Medical Records and the Law

Glossary 551HMOHybrid entityIDSImplied consentIncident reportInformed consentInteroperableIPAIRBIRSJCAHOLegal processLiving willof personally identifiable healthcare information.Also known as the Kennedy-Kassebaum Bill, the Kassebaum-KennedyBill, K2, or Public Law 104-191.*Health maintenance organizationA covered entity whose covered functions arenot its primary functions.*Integrated delivery systemThe consent inferred from the patient’s conductand consent presumed in certainemergencies.An administrative record of an adverse eventaffecting a healthcare facility. The report allowsthe facility to identify potential problemsby evaluating occurrences andmonitoring trends.The process by which a patient is apprised ofa procedure’s risks and benefits, and freelyagrees to undergo the proposed treatment.The ability of different information systems,software applications, and networks tocommunicate and exchange information inan accurate, secure, effective, useful, andconsistent manner.Independent practice associationInstitutional review boardInternal Revenue ServiceJoint Commission on Accreditation ofHealthcare OrganizationsRefers to all writs issued by a court during alegal action, or by an attorney in the nameof the court but without court review.There are two types of legal process—thesubpoena and the court order.A document providing direction as to medicalcare, if the adult becomes incapacitated