Review the scenario and answer the associated questions.
Review the scenario and answer the associated questions. Answers must be thorough and substantive. Brief answers will not …
Review the scenario and answer the associated questions.
Review the scenario and answer the associated questions. Answers must be thorough and substantive. Brief answers will not receive any points. Correct grammar and spelling are required. The following case study (Rinehart-Thompson) at hypothetical St. John Hospital illustrates numerous issues that the HIPAA privacy rule presents and which HIPAA-covered entities must address on a daily basis. As you conclude Chapter 9 and the HIPAA privacy rule requirements, use this case study to identify the issue(s) presented on each date, determining how each situation should be handled in order to comply with the HIPAA privacy rule. Case Scenario From May 26-30, Mary Jones was hospitalized in St. John Hospital, located in Johnson County, with depression and a drug overdose (documented by the physician as a possible suicide attempt). She also had Type I diabetes and a previous above-knee amputation of the right leg, with a prosthesis. During her hospital stay, she had several sessions with her psychiatrist, Dr. Bridges. On July 18, Ms. Jones contacted the HIM Department at St. John Hospital to request a copy of her medical records from her May hospital admission. The chart was copied for her by ReadyChart, the record copying service utilized by St. John Hospital. On August 7, Ms. Jones returned to the HIM Department at St. John Hospital, extremely upset that her May records indicated a possible suicide attempt. She wanted Dr. Bridges to change the incorrect records to reflect that the overdose was accidental. Dr. Bridges refused, stating that Ms. Jones didn’t know what she was talking about. On September 14, Ms. Jones was readmitted to St. John Hospital with an infection of the prosthetic site. She was treated with an antibiotic regimen. On October 5, St. John Hospital received a call from Mercy Hospital. Ms. Jones was in the emergency department there, with a severe infection of her prosthetic site. The nurse in the Mercy Hospital emergency department asked for faxed copies of medical records from Ms. Jones’ September admission at St. John, as she was being prepared for immediate surgery. On October 15, Ms. Jones decided to go to another psychiatrist. She called St. John Hospital HIM Department and asked that her medical records from her May hospital admission be mailed to Dr. Lyon, as she has an appointment scheduled with him this coming January. Ms. Jones stated that she had also changed jobs in September, and her new health insurer was Liberty Life and Health. On October 30, Ms. Jones requested a copy of her medical records from her September admission. The new HIM manager in charge of correspondence, Don Day, stated that he was aware of a state statute that prohibited the release of medical records to patients without prior written approval of their attending physician. This has not been the practice at St. John Hospital. Mr. Day was concerned about the hospital’s longstanding violation of state law. He suggested that correspondence requests (in which records would be released directly to patients) be suspended until the state law could be researched further. On November 10, Ms. Jones received a brochure and samples from Comfort Healthcare, a pharmaceutical company that manufactures ointment for patients with prostheses. Ms. Jones called the St. John Hospital registration desk to complain. Jessica Carter, a candy striper, took Ms. Jones’ call. On November 12, Liberty Life and Health submitted a request to Dr. Lyon’s office for copies of Ms. Jones’ medical records from her May St. John Hospital admission and from Dr. Lyon’s office. On November 17, A case worker from the Johnson County Children’s Services called the HIM Department at St. John and requested Ms. Jones’ medical records from her May hospitalization. Children’s Services had received a complaint that Ms. Jones had an “episode” on May 26 and there was concern that her children were being subjected to ongoing abuse. As a result, it was initiating an investigation. On November 20, the physical therapy department at St. John Hospital is performing a correlational study to determine the effects of two different types of treatment that the physical therapy department has used with its above-knee amputation patients during the past two years. Ms. Jones received treatment from the St. John physical therapy department during her September admission. On November 21, Dr. King, an orthopedic surgeon, presented a seminar to the state association of orthopedic surgeons on above-knee amputation techniques. He had performed Ms. Jones’ procedure one year ago, and he showed slides that compared her condition before the procedure, immediately after, six months later, and one year later. Task: Based on the HIPAA privacy rule issues discussed in Chapter 9, identify the issue or issues presented on each datein the above case scenario. There are 12 dates mentioned in the scenario.
Aspen University Neuman System’s Model Presentation
Create a Power Point Presentation to discuss the followingSgt. Eddie Johns leaned back against the chair in the outpatient …
Aspen University Neuman System’s Model Presentation
Create a Power Point Presentation to discuss the followingSgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns. Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.
13 pages
Diabetes.edited
The paper examines various aspects of diabetes. Notably, the background of diabetes has been discussed including the preva …
Diabetes.edited
The paper examines various aspects of diabetes. Notably, the background of diabetes has been discussed including the prevalence rates globally. …
12 pages
Nurs Fpx4050 Care Coordination Plan 1
• The healthcare sector is an essential part of the community. • Nurses are essential players in this sector because o …
Nurs Fpx4050 Care Coordination Plan 1
• The healthcare sector is an essential part of the community. • Nurses are essential players in this sector because of the roles they
polypharmacy in the frail elderly patient
The purpose of this assignment is to increase the nurse practitioner’s awareness and sensitivity to pharmacokinetic chan …
polypharmacy in the frail elderly patient
The purpose of this assignment is to increase the nurse practitioner’s awareness and sensitivity to pharmacokinetic changes and prescribing implications occurring in frail elderly related to these changes and potential adverse effects of polypharmacy in the frail elderly patient.InstructionsIdentify a patient from your clinical site that is age 65 or older and takes at least 12 prescription medications, over-the-counter (OTC) medications, and herbal supplements.Describe your patient including age, gender, ethnicity, medical diagnoses, medication allergies, and list of prescriptions/OTC medications/herbal supplements including dosage, route, and frequency.Describe 3 age related changes that can affect pharmacokinetics and pharmacodynamics.Using Beer’s criteria, review the patient’s medication list to identify medications that are potentially inappropriate. What medications should be continued? What medications should you consider stopping? What are potential alternative medications that could be used in place of the medications that you would consider stopping?What are two challenges you as an NP face with regard to regulation of complementary and alternative medications in care of the frail elderly?As an NP, what is one specific strategy you will use to assess medication reconciliation including CAM and over the counter medications in the frail elderly population?PLEASE YOU CAN MAKE UP A PATIENT AND INCLUDE 2 REFERENCES IN APA FORMAT
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