Running Head: CONSENT a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a 1
3-1 Journal: Consent and Health Record Policies
HIM422
SNHU
May 22,2022
CONSENT a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a 2
• Importance of consent
Consent is a process, an active agreement, and a clearly communicated agreement between
two Individuals. Consent of an individual is very important as it shows respect, honesty, and a
better way of communication with the person. Taking the consent of the partner shows respect
towards each other's relationship or profession. Consent is essential in a relationship as it helps
to eliminate the entitlement between the partners or professionals (Importance of Consent,
2021). In the healthcare organization, the consent of the patient is essential to take further the
treatment. After knowing the importance of consent, it will be overwhelmed to know the
difference between informed and implied consent.
Difference between informed and implied consent
The informed and implied consent have many differences when going into the deep
insights. In the healthcare organization, a patient gives implied consent to treatment by making
an appointment, but there will be no formal agreement. Also, it can be said that implied
consent is known to be informal. On the other hand, informed consent comes in a legal term.
Here, the individual decides on a treatment plan, sufficient information is provided to the
patient to make a decision, the treatment plan is authorized, and the consent of the patient has
been taken in a legal paper (Jotform, 2021).
• The purpose of the designated record set and the legal health record
In the healthcare organization, it is essential for the managerial team to maintain the health
records of the patients in an appropriate manner. In general, the health record is considered as
the storage place or principal repository for information and data relating to the healthcare
services that are offered to an individual patient. Additionally, there are designated record sets
and the legal health record present in the healthcare sector that are essential elements for the
study. The designated record set (DRS) consists of the business information unrelated to
CONSENT a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a 3
patient care as well as the protected health information of the patient. On the other hand, the
legal health record is the general information that is helpful in making decisions about the
patient's treatment and is used by the patient care team (Fundamentals of the legal health
record and designated record set, 2021). The main aim of maintaining the legal health record
in the healthcare setting is to support the decision made in the care of a patient along with
supporting the revenue from the third-party payer. On the contrary, the main purpose of the
designated record set is to make a decision about the resident that is maintained by the
healthcare organization.
• The important elements in a retention and destruction policy
The retention and deconstruction policy is one of the important parts of the lifecycle of a
record. Basically, it explains the needs of the business to keep a record or a piece of
information, the disposal of the record on time, and where to store the important pieces of
information. In a retention and destruction policy, an organization needs to include some of
the important elements that include the business needs, organizational culture, litigation holds,
legal requirements, approaches to retention policies, implementation, and automation.
CONSENT a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
a a a a a a a a a a a 4
References
Fundamentals of the legal health record and designated record set. (2021). Retrieved May
19, 2022, from https://library.ahima.org/doc?oid=104008#.YoY4pHVBzIU
Jotform, J. (2021). Implied consent vs informed consent. The Jotform Blog. Retrieved May 19,
2022, from https://www.jotform.com/blog/implied-consent-vs-informed-consent/
Importance of Consent. (2021). Retrieved May 19, 2022, from https://www.usf.edu/student-
affairs/victim-advocacy/resources/importance-of-consent.aspx#:~:text=Consent-
,The%20Importance%20of%20Consent,sexuality%20belongs%20to%20someone%20e
lse.
