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Western Governors University *

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C803

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Information Systems

Date

Jan 9, 2024

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pdf

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5

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Charlesia Dawkins Western Governer University C803: Course Name Data Analytics and Information Governance 12/11/2023
A: CHARACTERISTICS Paper, hybrid, and full EHR systems share common characteristics. They all have a well-designed display of patient data and measures in place to keep patient data safe. Paper-based systems are vulnerable to loss or damage, while hybrid systems combine paper and electronic records. Full EHR systems offer advantages such as easy data sharing and remote access but require robust security measures (Johns, 2015, pp. 21-33). Paper health records are typically stored in filing cabinets or storage rooms, which limits accessibility to physical access only. Hybrid medical records, on the other hand, combine paper and digital formats, making them more accessible as some records can be accessed electronically. Electronic health records (EHRs) are stored digitally on the cloud, making them even more easily accessible due to their digital nature. To make changes to physical medical records, it is important to add a note to the original copy rather than crossing out any previous notes. With electronic medical records (EMR), the system has built-in features to simplify the process of adding an addendum. Hybrid medical records, which are a blend of physical and electronic records, follow established medical record protocols. Regardless of the type of record, it is crucial to refrain from deleting the original addendum and always sign and date any amendments. A1: LEGAL ISSUES Hybrid medical records can pose a range of challenges, particularly from a legal perspective. Automation can be difficult to implement, especially when it comes to determining authorship when electronic signatures are absent. Additionally, the inconsistency of storing some documents in paper versus electronic format can result in confusion over missing records, leading to significant inconvenience. It is crucial to address these issues to ensure the accurate upkeep and safeguarding of medical records. (Johns, 2015, pp. 31). B1: STATE REGULATIONS
Cedar Bend will comply with Florida's medical record retention laws, which require records to be transferred to electronic documents within 24 hours and kept for a minimum of 6 years. This ensures compliance with state regulations and demonstrates Cedar Bend's commitment to meeting these requirements (Szmuc, 2022). In accordance with established policies, the state of Florida adheres to destruction guidelines for medical records, as set forth by the Cedar Bend Hospital policy. In order to ensure that sensitive patient information is safeguarded, shredding of medical records requires approval prior to destruction. Compliance with these policies is crucial in order to maintain the confidentiality of patient’s personal information and to safeguard their privacy. The state of Florida and Cedar Bend's record policy share similar procedures concerning the disposal of medical records. Both entities review a list of records once they reach their retention limit, and send it for approval to shared medical records. However, Cedar Bend's policy includes signing and adding data before shredding the records, whereas Florida has a 15-day window to sign the list, unless the records are involved in pending litigation. Overall, Florida and Cedar Bend's policies are somewhat compliant with each other. B2: MEDICARE CONDITIONS OF PARTICIPATION Upon reviewing Cedar Bend's record policy, it appears that they are in compliance with Medicare conditions for participation. These conditions require medical records to be retained for a minimum of five years. This means that Cedar Bend is committed to maintaining comprehensive and accurate records of patient care, and ensuring that they are available for reference as needed. By adhering to these regulatory requirements, Cedar Bend is demonstrating their dedication to providing quality care to their patients and maintaining a high standard of professionalism in their practice( AHIMA).
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