Health Information Technologies and Processes

Policy for Hospital and its owned physician practice documentation

  • 1.  Policy for Hospital and its owned physician practice documentation

    Posted 03-10-2020 10:43
    Does anyone have their record policy state that the medical record for the "hospital" also includes the physician office record (for your owned practices?)

    Hospital's HIM is being asked to update our policy to state the medical record includes physician office information.

    If you do NOT do this, can you site why and where you got anything that supports not doing this?

    Thanks so much.

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    Shireena Williams
    Assistant Director
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  • 2.  RE: Policy for Hospital and its owned physician practice documentation

    Posted 03-10-2020 10:48

    Hi, we do not do this because their information is kept in their own electronic record and not part of ours. If they send it labs or an H&P they do in their EMR we do scan that in to our record but their full record is not part of ours. They are a separate and distinct entity and record so there is no reason for it to be part of the hospital medical record.


    Thanks,

    Karla

     






  • 3.  RE: Policy for Hospital and its owned physician practice documentation

    Posted 03-11-2020 11:18
    Thanks karla!

    Our (HIM)stance is in agreement with yours, however, we would like to be able to present to those who don't agree,documentation supporting this stance.  Do you (anyone) recall ever seeing anything along these lines in writing? ie: Journals, For the Record,  etc?

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    Shireena Williams
    Assistant Director
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