Jessica is the director of Health Information and Technology Services at General

Question

Jessica is the director of Health Information and Technology Services at General Hospital. At this facility, patient records are hybrid. The hospital was named as a defendant in a medical malpractice lawsuit by a former patient (i.e., plaintiff). The trial is scheduled during the next week. During the discovery process, the plaintiff’s health records and an incident report relative to the plaintiff’s hospital stay were obtained by the plaintiff’s attorney. The plaintiff’s attorney has made it clear that she intends to have the health records and the incident report admitted into evidence and, further, that metadata associated with the electronic portions of the plaintiff’s records will be sought.

How should Jessica prepare for the trail?

Explanation / Answer

Jessica should prepare for the trail by calling the insurer at the very first hint of the trouble. The carrier will assign an attorney to Jessica. With the help of the attorney Jessica can provide medical records and interpret them; she can identify expert witnesses. She can assemble all available records related to the patient’s treatment. She should ensure that no patient records have been altered; as this may go against, the hospital. She should study the patient’s records and all the medical literature about the case and explain the rationale in treating the patient.

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