You are the director of health information at a large medical center that offers

Question

You are the director of health information 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. Discuss how the lack of a consistent set of laws and regulations on these two matters affects the institution you serve, and outline the steps you will take to deal with the situation.

Explanation / Answer

As a director it's my responsibility to make my organisation in state of compliance at each and every audit of country. Here in one of my center we are keeping records and all document in consistent and manageable manner but other facilty we are acquiring is not too much correct in documentations.

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 create question on authority.

My steps

1. Training to individual about 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

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