Posted: October 16th, 2022

Health care Law

Your discussion needs to meet the following requirements:

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1. Two paragraphs of not less than 15-sentence each discussing the board question. (60 points)

2. You must comment on at least one other student discussion post. This response must contain not less than 10 sentences. (30 points)

If you were a medical professional, what is one example of a precaution you would take if you handled medical records?

As you respond to your classmates, discuss why you would take those specific precautions.

Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.”



The topic of handling medical records really changed when CMS mandated all medical records become an EHR (electronic health record). When there was a such thing as paper medical charts there were many precautions, I would take being a medical professional. The first one I would take is to make sure that I am documenting in the right chart. When documenting in paper charts it was easier to make the mistake of writing in the wrong chart and when you are handwriting you can not hit the backspace button and we all know we cannot white something out in a medical chart. So, making sure I had the right chart, right patient and all three identifiers was on example of the precautions I would take when handling a medical record. When all medical records went to an EHR system things changed and handling medical records got trickery.

Electronic health record handling is a lot different that handling an actual medical paper chart in my eyes. There were many precautions that were to be taught when learning a new EHR system. The one precaution I still practice to this day is that I never leave a patient chart open when I am not at my desk. This is also practicing safe HIPAA as well. I know when I was clinical, I would also sign out of the computer when I left a room. A patient’s medical chart is very private so everything you do in the chart is documented and can be traced back to you.

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