Week 18 - Information Management / Record of Care

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* 1. True or False: Patients have the right to confidentiality and privacy of their health information.

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* 2. Fill in the blanks: PHI for our patients must be kept confidential and should be accessed only on a (blank) and (blank) basis.

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* 3. True or False: Employees are allowed to view, see or print their own family members', friends' or coworkers' medical information. 

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* 4. Fill in the blank: Confidential trash, anything with patient-identifying information, must be disposed of in the locked (blank) bins.

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* 5. Fill in the blank: Conduct a (blank) to review the fax number and/or all documents prior to proceeding. 

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* 6. Fill in the blank: Use (blank) when labeling documents or providing paperwork to patients (do not use patient labels on documents given to patients). 

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* 7. Fill in the blanks: Medical records are released from the facility only by (blank), (blank), (blank) or (blank) and may be released only by the HIM department.

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* 8. Documentation in the medical record must be complete and contain: (Name 3).

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* 9. Documentation in the medical record must be communicated clearly. We do this by: (Name 3).

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* 10. Essential elements of clinical documentation include: (Name 3)

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