Patient Records Best Practices: 1 CE
Patient Records Best Practices
Credit hours/CE: 1
MaryLou Austin, RDH, MS, Health Science Editor
Michelle Jameson, MA, Health Science Editor
- Describe SOAP notes.
- Describe laws relating to patients’ rights regarding records access.
- Describe who (other than the patient) may access a patient’s records and under what circumstances these entities may have access.
Both state and federal law regulate the management of patient records and the information contained therein. Federal laws include the Health Insurance Portability and Accountability Act (HIPAA) and its amendments, the most recent of which is the Health Information Technology for Clinical Health (HITECH) Act of 2009. Other state laws address patient access to health records, security breach notice requirements and use of health information for marketing purposes. This course reviews pertinent information and resources for compliance with HIPAA and HITECH mandates.