TYPES AND CONTENT OF HEALTH RECORDS

 
The health record is a form of communication between internal and external stakeholders in the healthcare environment. Health informatics professionals are responsible for managing health records whether in paper, electronic, or hybrid format. Guidelines must be followed in maintaining records, including their storage and destruction, and policies must be evaluated for their compliance with state and federal regulations.

Task:
A. Discuss how you would manage the use of paper forms in a hybrid environment in order to maintain the integrity of the health record.
1. Compare the strengths and weaknesses of using hybrid records.
2. Discuss legal issues that may arise when using hybrid records.

B. Evaluate the attached “Willow Bend Record Policy” to determine if it protects health information for record storage and destruction of paper and electronic health records based on the following:
1. Washington State regulations
2. Medicare Conditions of Participation
3. Health Insurance Portability and Accountability Act (HIPAA)

C. When you use sources, include all in-text citations and references in APA format.
Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

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