accreditation and Licensure Issues
Creation and Storage
Authentication
Liability Issues
Admissible Evidence
Security Issues
Electronic Health Issues
Internet
Electronic Mail
Digital Imaging
Telemedicine
Health-Care Fraud and Abuse
Fraud and Abuse
Major Laws Addressing Fraud and Abuse
Law Enforcement Agencies
Compliance Programs
Appendix
Case Studies: Things to Consider
Table of Cases
List of Common Acronyms
A Patient's Bill of Rights
Principles of Medical Record Documentation
Durable Power of Attorney for Health Care and Health Care Directive (Sample Form)
Sample Living Will
Patient Self-Determination Act
Health Care Quality Improvement Act
Glossary
Index