Community Wellness and Mental Healthcare Recordkeeping

Topic 5: Recordkeeping Paper Guidelines

Directions: Follow the directions below to write a 750-1,000-word paper on community wellness and mental health care recordkeeping and documentation.

For this paper, write from the perspective that you are an administrator in the field. Provide a thoughtful response to each of the following three sections, including specific, concrete examples to illustrate your ideas. Use the section headings provided below to separate each section of your paper. Your final deliverable should be one cohesive paper addressing all three sections along with an introduction and conclusion.

Use the HIPAA websites provided in your topic materials folder in addition to two more resources that you have researched for a minimum of four resources.

Section 1: Client Rights and Informed Consent

Describe the informed consent process and how it protects client rights. Include the following in this section of your paper:

1. Billing
2. Right to privacy
3. HIPAA compliance
4. Compliance with authority/or oversight requirements for incorporating informed consent into practice

Section 2: Client Record Keeping

Describe the role of client record keeping in protecting a client’s right to a professional standard of care.

Section 3: Electronic Medical Records

Explain at least two pros and two cons for electronic method of client records. Consider the following in this section of your paper:

1. What privacy safeguards are currently in place?
2. What is the ease of access for the client?
3. Are there staff available to assist clients in accessing their medical information via an electronic method?