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The Health Record

Author: Sherry Borcherding
Horizontales
A health record kept on a computer rather than on paper
CMS, CARF, and the Joint Commission are all agencies that _____ health care settings
_____ is a measure of the billable time in a practitioner's work day.
The HIPAA security rule insures the _____ of the health record
A health record in which documents are grouped together by the origin from which they came is said to be _____ oriented
Quality _____ is the task of continuously striving to improve the quality of health care delivery
Verticales
The act which guarantees parental right to student records
Documentation in the health record is the primary means of justifying _____ for intervention
The section of a note that contains the client's perception of treatment progress
_____ review is a review of the health record that occurs after services have been provided to determine whether the services were appropriate and necessary
Although the facility owns the actual physical health record, the _____ owns the information therein.
The health professional's analysis and interpretation of the events that have occurred in the treatment session is the _____
Establishes federal standards for the security, use, and disclosure of a client's personal health information
An acronym for a health record controlled and maintained by the client