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Progress notes entered in a patients record should be in standard SOAP format, which conforms to accrediting body requirements. Students may write orders at Memorial Medical Center only after consulting with the attending physician and/or with the appropriate house staff members assigned to the patient in question. The student then assigns a physician co signer of the orders. All chart entries histories, physical examinations, progress notes, orders, etc. must be signed. These signatures include name and year of training.

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If you take a look at the value column, youll see the contents of the cookie itself. Many records down in my cookie table is a record from hubpages. com. Ive never gone to hubpages. com, but I did look about for some information on organic cereals in order to research the chemical composition of various products. Im starting up an organic farm called Thorganics and this is of great interest to me seriously. Somehow or another this hubpages. com site was transferred as part of a Bing search for organic and popular breakfast cereals. The really interesting thing here is that I specifically used Google to search for research sites. I purposefully never use Bing in the profile because I want to see exactly the extent of needle sharing these sites engage in. Some site picked up my Google search by way of a referral, and that site then decided to fire off that search to Bing.

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The regulations clarify that PHI is compromised if it poses a significant risk of financial, reputational, or other harm to the individual. HHS also directs covered entities and business associates to perform a risk assessment to determine if there is a significant risk of harm to the individual as a result of the impermissible use or disclosure. 28,29 In other words, the regulations do not impose strict liability for insignificant infringements. Rather, the standard of care is more likened to negligence factors: Would a reasonable patient in the same or similar circumstances be likely to sustain a foreseeable risk of significant harm?Here is a three step procedure, hopefully not too oversimplified, to help in deciding whether or not to disclose a HIPAA breach: 2 Does the impermissible use or disclosure pose a significant risk of financial, reputational, or other harm to the individual?3 Are the exceptions to the definition of breach or the notification requirement inapplicable to the impermissible use or disclosure?If the answer is no to any of the questions, you should not have to report perceived problems. But make no mistake here, the burden is on the covered entity to make the decision whether or not a reasonable person acting in the same or similar circumstances would objectively believe that reporting is necessary. This means that a compliance program must include detailed record keeping procedures that are followed to justify why you did or did not think reporting would be required. One of the exceptions mentioned in the three step analysis discussed above is a good faith defense to charges of an unlawful disclosure of PHI. This works only if the disclosure is, in fact, made in good faith: that it was done unintentionally; that it was committed by someone under the authority of the covered entity e. g. , an employee, a student intern, or a business associate; that it was done while the individual was acting under the normal scope of authority associated with the job; and that no additional prohibited disclosure of PHI occurred as a result of the accidental disclosure. Good faith also applies if a disclosure is made to someone who could not reasonably be expected to retain the information.

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FEMAs failure has been attributed to loss of autonomy and access to the White House, loss of power and status, redistribution of funds and personnel to projects given higher priority such as terrorism, excess bureaucracy in the upper levels of the Department of Homeland Security, and a lack of coordination with state and local governments. Congress passed several reform bills to help resolve these issues. Although the Homeland Security Act of 2002 ordered the development and implementation of a comprehensive national response plan, it was Homeland Security Presidential Directive 5 February 28, 2003 which formally called for the Secretary of the Department of Homeland Security to come up with a national incident management system and national response plan that would improve coordination between departments, states, and local governments in the event of a major incident. Homeland Security Presidential Directive 8 December 17, 2003 proposed policies that would strengthen domestic preparedness to deal with major disasters including terrorist attacks. Once again, coordination responsibility fell onto the Secretary of the Department of Homeland Security with the goal of keeping the country ready at all times. This directive was aimed particularly at first responders by providing training programs and offering incentive rewards to the states. With the Department of Homeland Security in control of devising and implementing a well coordinated national response plan, it is ironic that the department failed so miserably in the face of Hurricane Katrina. With the continued threats facing America, it is more important then ever for the country to avoid complacency and stay alert in order to recognize, prevent, and respond effectively to potential and actual disasters. We must learn from both our successes and our failures as we move forward into the future. American culture American history American politics Disasters Emergency Management Islam National Infrastructure national security terrorism UncategorizedMy daughter, Ariel Pisturino, is the Artistic Director, as well as a performer, in the new unSUNg video benefit concert series. Click on the link to listen to this amazing group of musical artists, performing new and forgotten musical masterpieces.

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Additionally, it took me a minimal amount of time to weigh in on students questions in the online discussion. Since I had agreed to contribute only after at least one student had responded, I found myself having to write very little, as most of the previous responders had worked out the correct answers. In subsequent semesters I asked that two students weigh in before I would respond, which reduced the workload for me even further. In the second semester that I used the forum, I also let students know that they should expect to wait at least 24 hours for me to respond. While I often responded in less time than 24 hours, letting students know that they should expect to wait meant that by the time I responded to questions several students had often already weighed in. During the first semester that I used an online forum, I also offered extra credit points for participation in the discussion forum. This was very helpful in motivating students to try out the forum. Surprisingly, after they posted once they tended to post repeatedly even though they were not earning additional extra credit points for subsequent posts. In the second semester that I used an online discussion tool, I included information about the review forums in my course syllabus so that students were aware from the beginning that the forums would be available as a tool for review. I suggest being clear about your expectations for student participation in an online discussion at the beginning of the semester, if at all possible. Do not assume that your students will find a discussion tool as straightforward as you do.