Release of Information (ROI) Training
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1. This document discusses the importance of patient confidentiality and obtaining proper Release of Information (ROI) forms before sharing any patient information with third parties. 2. It outlines the different types of ROIs including for emergency contact, continuity of care, and medical information sharing. 3. Key guidelines are provided on when an ROI is needed, how to properly complete one with the patient's consent, and how to handle situations like a patient revoking consent or not having a fully completed ROI in their file. Maintaining confidentiality is crucial except in cases required by law such as a court order.
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The document provides an overview of HIPAA regulations regarding the use and protection of protected health information (PHI). It discusses key aspects of HIPAA including only accessing and sharing PHI when necessary for treatment, payment or operations. It outlines permitted uses such as sharing with other providers, and restrictions such as requiring authorization for other uses. Violations can result in fines or imprisonment. The goal is to protect privacy while still allowing effective care.
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The document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) for health care professionals. Some key points:
- HIPAA aims to protect patients' protected health information (PHI) and set standards for handling electronic health data.
- PHI includes any individually identifiable health information like names, birthdates, diagnoses. Healthcare workers may only access and share PHI as needed for treatment, payment or operations.
- Permitted uses of PHI include treatment, payment, health operations. Disclosures require patient authorization except as required by law like public health reporting. Incidental disclosures must be limited in nature.
- Violations can result in fines or imprisonment.
Understanding Substance Use Disorder
This document provides an overview of understanding addiction and substance use disorders. It discusses where addiction starts and the effects of commonly used substances like alcohol, cannabis, opioids, and tobacco. A substance use disorder is defined as a chronic relapsing brain disease. The document emphasizes treating substance use disorders as chronic illnesses rather than moral failings and using people-first language to reduce stigma.
The Value of Outstanding Patient Care
This document discusses providing outstanding patient service. It begins by defining good, poor, and outstanding patient service. Good service meets expectations, while outstanding service exceeds expectations and is memorable. The document then provides tips for offering outstanding patient service, such as treating each patient as an individual, identifying their needs, and looking for opportunities to exceed their expectations. It emphasizes building rapport with patients through active listening, making a personal connection, and following up after providing a service. The document also discusses dealing with patients' emotional needs through empathy and validation. Overall, it provides guidance for staff on understanding patients' perspectives and consistently delivering service that exceeds their expectations.
Safety Culture & Good Catch Program
This document outlines an organization's "Good Catch Program" which aims to promote safety and quality by recognizing employees who identify potential issues. It defines key terms like incidents, adverse events, and near misses. The program aims to create a safety-focused culture through employee-driven reporting of good catches, which are events that could have caused harm but did not due to intervention. Employees who report good catches will be recognized monthly to encourage participation and use learnings to implement improvements. FAQs provide examples of good catches and clarify what should be reported to strengthen communication and safety.
Infection Control Training
This document provides information on infection control and universal precautions for healthcare workers. It defines key terms, describes modes of transmission and portals of entry for infections. It explains universal precautions and proper hand hygiene techniques. The document outlines when gloves should be used and changed, and how to properly put on and remove gloves. It also provides guidance on cleaning spills and what to do following an exposure incident. The overall goal is to educate workers on preventing the spread of infections.
Incident Report Training
This document provides guidance on how to classify and report different types of incidents at a healthcare facility. It defines reportable events, sentinel events, critical events, and non-critical events. Reportable events are those that states require reporting within a certain timeframe, like deaths or infectious disease diagnoses. Sentinel events are unexpected occurrences involving death or serious injury. Critical events involve emergency responders or significantly impact operations. Non-critical events are all other incidents that are reported. Examples of each type of incident are provided.
High Alert & Look-Alike/Sound-Alike Medications
This document discusses best practices for handling high-alert medications and look-alike/sound-alike medications in nursing. It defines high-alert medications as those most likely to cause harm if misused due to their properties. The document outlines the process the Institute for Safe Medical Practices uses to identify high-alert medications and how healthcare facilities incorporate them into policies. It provides examples of high-alert medication risks and recommendations to prevent errors and harm for medications like warfarin, insulin, narcotics, and sedatives. The document also discusses look-alike/sound-alike medication names as a common cause of errors and outlines individual, environmental, and technological factors that can contribute to incidents.
Harassment & Discrimination Training
This document provides guidance on unlawful discrimination, sexual harassment, workplace violence, and the responsibilities of employees, managers, supervisors, and human resources. It defines unlawful discrimination and sexual harassment and provides examples. It states that submission to unlawful conduct cannot be made a condition of employment. It instructs employees, managers and supervisors to report any potential issues to human resources immediately. Human resources has a duty to investigate complaints impartially and prohibit retaliation. The document also defines workplace violence and instructs employees on how to respond to imminent threats.
Hand Off Communication
This document discusses the importance of standardizing communication processes during transitions of care in behavioral health to improve patient safety. It provides tips for effective handoff communication between providers and departments, such as using a standardized format like I PASS the BATON to exchange relevant patient information verbally. The document also addresses how to improve discharge planning and transitions between levels of care through coordinated treatment planning, engaging social supports, and orienting patients to upcoming care. Overlapping and blending levels of care can help facilitate continuity of care.
Hand Hygiene Training
Proper hand hygiene, including washing with soap and water or using alcohol-based hand rubs, is the most effective way to prevent the spread of germs and infections. The document outlines CDC guidelines for hand hygiene, including demonstrating proper handwashing technique in 11 steps and describing situations that require hand hygiene, as well as differences between soap and antimicrobial cleansers and appropriate uses of alcohol-based hand rubs.
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Release of Information (ROI) Training
- 1. Releases of Information The Importance of Patient Confidentiality
- 2. Types of ROI 1. EMERGENCY CONTACT/ PRESENCE IN TREATMENT / TRANSFER ● For Emergency Contact ● For Relatives, Friends, Support system ● For Employer, Human Resources ○ If it’s for a company or business it’s not necessary to specify contact name unless patient insists. 2. CONTINUITY OF CARE For aftercare planning ● Signed prior to ○ Sending insurance information (COB) ○ Contacting any facility for which you need to share patient information 3. MEDICAL Medical appointments / when requesting medical information from another facility / when sharing medical information with another facility
- 3. When do we complete one? ● PRIOR to making ANY contact with a third party in which you will release information pertaining to the patient ● For example: a family member, a friend, a sponsor, a treatment facility, a parole officer, a judge, a lawyer, a doctor, etc. Note: Always confirm that there is a correctly filled out ROI in place prior to making a call for the patient or with the patient ○ Verify in chart ○ Verify in KIPU ● If you can’t confirm, have the patient fill one out
- 4. How do we complete a ROI? ● Explain it to the patient ● Fill in all information fields required for the patient ● Patient signs and dates ● Witness signs and dates
- 5. FAQS What do I do if patient revokes a consent? ● Have patient revoke the consent on the original consent form ● Communicate immediately via email to the treatment team ● Document on shift report and in progress notes. ● The revocation may indicate a need for a change in the discharge plan What if patient revokes verbally and AMA’s before signing the revocation form? ● Verbal revoke of consent is valid ● Staff takes the original form and writes “Patient revoked on __(date)” in specified field, and signs / or on form, checks of “Revoked” and writes “patient unable / refused to sign” ● Document and communicate this to the treatment team.
- 6. FAQ’S What if the consent I need is in the chart, but not properly completed? ● Properly fill out a new ROI with the patient What if the patient has the phone number but not the address to the contact he wishes to add on the ROI? ● Patient must have NAME, PHONE NUMBER, FULL ADDRESS and , RELATIONSHIP of person to be added on ROI form. If not available he must get it from another contact What if the patients admit to treatment with a friend or relative? ● Both parties need to sign a ROI for each other What if a distraught family member calls requesting to know if loved one is a patient? ● If there is NO ROI, do not confirm or deny presence in treatment
- 7. FAQS - Gray areas…. ● Does anything trump a ROI or a Patient Consent Form? ○ A court order ● Is a there a limit to the number of Consents a patient has? ○ NO ● Can a patient revoke and add repeatedly the same contact? ○ YES...but if this happens, communicate this with the Treatment Team ● How long is the ROI valid? ○ For 120 days after the date it was signed If you have any questions pertaining to Releases of Information, do not hesitate to ask your Supervisor.