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Care Coordination/Care Management in Indiana

Indiana has put in place laws that allow patients to participate in their own care.  This is primarily done through informed consent laws, and laws allowing patients to designate other individuals to be authorized to consent to health care treatments and procedures, as well as receive otherwise confidential health care information on the patient’s behalf.1   While the law sets forth individuals who can legally consent to their own care, health care providers have the discretion to determine whether an individual is actually capable of consenting to treatment.2   Further efforts to provide patients and consumers opportunities to participate in their own care can be seen through Indiana’s annual consumer guide on hospital financial and utilization information, to assist consumers in comparing hospitals.3

In order to provide more effective patient treatment, Indiana law allows a provider to obtain his/or her patient’s health records from another provider without the patient’s consent.4  These records must include all patient-related written and electronic communications, specifically, test results, instructions and informed consent agreements.5  Similar efforts to coordinate care can be seen through the mandate of the Children’s Health Board to develop policies for delivery system reform and enhanced access.6  The Board for the Coordination of Programs Serving Vulnerable Individuals must coordinate with local agencies to create a central database for standardized, disaggregated, race-specific data collection, promote cultural competency training, and enhance the quality of care provided to vulnerable individuals.7

 

Footnotes

  • 1. Ind. Code §16-36-1-3; Ind. Code §16-36-1-11
  • 2. Ind. Code §16-36-1-4
  • 3. Ind. Code §16-21-6-11
  • 4. Ind. Code § 16-39-5-1
  • 5. 844 Ind. Admin. Code 5-3-6
  • 6. Ind. Code §4-23-27-7
  • 7. Ind. Code §4-23-30.2-11

 

Care Coordination/Care Management in Indiana

Subtopic Statute/Regulation Description
Care Coordination/Care Management Ind. Code Ann. § 16-21-8-1.1 - Forensic Medical Examinations Without the Consent of the Examinee This law sets forth the conditions under which a provider can conduct a forensic medical examination without the consent of the examinee: When...
Ind. Code Ann. § 16-39-2-9 - Exercise of patient’s right by others; equal access to child's mental health records by child's parents This law allows certain people to exercise a patient’s rights on the patient’s behalf: Parent/guardian/court appointed representative...
Ind. Code Ann. § 16-41-6-2 - Informed consent by and court ordered examinations of individuals with communicable diseases This law states that a state health commissioner or local health officer with reasonable grounds to believe that an individual might have a...
Ind. Code Ann. § 16-41-6-4 - HIV testing of newborns This law allows a physician overseeing the care of a newborn infant to order a confidential HIV test on the infant within 48 hours of birth, if the...
Ind. Code Ann.§ 16-36-1-5 - Persons authorized to consent for incapable parties; minors In instances where a person incapable of informed consent has not appointed a health care representative or the representative is unavailable,...
Ind. Code Ann.§ 16-36-1-6 - Delegated authority to consent on behalf of incapable party This law allows individuals who are authorized to consent to health care for another to delegate this authority to another individual, as long as the...
Ind. Code Ann.§ 16-36-1-7 - Appointed representative for health care decisions; qualifications; conditions; effective date; duties; resignation; revocation of appointment This law allows any individual eligible to consent to health care to appoint another individual as representative to act in matters affecting the...
Ind. Code Ann.§ 16-36-1.5-10 - Information to be provided by mental health provider This law requires that mental health providers inform each patient about the provider’s training and credentials, the reasonably...
Ind. Code Ann.§ 16-36-1.5-5 - Consent to mental health services by mentally incompetent patient This law states that a mentally incompetent patient who receives mental health services can provide informed consent in one of the following ways...
Ind. Code Ann.§ 16-36-1.5-7 - Rebuttable presumption of informed consent for mental health services This law creates a presumption that a consent is an informed consent if the patient’s written consent is signed by the patient/patient’s...
Ind. Code Ann.§ 4-23-30.2.-11 - Duties of the Indiana Board for the Coordination of Programs Serving Vulnerable Individuals The state of Indiana has a Board for the Coordination of Programs Serving Vulnerable Individuals, which is to come up with policies to enhance the...
Requirements for the Establishment of the Quality Assessment and Performance Improvement Program by the Home Health Agency – 410 Ind. Admin. Code 17-12-2 The home health agency must develop and implement a quality assessment and performance improvement program, and must take actions that lead to an...
Informed consent requirements (If the information is going beyond the patient and provider Informed Consent – 844 Ind. Admin. Code 5-3-5 A written agreement must be used that documents the patient’s informed consent for the use of patient-physician email.  The agreement must...
Required Contents of a Patient’s Written Consent for Release of Records – Ind. Code Ann.§ 16-39-1-4 When a patient’s written consent for release of the patient’s health record is required, the release must include the following: The...
Requirement to Include Electronic Communications in Patient Medical Records – 844 Ind. Admin. Code 5-3-6 The medical record must include written or electronic copies of all patient related electronic communications, including: Patient-physician email...
Requirements for Ability to Make Health Care Decisions – Ind. Code Ann.§ 16-36-1-4 An individual may consent to health care or treatment unless the health care provider finds that the person is incapable of making a health care...
Requirements for Consent to Health Care and Exceptions – Ind. Code Ann.§ 16-36-1-3 The following individuals may consent to their own care, unless they fall within the exceptions under Ind. Code § 16-36-1-4: An adult; An...
Requirements for Disclosure of Medical Information to Individuals Authorized to Consent – Ind. Code Ann.§ 16-36-1-11 A person who is authorized to consent for another individual has the same rights of receiving health care information and consenting to the release...
Information sharing across providers (including communication with other providers, across state lines, patient transfer) Inter-Provider Exchange of Records Without Patient’s Consent – Ind. Code Ann.§ 16-39-5-1 Providers are allowed to obtain a patient’s health records from another provider without the patient’s consent if the health records are...