Patient Record Content
Patient Record Retention
Prescribing
Advice to the Profession: Electronic Communication
Lightning Round CORE CPSA BIZ
100
A patient encounter must be documented in one of these formats.
What is paper or electronic?
100
Medical records must be stored in a way that protects a patient’s right to this.
What is privacy or confidentiality
100
This is how a prescription is authorized, and can be handwritten or digital.
What is a valid signature?
100
USB flash drives, CDs, DVDs, floppy drives, and backups are all examples of this.
What are portable storage devices?
100
The toll-free complaints phone number?
What is 1-800-661-4689?
200
The patient record must be in this language.
What is English?
200
This is the person or organization designated by the HIA to be guardian of patient records.
Who is the custodian?
200
Prescription transmissions must include this information about the intended pharmacy.
What is name and contact information?
200
This legislation requires custodians to secure and protect the confidentiality of medical records.
What is the Health Information Act (HIA)?
200
Where a physician can update their profile?
What is the physician portal?
300
This Alberta database starts with the letter N, is also called the electronic health record and may be used to store some of a patient’s health information.
What is Netcare?
300
An adult’s patient records must be retained and accessible for this length of time.
What is ten (10) years?
300
The method of transmitting a prescription must be secure to protect patient confidentiality and prevent this.
What is prescription diversion?
300
This is a key administrative component of ensuring medical record security.
What is (one) • threat-risk assessments (e.g. privacy impact assessments) • policies and procedures • training for staff
300
Three (3) of the College's values.
What is: • What is Use evidence, • Support each other, • Responsible for giving our best • Treat others with fairness and respect • Value diversity • Open and honest communication • Open to new ideas • Collegial and proactive
400
Name two (2) things the patient record must contain.
What are clinical notes, medical history, consent process, cumulative patient profile, missed/ cancelled appointments or lab results?
400
A custodian who shares patient information with other custodians must have this in place to clarify access, transfer and the return of patient records.
What is an information sharing agreement?
400
Two (2) pieces of information a prescription must include..
What is (1): the patient’s name, date of prescription, drug name, dosage, format, quantity, directions for use, refills, directions for use, prescribing physician’s name, prescribing physician’s address/phone number, prescribing physician’s registration number, valid physician signature.
400
This is the best technical protection for data, as recommended by the Office of Information and Privacy Commissioner (OIPC).
What is encryption?
400
A gastroenterologist in Calgary who is accepting new patients with a referral.
Confirmed by website
500
This legislative act defines when a physician can refuse to amend a patient record.
What is the Health Information Act (HIA)?
500
This must be completed before making any changes to how identifiable patient information is collected, used or disclosed.
What is a PIA? or What is a privacy impact assessment?
500
A regulated member who issues a prescription directly to a patient must not reference this on the prescription.
What is a specific pharmacy?
500
This agency reviews privacy impact assessments and recommends encryption as the best protection for data.
What is OIPC? or What is the Office of the Information and Privacy Commissioner?
500
The number of public members who sit on Council.
What is four (4)?
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