The corporate director of risk management is asked to review a patient’s health record in preparation...

The corporate director of risk management is asked to review a patient’s health record in preparation for a legal proceeding for a malpractice case. The lawsuit was brought by the patient 72 days after the procedure. Health information contains a summary of two procedures that were dictated 95 days after the procedure. The physician in question has a longstanding history of being non-compliant with the organization’s record completion policies, and previous concerns regarding this physician’s record maintenance practices had been reported to the organization’s Credentialing Committee.

•Explain why this health information may not be admissible in court.

•What judgment, if any, regarding negligence could be made against the organization?

Expert Solution

Explain why this health information may not be admissible in court

This information will not be admissible in the court because the timeline of the information noted is after the incident and the procedure and the details of the surgery of the medical procedure could have been missed, altered or written in a manner which does not describe the particular events that happened accurately. Due to the non compliance of the physician and the doctor the information presented in the court house could be ineligible due to lack of credibility and accountability in terms of accuracy of the information and the basis for a legal precedents would not apply for this health information. also the organisations record competition practices have not been followed with this physician and the lack of accountability for the reduces the credibility of the records which leads to the case being open two subject to interpretation and does not form a strong bases for legal precedence.

What judgment, if any, regarding negligence could be made against the organization?

In this case the organisation is responsible for negligence and up to a certain extent malpractice and abatement to such unprofessional and unlawful activities such as the pending records which lead to increase in the information and thus affecting the legal rights and well-being of the patients due to negligence of the doctors. The doctors are responsible for record keeping and accuracy of the records and it is the responsibility of the organisation to oversee the quality of the work produced and the accuracy of the records that the maintain time to time. Show the quality of the record has to be maintained by the organisation by implementing certain policies and not only implementing but also regularly e following up with error checking and accountability to regular auditing and such procedures must have impact on the accountability of the medical records which are very critical in legal cases and even in cases where medical accuracy of the information could save a patient life. Swine appropriate penalty to the organisation and strict and Stern warning regarding maintaining the quality of the records and also legal action on the particular doctor for non-compliance should be taken in the judgement by the court and the patient should be given justice in this case.

Nightingale answered 2 years ago

A health record technician has brought a patient’s record to the attention of the HIM director...

A health record technician has brought a patient’s record to the attention of the HIM director because the technician feels there are some suspicious sections in the record where the physician did not document certain treatments or purposes for treatment which may have led to an adverse outcome suffered by the patient. The HIM director has reviewed the record and agrees with the technician that a potential adverse event may have occurred. Subsequently, the physician recognizes he should have been...

Who owns the patient’s health record? With reference to the patient’s health record, describe the importance...

Who owns the patient’s health record? With reference to the patient’s health record, describe the importance of terms like ‘business record’, ‘ownership’, and ‘rights’? What are some issues related to ownership of health information that should be addressed as a result of the healthcare industry’s growing reliance on information technology and electronic health records? The American Recovery and Reinvestment Act (ARRA) provides financial incentives to promote the use and electronic sharing of personal health information through the implementation of EHRs...

Discuss how the documentation in the health record supports the patient’s diagnosis.

An integrated healthcare system implemented an electronic health record. In preparation for the implementation of a...

An integrated healthcare system implemented an electronic health record. In preparation for the implementation of a patient portal system, the healthcare organization aimed to better understand the current technology utilization of its patients and the preferences associated with the use of a patient portal for accessing electronic personal health information. 1. As the healthcare system prepares to implement a patient portal as part of the electronic health record, what method(s) should the organization use to market the portal to patients?

How are risk management and quality management used in health care?

As a Director of Health Information at a medium hospital , Create a performance management plan...

As a Director of Health Information at a medium hospital , Create a performance management plan for your medical coders; Address questions such as: *How will expectations be communicated? *What is the training plan and professional development plan? *How will you conduct performance appraisals and how often? *How will poor performance be addressed? *How will excellent performance be rewarded? Establish productivity standards for your medical coders. Include both qualitative and quantitative standards

indicate the corporate risk management strategy of JP Morgan Bank

Scenario Summary You are the new director of risk management at Little Falls Hospital, which is...

Scenario Summary You are the new director of risk management at Little Falls Hospital, which is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area. As the new risk manager, you have been briefed about a patient care case that needs your attention. · The patient is a...

The Health Information Management Department is allocated $500,000 for its budget for the year. The Director expends...

The Health Information Management Department is allocated $500,000 for its budget for the year. The Director expends this allocation by authorizing expenditures throughout the year to pay employee salaries, buy supplies and pay for new equipment. The employees process the records of patients whose insurers pay the claims issued by the healthcare center. The employees use their paychecks to buy goods and services in the community. Some of the community members seek health care at the surgery center. Their insurances pay for the services. The monies...

Taking short-cuts in any profession can be a risk, but when it comes to health record...

Taking short-cuts in any profession can be a risk, but when it comes to health record documentation, short-cuts can impact the patient, provider, and health care entity. You are the clinical operations manager of the new surgical center. You manage all physicians and other ancillary providers. You discover that no formal policy exists regarding “best practices” for EMR documentation. Create a 2-3 page policy on EMR Best Practices Include an introductory paragraph explaining the purpose of the policy. Divide the...

Question