Release of Information
Description
In this assignment, you will be working with the Release of Information (ROI) Department. With this in mind, you should familiarize yourself with the HIPPA Guidelines and ROI documents below before you begin.
- HIPAA’s Privacy Rule and Release of Information Guidelines
- Rasmussen Medical Center – Release of Information Policies
Peggy Smith, the Assistant Director of the HIM department, has taken over the ROI department after being notified that the ROI Supervisor will be out indefinitely. Peggy has learned that she has two tasks to handle immediately. The first task is responding to a variety of ROI requests. The second task is developing an accounting of disclosures for ROI tracking.
Part 1 – Release of Information Requests
Download the Release of Information Requests Worksheet.
Read the case provided and review the ROI scenarios described. After analyzing the situations, comment whether you agree or disagree with how Peggy handled each situation. Give your reasons for agreeing or disagreeing with her actions. Save your answers in the worksheet.
Part 2 – Accounting of Disclosures Form
A patient has requested an Accounting of Disclosures. Peggy quickly realizes the department does not have a formal document to present to the patient. She must now create an Accounting of Disclosures form and has asked you for assistance.
Review the documents provided above for the HIPAA Guidelines and RMC Release of Information Policies. It is a HIPAA rule that all health information releases must be tracked. The HIPAA and ROI materials suggest what type of information must be tracked. Some HIM department have an HIM software application that can be used to do this, while others simply use Excel or Word to set up a tracking system.
For this assignment, design an Accounting of Disclosures Form using an Excel spreadsheet or a Word table or form document. Be sure it includes each of the areas that are required on an Accounting of Disclosures form. It may be helpful to research Accounting of Disclosures forms using your preferred Internet search engine.
Once you have your form designed, fill in the information for one patient simply using made-up information.
2 Documents needs submitted separately (Worksheet and Excel Table)
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References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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