Complete an Authorization to Release Medical Records

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Directions: This is a two part assignment. First, in Kinn’s The Medical Assistant Study Guide use the Records Release Authorization to complete Part IV: Releasing Medical Records on page 102. The information on the form should be made up by you. This portion of the assignment is worth 5 points.

Next, in Kinn’s The Medical Assistant textbook, read Procedure 14-2 on page 243 and then use the Informed Consent for Treatment Form to complete. This portion of the assignment is worth 5 points.

Procedure 14-4:  Competency IX.P.IX.3

Part V. Complete an Authorization to Release Medical Records from using your name as the patient.

RECORDS RELEASE AUTHORIZATION

TO_____________________ _____________________________

Doctor or Hospital

_____________________________________________________

                                                                             Address

I HEREBY AUTHOIZE AND REQUEST YOU TO RELEASE TO:

ALL RECORDS IN YOUR POSSESSION CONCERNING _____________

________________________________________ILLNESS AND/OR

TREATMENT DURING THE PERIOD FROM ___________TO_______.

NAME_______________________________TELEPHONE_________

ADDRESS_______________________________________________

SIGNATURE______________________________DATE___________

(If relative, state relationship)

WITNESS________________________________DATE___________

I give my consent to Dr. ___________________________________ and assistants,_________________ to perform:

______________________________________________________________________________________________

(Name of treatment/ procedure. Description in lay & medical terms)

I am aware that, during the procedure, other procedures might be needed. I give my consent to do these procedures as needed.

I give my consent to receive anesthesia and/or drugs I may need.  I know that all procedures and anesthetics have risks like stroke, heart attack, respiratory failure and death.  Some other risks are tooth and nerve damage, and skin/soft tissue injury.

I give my consent for blood and/or blood products if I need them.  I know that all blood and blood products can cause allergic response, fever and hives. I k now the blood bank screens donors for infections and diseases like hepatitis and HIV/AIDS, but I am aware there is a risk of infection.

Patient Initials

If I DO NOT want blood or blood products, I will put my initials in this box    

and fill out the “Statement of Refusal for Blood/ Blood Components”

I give my consent for the ­­­­­­­­­­­­­­­­­­____________   facility to use or to dispose of any substance removed as part of my treatment or procedure. The substance might be body fluids, tissues and organs.  I am aware that the substance might be looked at or used in education for other health care providers.  This material will be disposed of using routine methods.

Patient Initials

If I DO NOT want to be told of the risks listed below, I will put my initials in this box.

I know that each person reacts in a different way to treatments and procedures. Therefore, the results cannot be certain.  My questions have been answered about the procedure.  I have been told:

  1. The treatment or procedure that my doctors plan to do
  2. What to expect from the treatment or procedure (the benefits).
  3. The serious risks of this treatment or procedure.  Some of these risks can happen despite all steps                            being taken to prevent them
  4. Other types of treatment that could be used.  This includes no treatment.
  5. Whether or not the treatment or procedure is uncommon.

Some of the known serious possible risks for the procedure are:

Severe loss of blood, infection, stroke or heart attack that can lead to death or permanent or partial disability,

Other known serious possible risks are:

Patient Initials

I know I can change my mind about the consent at any time before treatment.

I know that I must tell the health care staff caring for me if I change my mind.

Health Care Provider obtaining consent (PRINT NAME & INITIAL)                      SIGNATURE of person giving consent (legally authorized to do so)

DATE SIGNED                       TIME                       AM/PM                                    Relationship to patient (if applicable)

Name of interpreter:                                                                                                 Second witness for telephone consent:

Develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.

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In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.

Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician.

  • The training manual should include the following topics:
    • An introduction to the health care system
    • The organization’s structure
    • The process of checking patients in and out
    • Scheduling patients
    • Various community and patient resources
    • Processes for how to interact with patients
    • Health insurance plans
    • Financial procedures related to the policies of the organization
    • Clean claims
    • Financial procedures related to the organization’s cash flow
    • Billing policy and procedures
    • Protecting patients’ privacy
    • Accounting and bookkeeping procedures and processes
    • Office procedures for various forms of documentation (release of information, electronic health record)
    • Health Insurance Portability and Accountability Act (HIPAA) rules and regulations
    • HIPAA forms
    • Advance directives
    • Medical record responsibilities
    • Obtaining patient demographics and insurance information
    • Receive, triage, and route phone calls
    • Review records for medical necessity
    • Release of information guidelines 

Explain the organization’s ethical and social responsibility toward the community and its stakeholders.

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Your team has been assigned to give a presentation to your organization’s board of ethics. The team will discuss a current biomedical issue that faces your organization and its social responsibility toward the issue.

Prepare a 10- to 12-slide Microsoft® PowerPoint® presentation that discusses the biomedical issue. Include the following:

Describe a biomedical issue including harvesting embryos.

What is the historical and current impact of the biomedical issue?

Forecast the potential future of the issue and how might it change.

What issues involve problems with consent?

Explain the organization’s ethical and social responsibility toward the community and its stakeholders.

Include at least three sources in your presentation.

Format your presentation consistent with APA guidelines.

American Disabilities Act

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Assignment 2: American Disabilities Act (ADA) 

The University of Nebraska Medical Center-Omaha hired you as a diversity management consultant. The vice president for center operations wants to highlight the medical center’s reputation for excellence in accommodating individuals with physical disabilities. As per the contract, one of your deliverables is to write an article on this topic for the medical center newsletter.

From your years as a diversity consultant, you are familiar with the ADA. Discuss the key aspects of ADA that you will share with all employees so they understand the importance of the topic. Include a discussion on how ADA assists organizations in maintaining a diverse workforce.

Write a two-page article, in Word, for the medical center’s company newsletter, which clearly identifies the key elements and importance of the ADA and how ADA can be used to help organizations maintain a diverse workforce.  Your article should conform to APA standards and include at least three references from the AU library and/or the Internet which support your assertions.