Question

Suppose you are the HIM Director at a large medical center that offers inpatient, outpatient, and emergency care at several sites in one state. Your medical center has announced that it will acquire a facility offering similar services in a neighboring state. The laws and regulations governing the retention and destruction of health records differ between these states. Explain how does the lack of a consistent set of laws and regulations on these two matters affects the institution you serve, and outline the steps you would take to deal with the situation? Explain in full detail, the key legal aspects in this case.

Provide examples and at least two references to support your explanation.

Answer 1

Being a director, It is the responsibility of the directors is to be responsibe to make an institution or organization comply with each and every audit, law and regulations of the country.

The laws and regulations for retention and destruction of health records differ in two different states so there will be

Lack point

1. Online documentation is not mentioned as laws

2. Laws are not so strick to make all document in audit trail

3. All the document they are producing is not viewed by the auditor hence system become so loose.

4. As per timeline these laws are not revise due to which soohisticated system is not generated

5. All laws in such away that it can be easily breakup by the authority

6. Due to which one institute is within the set of compliance but other one is not.

7. Traceability is not there which creates a question on authority.

My steps

1. Training to an individual about the importance of documentation

2. Meeting with all experts

3. Periodic training to everyone

4. Implementation of audit trail software

5. Privileged group generation

6. Failure identification and analysis

7. Blockage on sharing of documentation without authority