Preview

Records Control

Satisfactory Essays
Open Document
Open Document
554 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Records Control
Records Control
Arielle McNeil
HCR 210
Lyndsey Jacobs
December 12, 2012

Records Control
Every medical facility whether they are small, medium or large has some similarities and differences when it comes to how they control their patient’s medical records. The similarities between the small, medium and large medical facilities is that some facilities circulate there records and are stored in the front of the office. Majority agrees that the biggest problem in records management is the misplacement of files, follow up and treatment plans and billing issues are the worse. In terms of the measure they take to ensure the patients privacy as soon as the information is taken it is either file in their paper record or documented on the computer. In smaller facilities records are typically in three different areas to ensure that the information doesn’t get mixed up and when it comes to privacy measures it goes straight to the file area to be locked up until filed in the patient’s records. Charts are stored in a locked cabinet to prevent exposure of patient’s information to unauthorized personnel. They keep patients records on file from either 4 to 7 years and then its destroyed. In medium facilities paper records are stored in two different locations until stored in the proper places and are circulated from one area to another. Paper files are transferred immediately and electronic are documented during exam. Patients are required to sign a consent form before documents are released. When a record gets lost the original document is obtained from storage and files are kept for seven years then they are destroyed. Larger facilities store records in a storage room and the measures taken to ensure privacy is by all paper files to lock in a cabinet and computers are password protected so only authorized individuals are able to use them. The original file is kept in storage in case the medical record may get lost. Records are kept for 6 to 7 years at the medical facility

You May Also Find These Documents Helpful

  • Good Essays

    As of today there are issues with the information technology systems, clinical data management systems and the increasing automation of the electronic medical records. All of these present a significant amount of patient privacy and confidentiality issues. When we say confidential, meaning in healthcare we are talking about the protection of a patient’s medical information and keeping their medical information private and safe from any third parties. Administrators are expected to follow the HIPAA Privacy Rule. The HIPAA protects the privacy of patient’s medical information. Patient’s medical records are sensitive personal information that is covered with privacy. There are several ethical…

    • 585 Words
    • 3 Pages
    Good Essays
  • Better Essays

    The changes in medical records have altered tremendously over the past decade. The most significant change was the merging of paper medical records to electronic medical records. However, there is still room for necessary improvement and upgrades. Electronic Medical Records are thought to improve certain areas in the deliverance of healthcare services. With current situations, not all healthcare facilities have converted to or adopted the use of Electronic Medical Records. The failure to adopt or convert to Electronic Medical Records brings about incidents and stories similar to that of the real-life story of “Where’s My Chart?” written in the textbook entitled Electronic Medical Records by Richard Gartee. The prominent answer to “Where’s My Chart?” is the adoption and implementation of Electronic Medical…

    • 1118 Words
    • 5 Pages
    Better Essays
  • Good Essays

    A mode of communication many consumers will use within health care providers is electronic medical records (EMRs). EMRs is a computerized communication system of legal medical records that allows health care professionals to add medical notes to patients medical records and have access to those medical records anywhere in the country. Therefore, the subject of this reading will review the benefits, and value that EMRs bring to individuals. This reading will review some challenges that facilities will face in maintaining patient confidentiality and privacy between EMRs, provider, and consumers, safe from the outside world.…

    • 1185 Words
    • 5 Pages
    Good Essays
  • Good Essays

    When patient records were recorded only on paper it was much easier to identify and protect records. However, with records now stored and accessed electronically health care protection of records have to change.…

    • 999 Words
    • 4 Pages
    Good Essays
  • Better Essays

    When it comes to privacy it has become a major concern to both patients and the medical staff. HIPAA and privacy rules help to protect the patient’s privacy. “The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically (2003).” Over time many studies have been conducted that shows that patient want to be in control over who can access their information. The privacy of patients has increased over the years with many different ways to keep personal information private.…

    • 1058 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Medical records consist of private health information that should remain private unless direct written consent is given by the patient. Information technological advances are coming at a rapid pace and the laws designated to protecting the patient 's right to privacy are being surpassed. It is then the responsibility of the healthcare provider to ensure that he or she is doing whatever necessary to protect the patient. It is the responsibility of the healthcare manager to ensure that all staff members are properly trained to handle the PHI that they have access to. All healthcare organizations should take steps to ensure that their organization is doing all that they can to be compliant with guidelines that are stated within federal and state laws, including using safeguards and implementing a formal information management plan. After all, the patient should be comfortable and able to trust those providing healthcare services to him or her enough to provide all pertinent information to be properly diagnosed and treated.…

    • 1410 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Healthcare professionals that perform unauthorized access to patient’s records are guilty of breach of patient’s confidentiality. Technology is not 100% tamperproof which leave room for breach of patient confidentiality. If there is unauthorized access of the patient record, the perpetrators shall be detected and punished. The article discussed that reports of unintentional breaches such as an employee faxing a patient chart to the wrong Dr. Jones or facility employees snooping in a patients record (Journal of AHIMA, 2009/07).…

    • 440 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    The goal for the technology is to enhance patient outcomes, increase patient’s quality of care and improve patient safety. The computer has become a tool for documentation in patients’ medical records. The ability to care for a patient and acquire only a few pieces of paper is astonishing. The hand written paper medical record is being replaced by an electronic health record (EHR). The rolling storage shelves is replaced by electronic storage or servers. These servers are digital repositories where multiple individuals can access vital information. Patients have access to portions of their medical records and other facilities gaining access to vital patient information to improve patient care. “Most medical records are still stored on paper, which means that they cannot be used to coordinate care, routinely measure quality, or reduce medical errors”(Health care Business Technology, 2014). The comprehensive adoption of the EMR will lead to health care savings, a reduction in medical errors, and improvement in health. Sadly, the United States have been slow to adopt the EMR and trails behind other…

    • 1424 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Communication in the health care industry is important, and to the patients as well. Patients want to see and understand his or her progress when dealing with health care providers. Health care today’s patients want to remain more involved with any paperwork that has been signed or want to know what information is on his or her medical records. Patients or doctors can then rely on electronic medical records. This paper with discuss how communication is worked in the health care system and how medical records are shared.…

    • 955 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Records Organization

    • 298 Words
    • 2 Pages

    The similarities that I found for the organizations of patient files are that most of the paper files between the small and medium facilities are handled the same way. With the demographics and administrative filed on the left and medical on the right. Such as reports of labs, patient progress notes, prescription documentation, and any miscellaneous reports. Some of the small and medium facilities seem to use this filing method. This filing works well in a small to medium facility because there are not many files for the staff members to handle on a daily basis. I believe this system would not work with large facilities because the large facilities will need to use a filing system that is beneficial to the facility to keep track of patient’s files.…

    • 298 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Privacy, in healthcare is defined as patient’s right to control the disclosure of his or her confidential personal information. Security is defined as all the methods, processes and technology used to protect the confidentiality and safety of patient’s personal information. Privacy is very important aspect of the patient–physician relationship. Patients share personal information with their physicians to facilitate correct diagnosis and treatment, and to avoid adverse drug interactions. Privacy and security of patients health record has always been an important issue for the healthcare facilities. The need for stronger measures for protecting patient’s information is essential with the advent of Electronic Health Record…

    • 1261 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    This report is to help guide health professionals to maintain maximum security of keeping, storing, using, patient's confidential information and personal data. It contains sixteen recommendations about the way of handling information safely and correctly. It recommends also that Caldecott Guardians must be set up in health care settings whose responsibility will be to make sure all health care staff understand and follow the recommendations. A Caldecott Guardian is usually a senior health care professional.…

    • 822 Words
    • 4 Pages
    Good Essays
  • Good Essays

    No matter how hard a person tries, no records will ever be 100 percent safe (Thede, 2010). The United States technology is ever changing and as the U.S. progresses hopefully the security will become more efficient. The dark era is coming to end because there was no evidence of safeguarding patient records. Moreover, paper records were causing a significant increase with health insurance payouts. Compared to other countries, the U.S. is lagging behind in the health care system. It’s hard to believe that once a powerful country could lag behind a healthcare system that Americans utilize every day. Privacy is up most importance, but in order for continuity of care to be equal across all health care providers is even more important than safeguarding a particular diagnosis that one might be ashamed of having.…

    • 477 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Prior to the Information Age, medical records were all stored in folders in secure filing cabinets at doctor’s offices, hospitals, or health departments. The information within the folders was confidential, and shared solely amongst the patient and physician. Today these files are fragmented across multiple treatment sites due to the branching out of specialty centers such as urgent care centers, magnetic resonance imaging, outpatient surgical centers, and other diagnostic centers. Today’s ability to store medical records electronically has made it possible to easily send these files from one location to another. However, the same technology which can unify the fragmented pieces of a patient’s medical record has the ability to also create a path for privacy and security breaches. This paper will examine how electronic medical records are used, how they are secured, how security is enforced, and what the consequences of security breaches are.…

    • 1982 Words
    • 57 Pages
    Best Essays
  • Better Essays

    Q. Compare and Contrast the Records life Cycle and the Records Continuum Models of Records management.…

    • 1363 Words
    • 6 Pages
    Better Essays

Related Topics