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.

Expert Solution Preview

Introduction: The following is a case study that presents various issues related to the HIPAA privacy rule. As a medical professor in charge of creating college assignments and answers for medical college students, it is important to identify the issue(s) presented on each date and determine how to handle each situation in compliance with the HIPAA privacy rule.

1. May 26-30: Mary Jones was hospitalized with depression and a possible suicide attempt, Type I diabetes, and a previous above-knee amputation with a prosthesis. The healthcare provider must ensure that Mary Jones’ health information is protected and kept confidential as required by the HIPAA privacy rule.

2. July 18: Mary Jones requested a copy of her medical records from her May hospital admission. The covered entity is required to fulfill the request in compliance with the HIPAA privacy rule.

3. August 7: Mary Jones discovered that her medical records indicated a possible suicide attempt and requested that the records be changed to reflect that the overdose was accidental. The healthcare provider should follow the appropriate procedures for amending medical records under the HIPAA privacy rule.

4. September 14: Mary Jones was readmitted to St. John Hospital with an infection of the prosthetic site. The healthcare provider must ensure that Mary Jones’ health information is protected and kept confidential as required by the HIPAA privacy rule.

5. October 5: Mercy Hospital requested faxed copies of Mary Jones’ medical records from her September admission at St. John Hospital. The healthcare provider must ensure that the disclosure of Mary Jones’ health information is authorized and complies with the HIPAA privacy rule.

6. October 15: Mary Jones requested that her medical records from her May hospital admission be mailed to her new psychiatrist and stated that she had changed jobs and her new health insurer was Liberty Life and Health. The healthcare provider must ensure that the disclosed health information is authorized and complies with the HIPAA privacy rule.

7. October 30: The new HIM manager was aware of a state statute that prohibited the release of medical records to patients without prior written approval of their attending physician. He suggested that correspondence requests be suspended until the state law could be researched further. The healthcare provider must comply with state laws that are more stringent than the HIPAA privacy rule.

8. November 10: Mary Jones received samples and a brochure from a pharmaceutical company. The healthcare provider must ensure that the disclosure of Mary Jones’ health information is authorized and complies with the HIPAA privacy rule.

9. November 12: Liberty Life and Health submitted a request for copies of Mary Jones’ medical records from her May hospital admission and her new psychiatrist’s office. The healthcare provider must ensure that the disclosed health information is authorized and complies with the HIPAA privacy rule.

10. November 17: Children’s Services requested Mary Jones’ medical records from her May hospitalization for an investigation. The healthcare provider must comply with the HIPAA privacy rule and disclose the minimum necessary information for the investigation.

11. November 20: The physical therapy department is performing a correlational study using patient information. The healthcare provider must ensure that the use of patient information is authorized and complies with the HIPAA privacy rule.

12. November 21: Dr. King presented a seminar using slides that compared Mary Jones’ condition before the procedure, immediately after, six months later, and one year later. The healthcare provider must ensure that the disclosure of Mary Jones’ health information is authorized and complies with the HIPAA privacy rule.

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