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ERP Week 2

Patient Interview and History Chpt. 36 389-409

Information contained in a medical record becomes; A legal document for the treatment of the patient
HIPPA - Health Insurance Portability and Privacy Act standards include; 1.Medical Information Disclosure Practices 2.Release of Medical Information waiver 3.Notice of Privacy Practices
A written authorization is required from the client BEFORE; Disclosure of Information is given
A NPP - Notice of Privacy Protection must be posted in; Clear and prominent locations
HIPPA violations can result in: 1.$250,000 fine 2.Incarceration for 10 years 3.Civil litigation by those whose information you disclosed
Effective communication methods include: 1.Asking open-ended questions 2.Mirroring the patients responses 3.Focusing on the patient 4.Encouraging the patient to take the lead 5.Encouraging the patient to evaluate their situation
Example: Asking open ended question Can you tell me what you have been feeling?
Example: Mirroring a patients responses So the pain started about three days ago and has been getting worse each day?
Example: Focusing on the patient Maintain eye contact and block out distractions
Example: Encouraging the patient to lead the conversation Where would you like to begin?
Example: Encouraging the patient to evaluate their situation What do you think is going on here?
Created by: adrouillard