FINAL Global Module 10-11.pdf - AaronsWorld.com

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Check the form for completeness. Have the faculty member initial the form in the top right space next to their printed name, signifying their approval of the release in advance. (This is an optional step initially, although it expedites the process. Supervisors may either approve the release in advance by initialing the form in the top right, or wait to approve it later. Medical Records will subsequently forward the request to the faculty supervisor, so the faculty member can review and initial it at that time.) There might be a charge for patients wanting records for personal use. A patient may inquire about fees for records at the second floor appointment desk. There is always a charge to send patient information to parties not directly involved in patient care. Submit the original completed form to the Medical Records mailbox labeled “Requests and Signature Returns,” located near the chartroom window on the second floor. Processing of all record releases is performed by the medical records office. Providers are not to release records directly to patients, because this compromises the clinic’s efforts to maintain quality control and comply with applicable state and federal health information management laws. The clinic will not re-disclose medical information from other health care facilities directly to patients except under extraordinary circumstances. Patients are to contact the original facility to obtain copies of such information. As a professional courtesy, copies sent to other clinic/health care practitioners are sent at no charge. A patient who wants information for personal use may receive up to 10 pages at no charge. Copies in excess of 10 pages are charged the regular rate. There is no charge for patients who hand-deliver records to another health care provider, after confirmation of the patient’s appointment with the other provider. All copies sent to parties not directly involved in patient care are charged the full rate. Record releases to patients can take up to two weeks to process. LOOSE CHARTING Sometimes a chart is not available at the time of an appointment. In this case, the progress notes from the patient’s visit should be submitted to “loose charting.” Loose charting goes in the Labs and Loose Charting box, located in the hallway by the second floor copier outside the chartroom door. Loose charting on the first floor goes in the loose charting tray near the chart shelf. X-RAYS AND OTHER RADIOGRAPHIC IMAGING Active x-rays and other radiographic images are stored in the physical medicine department supervisor’s office for convenience and easy access for up to 30 days. After that time, medical records staff either returns the images to the facility that has loaned the records to the clinic, or forwards them to archives for long-term storage, if the clinic owns the record. Faculty supervisors will receive notice from the medical records office when x-rays and or other radiographic images arrive. 46
DECEASED PATIENTS Initial Notification Clinicians, as well as all other staff members, must notify the medical records office if they receive notice that a patient is deceased. They should be prepared to provide the following information: Actions Taken o Identifying who provided notification that the patient was deceased. o Who at Bastyr received the original notification. o When the reporting party received notification. Once notified, the medical records office will: Provider Follow-Up o Notify the patient’s primary care provider, if s/he did not provide notification. o Notify the patient services representatives. o Place a notice in the patient’s chart that s/he is deceased. o Flag the patient’s Millbrook account for deceased status. Upon notification, the primary care provider may choose to contact surviving family members, send a card, attend the service, or take other actions as the provider deems appropriate. The provider will inform students and other providers at his/her discretion. PATIENT FORMS Patient forms are located in the south corner of the building on each floor. On the first floor, they are in the AOM storage area. On the second floor, they are on the south side of the preview/review rooms. Please contact the Medical Records Department or HIPAA Compliance Officer for questions regarding these forms. TREATMENT OF MINORS POLICY AND PROCEDURES ON PROVIDING HEALTH SERVICES These policies and procedures establish efficient and consistent mechanisms for the care and treatment of minors at Bastyr Center for Natural Health and privacy-related issues involving a minor's health records. Any person under the age of eighteen (18) is considered a minor at the Bastyr Center for Natural Health. MINORS PROVIDING THEIR OWN CONSENT General Rule Persons under the age of 18 may not consent to their own medical treatment unless one of the exceptions listed below applies. If none of the exceptions apply, parental consent to medical treatment is necessary for the provision of medical services to persons under the age of 18. 47
Page 1: TABLE OF CONTENTS TABLE OF CONTENTS
Page 4 and 5: II. CLINIC SHIFT POLICIES AND PROCE
Page 6 and 7: DRESS, HYGIENE, AND APPEARANCE REQU
Page 8 and 9: Integrated care shift - This shift
Page 10 and 11: Students will receive a grade of AC
Page 12 and 13: GRADING AND STUDENT PERFORMANCE Cli
Page 14 and 15: If students wish to file a grievanc
Page 16 and 17: o Violation of the Bastyr Center fo
Page 18 and 19: CLINICIAN RESPONSIBILITIES - PRIMAR
Page 20 and 21: CLINICIAN RESPONSIBILITIES - SECOND
Page 22 and 23: DOCUMENTATION GUIDELINES (DG) Basty
Page 24 and 25: REFERRALS Patient Referral To BCNH
Page 26 and 27: NEEDLES NEEDLE STICK OR EXPOSURE IN
Page 28 and 29: IN CASE OF A SENTINEL EVENT A senti
Page 30 and 31: SUICIDAL/HOMICIDAL PATIENT PROCEDUR
Page 32 and 33: EMERGENCY PROCEDURE PROTOCOL FLOW S
Page 34 and 35: o The nature of the incident. o The
Page 36 and 37: o The student services office. o Th
Page 38 and 39: *Names of Bastyr clinicians and fac
Page 40 and 41: Patient Access Clinicians may not g
Page 42 and 43: MEDICAL RECORDS The medical records
Page 44 and 45: Faculty providers frequently receiv
Page 48 and 49: Exceptions Below is a list of the e
Page 50 and 51: GRIEVANCE/COMPLAINT POLICIY V. MISC
Page 52 and 53: CLINIC CLOSING TIME In general, the
Page 54 and 55: VI. APPENDICES I. CLINIC CONTRACT I
Page 56 and 57: Appendix 2 Bastyr University Health
Page 58 and 59: Appendix 4 MEDICAL ABBREVIATIONS Th
Page 60 and 61: GB gallbladder GC gonorrhea GH grow
Page 62 and 63: q (spell out) qam qd qh q2h qid qpm
Page 64 and 65: Appendix 5 PATIENT CO-MANAGEMENT: T
Page 66 and 67: Today’s Date Dr. Primary Care Doc
Page 68 and 69: Today’s Date Doctor Name Doctor A
Page 70 and 71: Impression: I am concerned about th
Page 72 and 73: CLINIC PHONE DIRECTORY Bastyr Cente
Page 74 and 75: AOM Clinical Faculty: Terry Courtne
Page 76: ND Residents: Jessica Bean, ND 1st

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