Legal and Ethical Aspects of Health Information Management, 6th Edition PDF by Dana C Mcway, JD, Rhia and Fahima

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Legal and Ethical Aspects of Health Information Management, Fifth Edition

By Dana C Mcway, Jd, Rhia and Fahima

Legal and Ethical Aspects of Health Information Management, Fifth Edition

Contents:

Preface xv

PART 1 STUDY OF THE LAW IN GENERAL 1

1 Workings of the American Legal System 2

Learning Objectives 2

Key Concepts 2

Private And Public Law 3

Private Law 3

Public Law 5

Sources Of Law 6

Constitution 6

Statutes 8

Administrative Decisions And Regulations 10

Judicial Decisions 12

Branches Of Government 14

Legislative Branch 16

Executive Branch 16

Judicial Branch 17

Quasi-Legal Requirements 17

Conclusion 18

Case Study A 18

Case Study B 18

Review Questions 19

Enrichment Activity 19

2 Court Systems and Legal Procedures 21

Learning Objectives 21

Key Concepts 21

Court Systems 22

Jurisdiction 22

Court Structure 23

Legal Process 28

Beginning The Lawsuit 29

Discovery 29

Pretrial Conference 40

Trial 40

Appeal 41

Satisfying The Judgment 42

Alternative Dispute Resolution 42

Conclusion 44

Case Study 44

Review Questions 44

Enrichment Activity 45

3 Judicial Process of Health Information 46

Learning Objectives 46

Key Concepts 46

Health Records As Evidence 47

Hearsay 48

Privilege 49

Exclusions 50

Responses To Legal Process 50

Subpoenas 51

Court Orders 51

Discovery Requests 53

Warrants 55

Response Methods 56

Conclusion 59

Case Study 59

Review Questions 59

Enrichment Activity 60

4 Principles of Liability 62

Learning Objectives 62

Key Concepts 62

Health Care Relationships 63

Physician–Patient Relationships 64

Hospital–Patient Relationships 64

Hospital–Physician Relationships 65

Theories Of Liability 66

Nonintentional Torts 67

Intentional Torts 75

Breach Of Contract 77

Social Media 78

Defenses And Limitations On Liability 79

Statutes Of Limitations 79

Charitable Immunity 80

Governmental Immunity 80

Good Samaritan Statutes 81

Contributory And Comparative Negligence 81

Assumption Of Risk 82

Apologies 82

Conclusion 82

Case Study 83

Review Questions 83

Enrichment Activities 84

PART 2 AN OVERVIEW OF ETHICS 87

5 Ethical Standards 88

Learning Objectives 88

Key Concepts 88

Ethical Models 89

Ethical Concepts 90

Ethical Theories 96

Conclusion 99

Case Study 99

Review Questions 99

Enrichment Activity 99

6 Ethical Decisions and Challenges 100

Learning Objectives 100

Key Concepts 100

Ethical Decision Making 101

Influencing Factors 101

Ethical Decision-Making Process 109

Ethical Challenges 111

Generalized Challenges 111

The Role Of Ethics In Supervision 113

Health Care Challenges 115

Health Information Management Challenges 116

Conclusion 118

Case Study A 118

Case Study B 119

Review Questions 119

Enrichment Activity 120

Websites Addressing Codes Of Ethics 120

7 Bioethics Issues 121

Learning Objectives 121

Key Concepts 121

Related To The Beginning Of Life 122

Family Planning 122

Abortion 124

Perinatal Ethics 125

Eugenics 126

Related To Sustaining Or Improving The Quality Of Life 126

Hiv/Aids 126

Organ Transplantation 128

Genetic Science 129

Related To Death And Dying 130

Planning For End Of Life 131

Euthanasia 132

Withholding/Withdrawing Treatment 133

Conclusion 133

Case Study 133

Review Questions 134

Enrichment Activity 134

PART 3 LEGAL AND ETHICAL ISSUES CENTRAL TO

HEALTH INFORMATION MANAGEMENT 135

8 Patient Record Requirements 136

Learning Objectives 136

Key Concepts 136

Function And Use Of The Health Record 137

Legal Requirements For Health Record Content 139

Content Of The Health Record 139

Timely And Complete Health Records 143

Retention Requirements 148

Statutes And Regulations 149

Other External Forces 150

Bases For Decision 152

Record Destruction 152

Destruction In Ordinary Course 152

Destruction Due To Ownership Change 154

Destruction Due To Closure 155

Conclusion 156

Case Study 156

Review Questions 157

Enrichment Activities 157

9 Confidentiality and Informed Consent 160

Learning Objectives 160

Key Concepts 160

Confidentiality 161

Constitutional Basis 163

Statutory Basis 163

Common Law Basis 165

International Basis 165

Confidentiality Application 165

Confidentiality In The Research Context 168

Confidentiality Of Hiv Information 169

Informed Consent 172

Historical Development 172

Scope Of Informed Consent Doctrine 173

Situations Requiring Informed Consent 176

Conclusion 177

Case Study 177

Review Questions 177

Enrichment Activities 178

10 Access to Health Information 181

Learning Objectives 181

Key Concepts 181

Ownership Of Health Information 182

Notice Of Use And Disclosure 184

Access By Or On Behalf Of The Patient 192

General Principles Of Disclosure Of Information 192

By The Patient 195

To Third Parties 197

Reasonable Fees 198

Access By The Researcher 200

The Ethical Perspective 200

The Regulatory Perspective 201

Access By The Business Associate 204

Access Pursuant To Reporting Laws 206

Access To Adoption Records 207

Unlawful Access 208

Conclusion 210

7 Bioethics Issues 121

Learning Objectives 121

Key Concepts 121

Related To The Beginning Of Life 122

Family Planning 122

Abortion 124

Perinatal Ethics 125

Eugenics 126

Related To Sustaining Or Improving The Quality Of Life 126

Hiv/Aids 126

Organ Transplantation 128

Genetic Science 129

Related To Death And Dying 130

Planning For End Of Life 131

Euthanasia 132

Withholding/Withdrawing Treatment 133

Conclusion 133

Case Study 133

Review Questions 134

Enrichment Activity 134

PART 3 LEGAL AND ETHICAL ISSUES CENTRAL TO HEALTH INFORMATION MANAGEMENT 135

8 Patient Record Requirements 136

Learning Objectives 136

Key Concepts 136

Function And Use Of The Health Record 137

Legal Requirements For Health Record Content 139

Content Of The Health Record 139

Timely And Complete Health Records 143

Retention Requirements 148

Statutes And Regulations 149

Other External Forces 150

Bases For Decision 152

Record Destruction 152

Destruction In Ordinary Course 152

Destruction Due To Ownership Change 154

Destruction Due To Closure 155

Conclusion 156

Case Study 156

Review Questions 157

Enrichment Activities 157

9 Confidentiality and Informed Consent 160

Learning Objectives 160

Key Concepts 160

Confidentiality 161

Constitutional Basis 163

Statutory Basis 163

Common Law Basis 165

International Basis 165

Confidentiality Application 165

Confidentiality In The Research Context 168

Confidentiality Of HIV Information 169

Informed Consent 172

Historical Development 172

Scope Of Informed Consent Doctrine 173

Situations Requiring Informed Consent 176

Conclusion 177

Case Study 177

Review Questions 177

Enrichment Activities 178

10 Access to Health Information 181

Learning Objectives 181

Key Concepts 181

Ownership Of Health Information 182

Notice Of Use And Disclosure 184

Access By Or On Behalf Of The Patient 192

General Principles Of Disclosure Of Information 192

By The Patient 195

To Third Parties 197

Reasonable Fees 198

Access By The Researcher 200

The Ethical Perspective 200

The Regulatory Perspective 201

Access By The Business Associate 204

Access Pursuant To Reporting Laws 206

Access To Adoption Records 207

Unlawful Access 208

Conclusion 210

Case Study A 210

Case Study B 211

Review Questions 211

Enrichment Activities 212

11 Specialized Patient Records 216

Learning Objectives 216

Key Concepts 216

Drug And Alcohol Abuse 217

Confidentiality 218

Release Of Information 219

Miscellaneous Issues 225

Mental Health And Developmental Disability Care 226

Content Requirements 226

Privacy Restrictions 228

Home Health Care 230

Genetic Information 231

Hiv Information 234

Background Information About Hiv/Aids 234

Testing 235

Conclusion 237

Case Study 237

Review Questions 237

Enrichment Activities 238

PART 4 SPECIALIZED AREAS OF CONCERN IN HEALTH INFORMATION MANAGEMENT 243

12 Risk Management, Quality Management, and Utilization Management 244

Learning Objectives 244

Key Concepts 244

RISK MANAGEMENT 245

General Principles 245

Patient Record Requirements 246

Incident Reports 250

Trends in Risk Management 254

QUALITY MANAGEMENT 256

Peer Review Privileges 256

Medical Staff Disciplinary Process 257

Utilization Management 260

Historical Development 261

Utilization Review 262

Conclusion 263

Case Study 264

Review Questions 264

Enrichment Activities 265

13 Information Systems 267

Learning Objectives 267

Key Concepts 267

Electronic Health Records 268

Legal Health Record 269

Accreditation and Licensure Issues 270

Liability Issues 272

Hipaa Security Rule 281

Breaches 283

Electronic Health Issues 285

Internet 285

Electronic Mail and Text Messaging 286

Digital Imaging 287

Telemedicine 288

Future Legal And Ethical Trends In Information Technology 290

Data and Privacy 290

Digital Access 291

Conclusion 292

Case Study 292

Review Questions 292

Enrichment Activities 293

14 Health Care Fraud and Abuse 296

Learning Objectives 296

Key Concepts 296

Fraud And Abuse 297

Major Laws Addressing Fraud and Abuse 297

Law Enforcement Agencies 302

Compliance Programs 304

Conclusion 308

Case Study A 308

Case Study B 308

Review Questions 308

Enrichment Activity 309

15 Law and Ethics in the Workplace 310

Learning Objectives 310

Key Concepts 310

Employment 311

Employee Rights 312

Overview 312

Employment Law Application 319

Social Media 330

Ethics Application 331

Conclusion 333

Case Study 333

Review Questions 333

Enrichment Activity 334

APPENDICES 335

Appendix A: Table of Cases 336

Appendix B: List of Common Acronyms 344

Appendix C: Selected Laws Affecting HIM 349

Appendix D: The Patient Care Partnership 351

Glossary 352

Index 371

Online Web Appendices (Login.Cengage.Com)

Appendix E: Sample HIPAA Privacy Notices

Appendix F: Durable Power of Attorney for Health Care and Health Care Directive

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