Passed by Congress in 1996 to set a national standard for electronic transfers of health data.<br />To protect the privacy of medical information<br />To protect payment information<br />Policies and Procedures<br />Purposes<br />Confidentiality<br />Authenticity of users<br />Timeliness and accuracy of data entry<br />Failure to comply results in disciplinary actions<br />Regulations - Purposes<br />Health Insurance Portability and Accountability Act (HIPPA) <br />An accent, click to edit the text inside.<br />An accent, click to edit the text inside.<br />
Proprietor of EMR<br />Patients may access, copy, and request amendments to their medical records via request to the institution that created the file<br />
Health information management (him)<br />Medical staff<br />This department is responsible for the safety and security of EMRs<br />Deals with maintenance, accessibility, data integrity and quality, and retention of data<br />Protects records from unauthorized or accidental changes<br />Petitioned for patient information<br />Assures proper collection, gathering, and presentation of records for legal and administrative use<br />Responsible for documentation entered into the EMR<br />The information must be timely, accurate, pertinent, and complete<br />Staffing Responsibilities<br />
Employee Accessibility & Security<br />Standards<br />Procedures should be strictly enforced<br />Limited to those directly involved with patient care<br />Records<br />Secure passwords and or access codes<br />IDs<br />Full signatures and or initials for each entry <br />Signatures<br />Data exclusively available to personnel or department according to need, firewalls for outside access, audit trails for user tracking <br />Security<br />
Corrections<br />Instead of a deletion, an addendum is added to the existing record<br />Documents must include a signature, date, time, and reason for amendment<br />Advantages<br />Enhances safety, value, and efficiency of patient care<br />Accuracy of Records<br />
References<br />Legal medical record standards. (2008). Retrieved from http://www.ucopedu/ucophome/coordrev/.../legal-medical-record-policy.pdf<br />HIPPA basics: Medical privacy in the electronic age/ Privacy rights clearinghouse. (2011). Retrieved from http://www.privacyrights.org/fs/fs8a-hipaa.htm<br />
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