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