Chapter 12.1: Introduction to Patient Records and the Health Record

Description

[dnvdxgp]

ARRA was actually initially marketed to boost the economy to provide NEW jobs however it was actually used or exactly what you to boost the EHR. This was used as the pathway for bamacare. ARRA was catapulted PRIOR to bamacare to get all in order before bamacare installed. NEW jobs were NOT created under ARRA but contracted out to existing or newly developed consultants to these medical entities to get medical entities to transfer to EHR.

[dnvdxgp]

Problem is HIPAA does not cover all patient privacy under office of civil rights. Patients need to understand and demand OCR and DHS cover ALL entities including all govt entities, third party private data collection providers and 3rd party nonprofit provider govt service providers that also use data collection for medical entities as well as 3rd party billing services. All of these entities now involved collecting patient data should be protected under OCR and DHS.

[dnvdxgp]

We have to be our own patient advocate. Amd word of advice always....always get a copy of your medical records to INCLUDE docs chart notes (important) and watch how ancy docs offices get when you request them. Patients right to request and receive their own records. Notice that chart notes verbiage these days don't match what was discussed in the office visit. We need to change this process and have patient sign the chart notes BEFORE they leave the office. There is NO excuse for a doctor to not include discussion of important topics in chart notes especially when his notes impact your healthcare. With technology, there is no excuse for a patient not to review his notes before leaving the office and with agree and sign off or disagree with comments. However be ready Because the medical field is offended if a patient disagrees and will release patient. Healthcare has changed drastically.

[dnvdxgp]

Law needs to be changed that ALL patients have to sign office visit notes before they leave the office. Always Request copy of records before leaving. Since the office visit is entered into software while patient is in the room, there is no reason a patient should not have to sign that record ... That way, disagreements or omissions can be agreed upon before leaving the visit. Many of these electronic records are being misused to cover doctor liability now which impacts a patients continuity of healthcare. And record notes are changed and tailored or subjective if there are legal issues!! And don't be surprised if a doctor releases the patient from their care if there is a disagreement if a note is intentionally omitted. This is happening now and patients are suffering. A doctor rarely admits what was verbally said in writing about a mistake from another doctor OR an allergic reaction from a medicine with a high rebate he is receiving from pharma. A good doctor will stand by his words. Leave a doctors care if they omit significant notes in writing!!! Not a good sign.

[dnvdxgp]

The problem of the EHR whereas list of defaults are already listed (broken bones, etc.) are not usually checked by the doctor but skipped over and defaulted. if patient has a broken arm, my electronic health record was automatically checked no broken bones but my reason for visit was broken arm. Hahahahahaha what a joke!

[dnvdxgp]

HIPAA is not as protected as it portrays. With many nonprofit service providers and contractors having access to EHI the window is wide open for these entities to sell patient data. Once a PHI is signed at the docs office, no one at the office pays any attention to a patient opting out of data collection and it is databased anyway, regardless of what the patient requested, and sent to these other providers that collect data. In addition, these nonprofits and contractors resell data to additional entities and so on. Selling patient data is a money maker. When asking to opt out the front desk clerks that setup patient profiles look at you like a monkey and a troublemaker patient because these front desk clerks are not educated in these HIPAA, PHI areas. Privacy Protection is a joke. Nothing is private.

[dnvdxgp]

Patient demographics? Hhmm. One has the right NOT to answer demographics YET have no right for demographics such as race or gender to be entered BY the medical entity and a part of the EHI.