Communicating with the Health Care Team

Communication with the Health Care Team

the exchange of information, either verbally or in written form, between and among members of the health care team

HIPAA (Health Insurance Portability and Accountability Act)

law that protects the privacy and security of a person’s health information

Medical Record

a legal document that organizes all the information about care of a single resident in one document and allows each discipline involved in the care to know what all disciplines are doing

Objective Data

observations using the senses

Recording

the written/electronic documentation of care and observations by the health care team

Reporting

the oral account of care done and observations noted

informing other members of the health care team

Subjective Data

information collected through communication

what is said