Which of the following should always be removed from a patients medical file so that information is de-identified?
Which of the following should always be removed from a patients medical file so that information is de-identified? Anything disclosing PHI. For healthcare providers who knowingly misuse a patients health information under false pretenses, the penalty may include
What information is included in a patients medical record?
It includes informationally typically found in paper charts as well as vital signs, diagnoses, medical history, immunization dates, progress notes, lab data, imaging reports, and allergies. Other information such as demographics and insurance information may also be contained within these records.
What is required for data to be de-identified under the HIPAA Safe Harbor provision?
Safe harbor method. The safe harbor method under the HIPAA Privacy Rule de-identification standard requires covered entities or business associates to remove all 18 identifiers of PHI from data in order to ensure that the data cannot be traced back to one person.
What are some ways to destroy PHI on medical devices?
Remember, HIPAA does mandate that unused media containing PHI be adequately destroyed, and not simply left behind or disposed of in a public receptacle. Examples of destroying hard copy include, but are not limited to, burning, shredding, or pulverizing.
Which information would need to be removed from documentation in order for it to be deidentified?
The process of de-identification removes all direct identifiers from patient data and allows organizations to share it without the potential of violating HIPAA. Direct identifiers can include a patients name, address, medical record information, etc.
What needs to be redacted for HIPAA?
Any account numbers or information that pertains to a persons financial information must be protected. Vehicle information must be redacted as well. Any audio, video, or pictures, may not be shared without full redaction of individual faces and any other identifying features, such as tattoos or piercings.
What information is not included in a patients medical record?
Blame of others or self-doubt, Legal information such as narratives provided to your professional liability carrier or correspondence with your defense attorney, Unprofessional or personal comments about the patient, or. Derogatory comments about colleagues or their treatment of the patient.
What notes are generally not included in a patients medical record?
The exceptions include psychotherapy notes; information prepared in anticipation of litigation; information obtained under a promise of confidentiality; information which, if disclosed, is reasonably likely to endanger the patient or others; certain information about inmates; certain information about research subjects
What is not considered part of the medical record?
A prescription is not considered to be part of the medical record.
What is considered de-identified patient information?
De-identified patient data is patient information that has had personally identifiable information (PII; e.g. a persons name, email address, or social security number), including protected health information (PHI; e.g. medical history, test results, and insurance information) removed.