primary health care Flashcards
(35 cards)
*an essential health care made universally acceptable to individuals
and families in the community by means acceptable to them through
their full participation and at a cost that the community and country
and afford at every stage of development
WHO
Pyramidal health structure
Tertiary, Secondary, Primary
1 ex. Tertiary health care
National health services
3 secondary health care
- Regional health services,
- District health services,
- Rural services
Primary health care
- Rural health units,
- barangay health stations
2 types or primary health care workers in ph
- Barangay health workers,
- Intermediate level primary health worker
4 pillars of primary health care
- Community participation
- support mechanism made available,
- intersectoral coordination,
- Appropriate technology
Elements of primary health care
- Education
- Water and sanitation
- Nutrition
- Maternal and child health
- Immunization
- Prevention of endemic disease
- Treatment
- Drug availability
governed by multiple state and federal laws and
regulations in addition to those for licensure and certification
Health care information (patient specific information)
Signature on a document
Authentication
Involved burning or shredding
Destruction of records
Legal aspects of managing health information
✔address the medical record as a legal document, including
the issues of retention and authentication of health care
information, and the privacy and confidentiality of patient
information
AHIMA
American health information management association
GINAGAWA NG AHIMA?
- “Guidelines for Defining the Health Record for Legal
Purposes” - define the legal health record (LHR) as the
documentation of the healthcare services provided
to an individual in any aspect of healthcare delivery
by a healthcare provider organization
LHR (Legal health Record)
- Documentation of the healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare provider organization.
- includes records of care in any health-related setting used
by healthcare professionals while providing patient care
services, for reviewing patient data, or documenting
observations, actions, or instructions.
- includes records of care in any health-related setting used
What does LHR exclude
✔health records that are not official business records of a
healthcare provider organization
✔records such as personal health records (PHRs) that are
patient controlled, managed, and populated
Examples of documentation found in the LHR:
*advance directives
* anesthesia records
* care plan
* consent for treatment forms
* consultation reports
* discharge instructions
* discharge summary
* e-mail containing patient-provider or provider-provider
communication
Patient-identifiable source data
- data from which interpretations, summaries, notes, etc.,
are derived.
Examples of patient-identifiable source data:
- analog and digital patient photographs for
identification purposes only - audio of dictation
- audio of patient telephone call
- diagnostic films and other diagnostic images from
which interpretations are derived
Patient-identifiable source data
*electrocardiogram tracings from which interpretations
are derived
* fetal monitoring strips from which interpretations are
derived
* videos of office visits
* videos of procedure
* videos of telemedicine consultations
Administrative data
-patient-identifiable data used for administrative,
regulatory, healthcare operations, and payment (financial)
purposes
authorization forms for release of information
- birth and death certificates
- correspondence concerning requests for records
- event history/audit trails
- patient-identifiable claim
Derived data
- consists of information aggregated or summarized from patient
records so that there are no means to identify patients.
Examples of derived data
accreditation reports
* anonymous patient data for research purposes
* best practice guidelines created from aggregate patient data
* Minimum Data Set (MDS) report
* public health records
* statistical reports
