This program will cover the CMS regulations and interpretive guidelines for medical records for acute care and critical access hospitals. There will also be a brief discussion of the Interoperability and Patient Access Rules. The law effectively grants patients immediate access to health information in their electronic medical record without incurring a charge. Certain records are excluded, and the rule establishes exceptions to “information blocking.” This rule and the implications for health care providers will be discussed.  

This webinar will present information on the Health Insurance Portability and Accountability Act (HIPAA) from the Office of Civil Rights (OCR), including differentiating between patient access and when an authorization is needed. There will also be a discussion on the standards that The Joint Commission changed to comply with the CMS Conditions of Participation (CoPs) requirements. Other topics to be discussed include security of health information and OCR Security Risk Assessment.   

Learning Objectives

• Recall that CMS has specific informed consent requirements.
• Describe when a history and physical must be done and what is required by CMS.
• Explain CMS standards on verbal orders.
• Recite that CMS has standards for preprinted orders, standing orders, and protocols.
• Describe when healthcare providers can “block” patient/others’ access to health information.

Speaker: Laura Dixon, BS, JD, RN, CPHRM