You are the director of health information at a large medical center that offers inpatient, outpatient, and emergency care at several sites in one state. Your medical center has announced that it will acquire a facility offering similar services in a neighboring state. The laws and regulations governing the retention and destruction of health records differ between these states. Discuss how the lack of a consistent set of laws and regulations on these two matters affects the institution you serve and outline the steps you will take to deal with the situation.
Review Questions
Compare and contrast the clinical uses of a health record with the secondary purposes of a health record
How does a health record serve as a legal document?
Is it legally proper for a physician in a group practice to sign medical entries made by another physician in the same practice? Why or why not?
How can an electronic health record be corrected?
Explain the concept of an amendment to the record under the HIPAA Privacy Rule.
What legal requirements apply to a record retention policy?
Will civil or criminal liability apply to a health care institution that destroys a record in other than the ordinary course? Why or why not?
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