HINM 145 - Legal Aspects of Health Information

(TP/SS only) CE

This course introduces the following topics: legal aspects; retention and retrieval; forms design; and tumor registry with an emphasis placed on managerial aspects. PREREQUISITE(S): Admission to the health information management program or consent of program coordinator. Assessment Level(s): ENGL 101 /ENGL 101A , MATH 093 /MATH 096 , READ 120 , or consent of program coordinator., or consent of program coordinator. One hour each week. Formerly HI 105.

1 semester hour

Course Outcomes:
Upon course completion, a student will be able to:

Demonstrate knowledge of the following: statute of limitations and retention implications; methods of record retention; retention schedules and aspects relating to microfilmed records.
Correctly locate medical information from microfilmed records.
Recognize medicolegal terminology.
Describe the U.S. legal system as it pertains to hospital information systems.
Describe issues relating to privacy and health records, including the impact of national and state legislation and study commission results.
Discuss issues relating to confidential and privileged communications, national and state legislation relating to confidentiality and computer implications on this issue.
List the principles of data security principles and the role of the health information professional in protecting health data.
Differentiate between informed consents and medical authorizations for the release of medical information.
Apply general rules for preparing records for court, including validity evaluation and control systems.
Interpret release of information policies according to an established procedure in order to respond appropriately to situational problems and release of information requests.
Apply the principles of form design to redesign a health record form.
List legal requirements for form design.
Recognize the 5 basic components of an ACS Approved Cancer Program.
State the purpose of a cancer program.
Define Cancer Registry by: defining Cancer Registry; stating the two purposes stating the four basic components and 6 areas reported on annually; being able to recognize data found in the four basic sections of an abstract; stating four areas of the hospital where information on new cancer patients may be found; stating when a cancer registry should be automated.
Recognize cancer terminology by: being able to recognize the four stages of cancer (extent of spread) when evaluating cancer diagnoses; recognizing the four categories of gray area tumors
Discuss ICD-O by stating: the publisher; the purpose for its development; the methodology used to locate a diagnostic code.
Apply ICD-O principles to cancer records

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