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Hi everybody, welcome to Module 9.

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Documentation of a patient's history,

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their symptoms, diagnosis, treatment,

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it's obviously essential to achieving

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the highest possible quality of care.

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This module reviews a
broad range of issues

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involving management of that information.

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Patient records, medical
records are important

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for a lot of reasons,

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mostly, they provide a comprehensive view

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of the patient's medical history,

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past diagnoses, treatments, test results.

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This information is really
critical for healthcare providers

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to make informed decisions
about a patient's care

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and ensure a continuity of care

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between providers and healthcare settings.

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Helps our goals of providing quality care

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by keeping detailed information

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about a patient's health status,

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about their medical history,
about current conditions.

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And this information helps providers

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make more accurate diagnoses,

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helps them choose appropriate treatments,

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and monitor the effectiveness
of interventions.

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But patient records are also
subject to various legal

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and regulatory requirements.

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There's privacy and security laws

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and healthcare reporting requirements.

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Accurate and complete
patient records are essential

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for compliance with these requirements

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and help protect healthcare
providers organizations

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from legal and financial liability.

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So those of you doing research,

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and I believe a couple of you are,

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also understand the patient records

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are a valuable source for
data, for public health

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and for research and education.

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By analyzing patient records

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we can identify patterns and trends

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in healthcare practices and outcomes.

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Can use this information
to improve quality

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and effectiveness in healthcare.

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And patient records can also be used

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to engage patients in
their own healthcare.

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By providing patients with
access to their medical records,

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they can better understand
their own health status,

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track their progress,

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and participate in that
shared decision making process

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with their healthcare
providers and healthcare team.

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Along with the importance
of healthcare records

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comes some dangers.

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You know, what happens if we lose control

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of a patient's healthcare records?

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Who should we share those with?

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Historically, these were
all questions of privacy law

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and you could see quite a bit
of state by state variation.

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Then we got the Health
Insurance Portability

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and Accountability Act, or HIPAA,

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as you've probably all heard of, in 1996,

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which really changed
everything in an attempt

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to try to create consistency
across the nation.

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HIPAA has two main components

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and you'll see some information
about HIPAA this week.

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One part is the Privacy Rule

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and the other part is the Security Rule.

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The Privacy Rule established
kind of a national standard

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for protecting the privacy and security

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of individually identifiable
health information.

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That's called Protected
Health Information.

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This rule sets limits on the use

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and disclosure of Public
Health Information

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and requires healthcare providers
and other covered entities

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to obtain patient consent before
disclosing anything in PHI.

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There are limited circumstances
there are accepted,

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such as treatment,
payment, or operational.

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The rule also requires covered entities

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to provide patients with
notices of their privacy rights

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and the entity's privacy practices.

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They have the Security Rule
established national standards

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for protecting electronic PHI,

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how it's received, how it's transmitted,

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how it's maintained by
healthcare entities.

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That rule requires entities
to implement reasonable

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and appropriate administrative, physical,

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technical safeguards to the
confidentiality, integrity

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and availability of
that electronic record.

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HIPAA applies to covered entities,

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so you probably have heard of that,

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which includes healthcare providers,

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health plans, healthcare clearinghouses

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that transmit that health
information electronically.

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Business associates is
another term you will see

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such as third party billing companies

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or medical transcriptionist.

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Those entities, or people,

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who perform functions on
behalf of a covered entity

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that involve the use or disclosure

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of that public health information,

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which is subject to HIPAA.

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HIPAA violations can result

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in significant financial
penalties, reputational damage,

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and it's important to follow
the rules when you are able.

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So this week we are going to look at

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how privacy in healthcare
has become a complex issue.

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And we'll see a couple of
examples of what happens

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when things go pretty wrong.

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So I will see you in the discussion board

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and let's talk a little bit
about healthcare privacy.