Health Information Technologies and Processes

Amending Provider Documentation after Provider has left facility

  • 1.  Amending Provider Documentation after Provider has left facility

    Posted 05-03-2019 14:31
    Does anyone know what the regulations are around who can amend a providers documentation after they have left the facility/practice? A patient is requesting an amendment to a diagnosis but the provider is no longer on staff, who would be the person to make the correction?

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    Allison Anderson
    Director Him Operations
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  • 2.  RE: Amending Provider Documentation after Provider has left facility

    Posted 05-06-2019 08:32
    Hi Allison,
    Is there another provider who was in practice with the provider who left? Often times they are comfortable updating each other's documentation, in the event that we have a documented patient request. I would also consider taking it to the Medical Exec Committee. We have had the Chief of Medicine sign or update charts (with proper documentation) in the event that something needs attention and the original author is no longer available.
    Katie

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    Kathryn Wood
    Assistant Director of Information Systems
    War Memorial Hospital
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  • 3.  RE: Amending Provider Documentation after Provider has left facility

    Posted 05-07-2019 12:12
    I would echo Kathryn's statement. We have a Chief Medical Officer who is able to evaluate requests for amendment of PHI. We also try to maintain relationships with providers who are no longer employed by our organization for times like that.

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    Sabrina Brasuell
    Health Information and Compliance Manager
    Community Health Alliance Reno, NV
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