RISK MANAGEMENT FOR THE CHIROPRACTIC SPORTS PHYSICIAN

CONFIDENTIALITY * OWNERSHIP OF RECORDS *A) YOU ARE THE OWNER OF THE FILE * C) YOU ARE A CO-OWNER OF THE INFORMATION

CONFIDENTIALITY *WITHOUT WRITTEN PERMISSION FROM THE PATIENT YOU DO NOT RELEASE ANY INFORMATION *ORIGINAL INFORMATION DOES NOT LEAVE YOUR OFFICE, ONLY COPIES *MEDICAL RECORDS ARE KEPT FOR 7 YEARS, X-RAYS FOR 5

CONFIDENTIALITY *THE PATIENT HAS THE RIGHT TO OBTAIN A COPY OF THEIR FILE *THEY NEED TO GIVE A REASONABLE NOTICE AND WRITTEN PERMISSION *CONSENTS USUALLY VALID FOR 90 DAYS *THIS ONLY APPLIES TO EMANCIPATED COMPETENT INDIVIDUALS

CONFIDENTIALITY *WHEN COPYING X-RAYS, YOU CAN ONLY CHARGE FOR WHAT IT COSTS YOU; NO ADDITIONAL FEES CAN BE ADDED. *RELEASING ORIGINAL FILMS TO ANOTHER PROVIDER IS USUALLY OK WITH PROPER DOCUMENTATION *YOU CAN CHARGE FOR COPYING THE MEDICAL RECORDS

CONFIDENTIALITY *THERE ARE SOME RECORDS WITHIN YOUR FILE THAT YOU SHOULD NOT RELEASE *DRUG AND ALCOHOL ABUSE *POSITIVE HIV HISTORY *YOU ARE HELD AT A HIGHER LEVEL OF CONFIDENTIALITY IN THESE AREAS

CONFIDENTIALITY *THERE ARE THREE WAYS THAT SOMEONE CAN VIEW YOUR FILES WITHOUT THE PATIENT’S PERMISSION

CONFIDENTIALITY *1) STATE BOARD OF HEALTH CAN INSPECT YOUR RECORDS WITHOUT PATIENT CONSENT *IE: MEDICARE INSPECTOR *THEY ARE HELD TO THE SAME LEVEL OF CONFIDENTIALITY AS YOU

CONFIDENTIALITY *2) YOU ARE REQUIRED TO REPORT CHILD ABUSE SUSPICIONS TO THE STATE *YOU ARE REQUIRED IN SOME STATES TO TAKE PICTURES *LAW PROVIDES YOU WITH PROTECTION OF IMMUNITY

CONFIDENTIALITY *3) LEGITIMATE BUSINESS PURPOSE *QA/UR REASONS *EDUCATION *TRANSFERRING PATIENT TO ANOTHER PROVIDER *RESEARCH

CONFIDENTIALITY *SUPOENA AND COURT ORDERS *1) SUPOENA - REQUIRES PERSONAL ATTENDANCE IN COURT *2) SUPOENA - REQUIRES DOCUMENTS OR THINGS *3) COURT ORDER TO PRODUCE MEDICAL RECORDS - STILL OBLIGATED TO LEAVE OUT HIGH LEVEL INFO.