Medical Records And The Law / Edition 4

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Overview

Published in conjunction with the American Health Information Management Association (AHIMA), Medical Records and the Law is the ideal text for programs in HIM as well as a valuable reference for health and legal professionals. The Fourth Edition features an expanded discussion of state laws affecting the use and disclosure of health information and the substantial changes brought about by HIPAA and the growth of electronic health record systems. It also discusses the highly complex interplay of federal and state laws as well as the challenging area of how patient information may be used in connection with medical research involving human subjects.

The book contains no figures.

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Editorial Reviews

From The Critics
Reviewer: LouAnn Schraffenberger, MBA, RHIA, CCS, CCS-P(Advocate Health Care)
Description: This is the fourth edition of a book focusing on the protection of private health information. Written by partners in the national healthcare law firm of McDermott Will & Emery LLP, the book provides comprehensive information about the laws and regulations that govern the use and exchange of health information and the protection of health records that contain it.
Purpose: The law firm partnered with the national professional organization, American Health Information Management Association, to provide a comprehensive textbook for health information educational programs for the health law course. The book is also intended to be a reference for professionals in the health information management field as well as attorneys who manage and use protected health information. The book has been widely accepted in the health information management industry as an excellent source of information about the legal aspects of health records.
Audience: The audience is likely to be students in a health information management program, practicing health information managers in a variety of healthcare settings responsible for protecting patient information, and lawyers who may not be experts in health =care law but need to access protected health information for their case work. The authors, particularly William Roach, are recognized health law expert attorneys practicing in a nationwide firm known for its work in healthcare and privacy protection.
Features: The 14 chapters range from an introduction to the legal system to medical record requirements, consents to treatments, access to health information, discoverability and admissibility of medical records, and legal theories in improper disclosure cases. A glossary of acronyms and definitions is included.
Assessment: This is an excellent book and a valuable reference for anyone requiring a solid understanding of the legal aspects of medical records and health information. This edition addresses the requirements for protecting health information in the Health Insurance Portability and Accountability Act (HIPAA) and the growth of electronic health record systems and their unique challenges in protecting health information. I wholeheartedly recommend this book to instructors in health information legal courses and to health information practitioners to have as a reference for the perplexing questions that arise on a regular basis concerning the legal aspects of the health records they manage.
From The Critics
Reviewer: LouAnn Schraffenberger, MBA, RHIA, CCS, CCS-P(Univ of Illinois at Chicago School of Biomed & Health Info Mgmt)
Description: This is the fourth edition of a book focusing on the protection of private health information. Written by partners in the national healthcare law firm of McDermott Will & Emery LLP, the book provides comprehensive information about the laws and regulations that govern the use and exchange of health information and the protection of health records that contain it.
Purpose: The law firm partnered with the national professional organization, American Health Information Management Association, to provide a comprehensive textbook for health information educational programs for the health law course. The book is also intended to be a reference for professionals in the health information management field as well as attorneys who manage and use protected health information. The book has been widely accepted in the health information management industry as an excellent source of information about the legal aspects of health records.
Audience: The audience is likely to be students in a health information management program, practicing health information managers in a variety of healthcare settings responsible for protecting patient information, and lawyers who may not be experts in health =care law but need to access protected health information for their case work. The authors, particularly William Roach, are recognized health law expert attorneys practicing in a nationwide firm known for its work in healthcare and privacy protection.
Features: The 14 chapters range from an introduction to the legal system to medical record requirements, consents to treatments, access to health information, discoverability and admissibility of medical records, and legal theories in improper disclosure cases. A glossary of acronyms and definitions is included.
Assessment: This is an excellent book and a valuable reference for anyone requiring a solid understanding of the legal aspects of medical records and health information. This edition addresses the requirements for protecting health information in the Health Insurance Portability and Accountability Act (HIPAA) and the growth of electronic health record systems and their unique challenges in protecting health information. I wholeheartedly recommend this book to instructors in health information legal courses and to health information practitioners to have as a reference for the perplexing questions that arise on a regular basis concerning the legal aspects of the health records they manage.
LouAnn Schraffenberger
This is the second edition of a well-respected reference book addressing the fundamental legal aspects associated with medical records and the information contained with the records. Confidentiality of health information represents one of the major health care challenges of the next decade as the computerization of information escalates in health care. Anyone interested in legal aspects of health information will find this book a worthwhile addition to their collection. The purpose is to examine the legal issues associated with medical records and health information, including contents of records and databases, retention, authentication, correction, and destruction of paper and information. The audience includes health information management professionals, quality assurance and risk management practitioners, health lawyers, health care administrators, and physicians. The authors use current regulatory information, case law, and practical advice in their chapters. Special legal problems such as documentation of advance directives, child abuse reporting, disposition of records in a change of facility ownership, AIDS records, and records in an electronic age are included. Several appendixes are useful to identify state statutes concerning medical records, discoverability and admissibility of medical staff committee records, and a table of cases that describe the case law presented. This is the long-awaited second edition (first in 1985) of an excellent text and reference book for health care professionals interested in or working with medical records and health information management. The primary author, William Roach, is a well respected health care lawyer, and the Aspen Health Law Centerlawyers provided many resources to make the book even more user friendly. The book contains clear, concise information that is difficult to find elsewhere.
Jay Gold
This book is a presentation of the law regarding medical records, including the latest trends in health information management. This is a revision of the 1994 edition. The purpose is to analyze the legal issues affecting health information management. This is a very important issue today, with technological advances creating all sorts of scenarios in recordkeeping that would not have been possible in the past. This book is intended for attorneys and healthcare providers. It should be useful to both -- the author avoids arcane legal terminology, while there are enough references to statutory and case law to make it useful for lawyers. The author is a practicing attorney. After an introduction to the American legal system, the author covers a myriad of topics related to the subject: medical record entries, managed care issues, consent to treatment, access, confidentiality, reporting, disclosure, documentation, legal admissibility of records, improper disclosure, risk management and quality review, and computerized medical records. There is a separate chapter on HIV issues. The references are excellent, and the index is good. The law in this area changes very quickly: telemedicine, e-mail, electronic claims processing, and many other topics must now be added to the traditional law of medical records. With this book the author offers a creditable exposition of the law in the area.
Booknews
A practical resource for both attorneys and health care professionals. After an introduction to the American legal system, medical records, and managed care, chapters cover medical record requirements, documenting consent, access to information, reporting and disclosure requirements, HIV/AIDS, admissibility of medical records, computerized medical records, and legal theories in improper disclosure cases. Includes a glossary. This third edition takes into account new methods of delivering health care services, the role of a variety of health care providers, different uses made of health data, and confidentiality concerns. Annotation c. by Book News, Inc., Portland, Or.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780763734459
  • Publisher: Jones & Bartlett Learning
  • Publication date: 4/18/2006
  • Edition description: 4E
  • Edition number: 4
  • Pages: 591
  • Sales rank: 791,239
  • Product dimensions: 9.10 (w) x 6.10 (h) x 1.40 (d)

Table of Contents

Ch. 1 Introduction to the American legal system 1
Ch. 2 Medical records and managed care 19
Ch. 3 Medical records requirements 31
Ch. 4 Medical records entries 51
Ch. 5 Documents consent to treatment 73
Ch. 6 Access to health information 103
Ch. 7 Reporting and disclosure requirements 247
Ch. 8 Documentation and disclosure : special areas of concern 267
Ch. 9 HIV/AIDS : mandatory reporting and confidentiality 343
Ch. 10 Discovery and admissibility of medical records 373
Ch. 11 Legal theories in improper disclosure cases 395
Ch. 12 Risk management and quality management 421
Ch. 13 Electronic health records 439
Ch. 14 Health information in medical research 515
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