Lecture #6 (Information Management) Flashcards Preview

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Flashcards in Lecture #6 (Information Management) Deck (12)
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1
Q

What is a cumulative outline of a patient’s health history and treatment done by the AT and/or sports medicine team?

A

Medical records

2
Q

How long do medical records need to be stored?

A

10 years

3
Q

What is a system of medical record keeping that organizes information around a patient’s specific compliants?

A

Problem-orientated medical record (POMR)

4
Q

What type of charting involves a medical record that registers a patient’s complaint data, the health care practitioner’s actions, and the patient’s response? Who would use this?

A

Focus charting; ATs

5
Q

What type of charting involves a method of recording the patient’s assessments and treatments using a detailed lengthy narrative format? Who would use this?

A

Narrative charting; doctors

6
Q

What type of form is used for athletes to take with them when seeing another medical professional? Why is this necessary?

A

Referral form; it proves a referral was made and allows space for the medical professional to relay information back to the AT (especially because athletes can be unreliable)

7
Q

What should the emergency medical form include?

A
  • name, address, phone number(s), DOB, SS# or student ID#
  • parent(s) or guardian(s)
  • insurance information
  • any special instructions for treatment
8
Q

What is a signed release from a patient or parent that waives all future legal claims against a practitioner and/or their employer?

A

Exculpatory clause

9
Q

What does FERPA stand for?

A

Family Educational Rights and Privacy Act

10
Q

What does HIPAA stand for?

A

Health Insurance Portability and Accountability Act

11
Q

True or false: Under FERPA, the third party cannot get medical information about the student without their authorizaton.

A

True…FERPA also covers medical information in this case

12
Q

True or false: Insurance information is considered part of a medical record.

A

False