The Medical Record: Understanding, Managing, Retaining, and Destroying Them
1 hour 30 minutes
Understand the legal concepts applicable to medical records management, storage, and destruction.
Health care has changed and so has health record management. With considerations for the change from hard copy to electronic record, patient medical record privacy, security and management requirements and storage and destruction of records, identifying and protecting your organization from legal hardships is a priority. This topic is intended to be a flyover discussion of the general legal concepts applicable to medical records management, storage, and destruction. Included in the overview of the record management discussion is consideration of what constitutes a medical record, the merger and management of hard copy and electronic records, privacy considerations, storage and management of the medical record, management of the record in special circumstances, applicable time limits, and oversight of record destruction. As the medical record world changes, legal obligations change and privacy concerns evolve and are enhanced by federal and state law and regulatory changes, the ability to manage records while being sensitive to the implications of the web of issues related to the same. This overview is intended to provide a general familiarization with the growing requirements for a well-run practice from the solo practitioner to the large institution and allow those responsible to identify areas where greater training and practice is needed.
• You will be able to define what a medical record is.
• You will be able to review the basics of record retention.
• You will be able to discuss how to maintain record privacy and compliance.
• You will be able to explain the change of status considerations for the practice.