Health Information Technologies and Processes

Electronic signature

  • 1.  Electronic signature

    Posted 12-12-2013 13:43
    Currently our EHR is set for the physician to electronically sign each order within the emergencey department visit. Physicians are not completing these steps and we now have a large backlog of orders that are not authenticated.

    We have not found anything that states the physician must sign-off on each order (labs and imaging). We are trying to determine if the electronic signature for the visit is adequate. As part of our due dilligence, we are asking for input from HIM professionals.

    My facility is in South Carolina and PGBA is our MAC if that helps. Your feedback is greatly appreciated.

    Karen Lowrimore, RHIA
    Charge Master Manager
    ICD-10 Transition Manager

  • 2.  RE:Electronic signature

    Posted 12-13-2013 10:28
    We require everything be signed. Every order...note....etc. Everything individually must be signed. ------------------------------------------- Seth Katz Assistant Administrator, Information Management and Program Execution -------------------------------------------

  • 3.  RE:Electronic signature

    Posted 12-26-2013 13:02
    We require all orders, notes and any entry to be signed. 

    Leah Beck, RHIA
    Director, HIM
    Loma Linda University Health

  • 4.  RE: Electronic signature

    Posted 08-14-2020 10:36
    Does your EMR require providers to enter a PIN each time they sign an order or document?

    Ashley F.

  • 5.  RE: Electronic signature

    Posted 08-16-2020 09:58
    At our hospital we just started a four digit PIN number next to all signatures ( date and time).

    Jennifer Hertlein
    Health Information Tech

  • 6.  RE: Electronic signature

    Posted 08-17-2020 12:02
    Hi Jennifer,

    Thank you for providing some insight to your workflow.  Are providers required to enter the four digit PIN each time they sign or place an order, or is the four digit PIN automatically applied?

    Currently, when our providers document any note, they click a 'sign' button, that then prompts them to enter a four digit PIN.  This has been very time consuming for the providers to enter their PIN each time they sign a note or place an order, so we are interested in hearing what other facilities are doing.

    Thanks again!

    Ashley F.

  • 7.  RE: Electronic signature

    Posted 08-19-2020 15:49
    Hi Karen,
    I don't believe that signing off at the visit is adequate, Every entry (order, note, report, etc) in the medical record must be authenticated. With our system the provider is able to sign multiple orders at once, they can use the order set or they can enter multiple orders individually and sign them in a batch. This allows them to enter the pin one time, but the system will date/time and electronically sign each order included during that ordering session. Also, if a provider gives a verbal or telephone order, these are sent to the sign queue, these can also be checked off and signed in a batch with one entry of the pin.

    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital

  • 8.  RE: Electronic signature

    Posted 08-19-2020 17:39

    Agreed. Every entry requires and authentication (date/time/sign).


    Our EHR is built the same way, in that providers can batch sign orders and documents or review individually.





    Maria C. Alizondo, MOL, MLC, RHIT, FAHIMA

    Director | Health Information Management Services

    ISS | Information Services & Solutions 

    Office: 310-267-7603 | Cell: 818-590-7504


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  • 9.  RE: Electronic signature

    Posted 08-19-2020 18:34

    Every entry/order has to be signed; our system makes it easy for providers to review and sign off their documents.

    Lien Nguyen
    Him Manager