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Ch. 7-9 Vocab
HIT Law and Ethics
| Term | Definition |
|---|---|
| addendum | A significant change or addition to the electronic health record (EHR). |
| Confidentiality of Alcohol and Drug Abuse Patient Records | A federal statute that protects patients with histories of substance abuse regarding the release of information about treatment. |
| addendum | A significant change or addition to the electronic health record (EHR). |
| doctrine of professional discretion | Principle under which a physician can exercise judgment as to whether to show patients who are being treated for mental or emotional conditions their records. Disclosure depends on whether such patients would be harmed by viewing the records. |
| Confidentiality of Alcohol and Drug Abuse Patient Records | A federal statute that protects patients with histories of substance abuse regarding the release of information about treatment. |
| electronic health record (EHR) | An electronic collection of medical records from a variety of providers. |
| doctrine of professional discretion | Principle under which a physician can exercise judgment as to whether to show patients who are being treated for mental or emotional conditions their records. Disclosure depends on whether such patients would be harmed by viewing the records. |
| electronic medical record (EMR) | A digital version of the patient’s chart in a clinician’s office. |
| electronic health record (EHR) | An electronic collection of medical records from a variety of providers. |
| health information technology (HIT) | The electronic systems health care professionals—and increasingly, patients—used to store , share, and analyze health information. |
| electronic medical record (EMR) | A digital version of the patient’s chart in a clinician’s office. |
| meaningful use | A process by which health care providers use an electronic health record according to guidelines set by the federal government. |
| health information technology (HIT) | The electronic systems health care professionals—and increasingly, patients—used to store , share, and analyze health information. |
| medical record | A collection of data recorded when a patient seeks medical treatment. |
| meaningful use | A process by which health care providers use an electronic health record according to guidelines set by the federal government. |
| patient portal | A secure online site that gives patients 24-hour availability to their health records. |
| medical record | A collection of data recorded when a patient seeks medical treatment. |
| Social media | Forms of electronic communication through which users create online communities to share information, ideas, personal messages, and other content in the online environment. |
| patient portal | A secure online site that gives patients 24-hour availability to their health records. |
| telemedicine | The remote delivery of health care services and clinical information using telecommunications technology. |
| Social media | Forms of electronic communication through which users create online communities to share information, ideas, personal messages, and other content in the online environment. |
| American Recovery and Reinvestment Act (ARRA) | A 2009 act that made substantive change to HIPAA’s privacy and security regulations. |
| telemedicine | The remote delivery of health care services and clinical information using telecommunications technology. |
| breach | Any unauthorized acquisition, access, use, or disclosure of personal health information that compromises the security or privacy of such information. |
| American Recovery and Reinvestment Act (ARRA) | A 2009 act that made substantive change to HIPAA’s privacy and security regulations. |
| business associates | Individuals and/or organizations that provide certain functions, activities, or services on behalf of covered entities that involve access to, or the use of, disclosure of protected health information. |
| breach | Any unauthorized acquisition, access, use, or disclosure of personal health information that compromises the security or privacy of such information. |
| confidentiality | The act of holding information in confidence, not to be released to unauthorized individuals. |
| business associates | Individuals and/or organizations that provide certain functions, activities, or services on behalf of covered entities that involve access to, or the use of, disclosure of protected health information. |
| confidentiality | The act of holding information in confidence, not to be released to unauthorized individuals. |
| covered entities | Health care providers and clearinghouses that transmit HIPAA transactions electronically, and must comply with HIPAA standards and rules. |
| Criminal Health Care Fraud Statute | A section of the U.S. Code that prohibits fraud against any health care benefit program. |
| de-identify | To remove from health care transactions all information that identifies patients. |
| Federal Anti-Kickback Law | Prohibits knowingly and willfully receiving or paying anything of value to influence the referral of federal health care program business. |
| Federal False Claims Act | A law that allows for individuals to bring civil actions on behalf of the U.S. government for false claims made to the federal government, under a provision of the law called qui tam (from Latin meaning “to bring an action for the king and for oneself”). |
| Health Information Technology for Economic and Clinical Health Act (HITECH) | A section of the American Recovery and Reinvestment Act (ARRA) that strengthened certain HIPAA privacy and security provisions. |
| Health Insurance Portability and Accountability Act (HIPAA) of 1996 | Helps workers keep continuous health insurance coverage for themselves and their dependents when they change jobs, protects confidential medical information from unauthorized disclosure or use, and helps curb the rising cost of fraud and abuse. |
| limited data set | Protected health information from which certain patient identifiers have been removed. |
| Notice of Privacy Practices | A list provided by all covered entities that demonstrates adherence to HIPAA's privacy practices rules. |
| permission | A reason under HIPAA for disclosing patient information. |
| privacy | Freedom from unauthorized intrusion. |
| privileged communication | Information held confidential within a protected relationship. |
| protected health information (PHI) | Information that contains one or more patient identifiers. |
| Stark Law | Prohibits physicians or their family members who own health care facilities from referring patients to those entities if the federal government, under Medicare or Medicaid, will pay for treatment. |
| state preemption | If a state’s privacy laws are stricter than HIPAA privacy standards, state laws take precedence. |
| administer | To instill a drug into the body of a patient. |
| autopsy | A postmortem examination to determine the cause of death or to obtain physiological evidence, as in the case of a suspicious death. |
| Child Abuse Prevention and Treatment Act | A federal law passed in 1974 requiring physicians to report cases of child abuse. |
| Controlled Substances Act | The federal law giving authority to the Drug Enforcement Administration to regulate the sale and use of drugs. |
| coroner | A public official who investigates and holds inquests over those who die from unknown or violent causes; he or she may or may not be a physician, depending on state law. |
| dispense | To deliver controlled substances in some type of bottle, box, or other container to a patient. |
| Drug Enforcement Administration (DEA) | A branch of the U.S. Department of Justice that regulates the sale and use of drugs. |
| federalism | The sharing of power among national, state, and local governments. |
| Food and Drug Administration (FDA) | A federal agency within the Department of Health and Human Services that oversees drug quality and standardization and must approve drugs before they are released for public use. |
| forensics | A division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, and accidents. |
| medical examiner | A physician who investigates suspicious or unexplained deaths. |
| National Childhood Vaccine Injury Act | A federal law passed in 1986 that created a no-fault compensation program for citizens injured or killed by vaccines, as an alternative to suing vaccine manufacturers and providers. |
| National Vaccine Injury Compensation Program (VICP) | A no-fault federal system of compensation for individuals or families of individuals injured by childhood vaccinations. |
| prescribe | To issue a medical prescription for a patient. |
| quarantine | To separate and restrict the movement of people with infectious disease if they are a threat to public health. A court order is required. |
| Smallpox Emergency Personnel Protection Act (SEPPA) | A no-fault program to provide benefits and/or compensation to certain individuals, including health care workers and emergency responders, who are injured as a result of the administration of smallpox countermeasures, including the smallpox vaccine. |
| Unborn Victims of Violence Act | Also called Laci and Conner’s Act, a 2004 federal law that provides for the prosecution of anyone who causes injury to or the death of a fetus in utero. |
| vital statistics | Numbers collected for the population of live births, deaths, fetal deaths, marriages, divorces, induced terminations of pregnancy, and any change in civil status that occurs during an individual’s lifetime. |
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shulukong
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