1 / 10

Electronic Health Records

Electronic Health Records. Agenda. Paper vs. electronic records Legal issues Email and PHI Records retention and destruction. Paper vs. Electronic Records. Legal health record Contents of a paper medical chart along with radiology films and other imaging

weldon
Télécharger la présentation

Electronic Health Records

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Electronic Health Records © 2009 Cengage Learning. All Rights Reserved.

  2. Agenda • Paper vs. electronic records • Legal issues • Email and PHI • Records retention and destruction © 2009 Cengage Learning. All Rights Reserved.

  3. Paper vs. Electronic Records • Legal health record • Contents of a paper medical chart along with radiology films and other imaging • Must meet federal and state law standards • Must meet CMS and healthcare accrediting agency requirements © 2009 Cengage Learning. All Rights Reserved.

  4. Paper vs. Electronic Records contd. • Electronic health record (EHR) • Computerized format of a patient’s paper health records • Part of health information technology system • Consists of integrated information systems and technologies, with different data and images © 2009 Cengage Learning. All Rights Reserved.

  5. Federal Laws and Preemption • HIPAA • Enables electronic health records • Preempts any state law that conflicts • E-SIGN • Puts electronic signatures and records on par with paper • Preempts any state law that conflicts © 2009 Cengage Learning. All Rights Reserved.

  6. State Licensure for Any Health Records • Defines required contents of patient charts • May also have requirements for EHR as long as they don’t conflict with HIPAA and E-SIGN © 2009 Cengage Learning. All Rights Reserved.

  7. Accreditation Issues • Voluntary accreditation (e.g., Joint Commission, NCQA) • CMS requirements • Electronic prescriptions © 2009 Cengage Learning. All Rights Reserved.

  8. Legal Issues in EHR • Authentication • Provider documentation • Admissibility • State law and rules of evidence • Hearsay • Best evidence rule © 2009 Cengage Learning. All Rights Reserved.

  9. Email and PHI • HIPAA Privacy and Security Rules for EPHI • Electronic Privacy Communication Act • Common problems associated with Internet © 2009 Cengage Learning. All Rights Reserved.

  10. Records Retention and Destruction • State law requirements for retention of different types of records • CMS requirements for patient records • Business practices © 2009 Cengage Learning. All Rights Reserved.

More Related