HIPAA privacy officers don’t have eyes in the back of their heads. Nor can they be everywhere at once. But they can increase their ability to monitor compliance by sharing the responsibility with other staff members.
The frequency of CMS surveys seems to be on the rise. With that in mind, I thought I would address three of the top medical record concerns that might plague you if CMS comes knocking on your HIM department’s door. We have covered these in past columns, but it never hurts to take another look at the big three: verbal orders, history and physical reports (H&P), and post-anesthesia evaluation.
I was recently working on an EHR project, and there was a deep and vibrant discussion about which functionalities are part of the “core” EHR and which are “add-ons.” I came to the conclusion that the line is becoming quite blurred between what has historically been hospital information system (HIS) vs. EHR functionality.
Chart completion, in the traditional sense, typically entails someone reviewing a record to ensure that all components are complete and signed in accordance with organizational policy. Over the years, organizations have revised their policies to meet Joint Commission standards and other directives.
