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Medical Record Chapter - Meeting the CMS Hospital CoPs and Access Requirements

  • Training Type Recorded Webinar
  • Presenter Laura A. Dixon
  • Topic Healthcare
  • Schedule Apr 12, 2024
  • Timing 1:00 PM EDT
  • Duration 90 minutes
Registration Options
Recording $229
Transcript $229
DVD $249
Recording & Transcript $399
  • Coffee
  • Tea
  • Milk

Description

This program will cover in detail the CMS regulations and interpretive guidelines for medical records for Acute and Critical Access hospitals. There will also be a brief discussion of the Interoperability and Patient Access Rules. The law affects healthcare providers and effectively grants patients immediate access to health information in their electronic medical records – without charge. Certain records are excluded, and the rule establishes exceptions to “information blocking’. This rule and its implications for healthcare providers will be discussed.

This program will revisit information on HIPAA from the Office of Civil Rights, including the difference between patient access versus when authorization is needed. There will also be a discussion on The Joint Commission, which changed many of its standards to comply with the CMS CoP requirements.

Other topics to be discussed include the security of health information and OCR Security Risk Assessment.

Learning Objectives:-

  • Recall that CMS has specific informed consent requirements.
  • Describe when a history and physical must be done and what is required by CMS.
  • Explain both CMS and The Joint Commission standards on verbal orders.
  • Recall that CMS has standards for preprinted orders, standing orders, and protocols.
  • Describe when and circumstances by which healthcare providers can “block” patients/others' access to health information. 

Detailed Agenda:-

  • Introduction
  • Deficiency of data related to medical records
  • Patient rights to access medical records
  • Recent fines against hospitals
  • OCR rights of patients and access to records
  • HIPAA Access vs. Authorization
  • Interoperability and Patient Access Rule
  • Requirements for “Information Blocking”
  • Conditions of Participation
    • MR services
    • Staffing
    • Retention of medical record
    • Security and risk assessments
    • Confidentiality and release of records
    • Content of record
    • Order sets
    • Rubber stamps
    • Verbal orders
    • Standing orders
    • History and physicals
    • Informed consent
    • Discharge summary
    • Electronic notifications
  • Critical Access Hospitals – clinical records CoPs
  • Breach notification
  • OCR – Risk Assessment
  • Copy/Paste – OIG and CMS positions
  • Texting of orders – CMS update
  • Appendix and Resources

Who Should Attend:-

  • Chief Medical Officer
  • Chief Nursing Officer
  • Compliance Officer
  • Emergency Department Personnel
  • Joint Commission Coordinator
  • Medical Records
  • Quality Improvement personnel
  • Risk Manager
  • Legal Counsel
Registration Options
Recording $229
Transcript $229
DVD $249
Recording & Transcript $399
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Any Organization, Institution or Group User can register

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Access Information for Live Session will be emailed to you 12 hours prior the live date.

Access Information for On-Demand, and Transcript will be emailed to you 24 hours post of the live session.

Also, You can access the training information from your dashboard at WebianarAxis.

Speaker
Laura A. Dixon

Laura A. Dixon

Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management, and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consulting and training to facilities, practitioners, and staff in multiple states.

Such services included the creation of presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director of, Western Region, Patient Safety, and Risk Management for The Doctors Company, Napa, California.

In this capacity, she provided patient safety and risk management consultation to the physicians and staff in the western United States. Ms. Dixon’s legal experience includes representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice defense, and representation of nurses before the Colorado Board of Nursing.

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.


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